Sipski M L, Rosen R C, Alexander C J
Kessler Institute for Rehabilitation, West Orange, NJ 07052-1499, USA.
Arch Phys Med Rehabil. 1996 May;77(5):419-24. doi: 10.1016/s0003-9993(96)90027-1.
To compare the physiological sexual responses of women with complete spinal cord injuries (SCI) with those of able-bodied women.
Controlled laboratory-based analysis of responses to a distracting task coupled with manual genital stimulation versus masturbation.
The sexual physiology laboratory at our free-standing rehabilitation hospital.
A volunteer sample of 10 women with complete SCI along with 10 able-bodied women, matched for age and educational status.
A 78-minute protocol using 6-minute baselines alternating with 12-minute testing conditions. DEPENDENT-VARIABLES: Vaginal pulse amplitude, subjective arousal, heart rate, respiratory rate, and blood pressure.
Subjective sexual arousal increased in able-bodied women with manual genital stimulation in conjunction with performance of a distracting task and was further augmented by removal of the distracting task and continuing with masturbation. In contrast, complete SCI subjects did not demonstrate increased subjective arousal with performance of the distracting task in conjunction with manual genital stimulation; however, they did evidence significant increases in arousal when the distracting task was eliminated.
Genital responses tended to parallel subjective responses in able-bodied women; however, women with SCI revealed nonsignificant changes in genital responses throughout the treatment protocol. It is hypothesized that the genital and subjective responses of able-bodied subjects reflect the additive components of reflex and then psychogenic sexual arousal. Furthermore, the lack of responsivity in the SCI subjects was thought to be related to compromised upper extremity function in the majority of our subjects. Further work is necessary to validate these hypotheses.
比较完全性脊髓损伤（SCI）女性与身体健全女性的生理性性反应。
基于实验室的对照分析，比较对一项分心任务与手动生殖器刺激相结合以及自慰的反应。
我们独立康复医院的性生理实验室。
10名完全性SCI女性志愿者样本以及10名身体健全女性，年龄和教育程度匹配。
一个78分钟的方案，包括6分钟基线期与12分钟测试期交替进行。
阴道脉搏振幅、主观唤起、心率、呼吸频率和血压。
身体健全的女性在进行手动生殖器刺激并同时执行一项分心任务时，主观性唤起增加，去除分心任务并继续自慰时，唤起进一步增强。相比之下，完全性SCI受试者在进行手动生殖器刺激并同时执行分心任务时，主观唤起并未增加；然而，当去除分心任务时，她们的唤起有显著增加。
身体健全女性的生殖器反应往往与主观反应平行；然而，SCI女性在整个治疗方案中生殖器反应变化不显著。据推测，身体健全受试者的生殖器和主观反应反映了反射性和心理源性性唤起的累加成分。此外，SCI受试者缺乏反应性被认为与我们大多数受试者上肢功能受损有关。需要进一步的研究来验证这些假设。
