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Aquatic Exercising May Improve Sexual Function in Females With Multiple Sclerosis – an Exploratory Study Publisher Pubmed



Sadeghi Bahmani D1, 2, 3 ; Motl RW2 ; Razazian N4 ; Khazaie H3 ; Brand S1, 3, 5, 6, 7
Authors
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Authors Affiliations
  1. 1. University of Basel, Psychiatric Clinics (UPK), Center of Affective, Stress and Sleep Disorders (ZASS), Basel, Switzerland
  2. 2. Departments of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, United States
  3. 3. Kermanshah University of Medical Sciences (KUMS), Sleep Disorders Research Center, Kermanshah, Iran
  4. 4. Kermanshah University of Medical Sciences, Neurology Department, Kermanshah, Iran
  5. 5. Kermanshah University of Medical Sciences (KUMS), Substance Abuse Prevention Research Center, Health Institute, Kermanshah, Iran
  6. 6. University of Basel, Department of Sport, Exercise, and Health, Division of Sport Science and Psychosocial Health, Basel, Switzerland
  7. 7. Tehran University of Medical Sciences, School of Medicine, Tehran, Iran

Source: Multiple Sclerosis and Related Disorders Published:2020


Abstract

Background: Persons with multiple sclerosis (PwMS) report impaired sexual function, and this is particularly prevalent and burdensome for females with MS. The present study included a randomized controlled trial (RCT) design and examined the effect of aquatic exercise training on sexual function among females with MS. Methods: The sample consisted of 60 married female PwMS (mean age: 37.68 years; median EDSS: 1.75) who were randomly assigned into one of the following conditions: aquatic exercise twice a week (2x/w); aquatic exercise three times a week (3x/w); active control condition (ACC). Participants completed questionnaires regarding sexual function (desire, arousal, lubrication, orgasm, satisfaction, pain), symptoms of depression, sleep complaints, fatigue, and couple satisfaction before and after the 8-week study period. Results: The interventions had significant and positive effects on the overall score of sexual function (p < .001, ηρ 2 = .35), all subscales (desire (p = .002, 2 = .20), arousal (p = .01, 2 =.15), lubrication (p = .011, 2 = .15), orgasm (p = .007, 2 = .16), satisfaction (p = .023, 2 = .13), pain (p = .02, 2 = .13)) and depression (p =.002, 2 = .20).The interventions had no significant and positive effects on fatigue (p = .31, 2 = .04) sleep complaints (p = .079, 2= .087), and couple satisfaction (p = .69, 2 = .01) compared with the active control condition. Conclusions: Aquatic exercise training may improve sexual function among female PwMS, but this requires further examination using a large sample pre-screened for sexual dysfunction. If confirmed, the present findings are of clinical and practical importance for females with MS. © 2020 Elsevier B.V.
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