- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05122325
Treatment for Sexual Dysfunction in Women With Spinal Cord Injury
Vibration and Transcutaneous Tibial Nerve Stimulation as a Treatment for Sexual Dysfunction in Women With Spinal Cord Injury: A Randomized Clinical Trial
Women with spinal cord injury frequently experience sexual dysfunction such as disturbances during arousal and an increased time to orgasm. However, little evidence has been found on its therapeutic approach and low adherence. To verify the effectiveness of two interventions: the application of genital vibration and transcutaneous stimulation of the tibial nerve.
This is a randomized clinical trial. 54 women will be recruited who suffer from sexual dysfunction.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Cristina Lirio-Romero, PhD
- Phone Number: +34600320518
- Email: cristina.lirio@uclm.es
Study Locations
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Toledo, Spain, 45001
- Cristina Lirio-Romero
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Women with incomplete spinal cord injury B, C or D (with preservation of the sacral arch and sensitive assessment of the lower dermatomes not absent, paying special attention to the sensitivity of the genital area) level below T6.
- between 18-60 years
- hormonal analysis. Participants do not present menopausal values of the hormone FSH (follicle stimulating hormone ) (31- 134 U / L)
- present some type of sexual disorder secondary to spinal cord injury with at least 12 months of evolution
- from Spain
- willing to attend the evaluation and treatment center
- seeking to improve in the sexual area.
Exclusion Criteria:
- women with active pregnancy
- present pre-existing pathologies in the genital area
- genital malformation, previous neurosurgery that affects the genital response capacity
- sexual disorders before the injury
- pressure ulcers, serious medical illness or any type of pathology in which the use of sick leave is contraindicated frequency
- psychiatric disorder, narcotic dependence, use of specific serotonin reuptake inhibitors, antipsychotics or other drugs that affect sexual response.
- does not sign the informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention group 1: Transcutaneous tibial nerve stimulation (TTNS)
Transcutaneous application of low frequency electrical current over the tibial nerve TENS® EMS NMS60 for a 30 minutes session, twice a week. Placing a small electrode 3 fingers up to the internal malleolus and 1 cm posterior (adjusting its placement with a point finder or testing with low frequencies of 2-3 Hz). A large electrode placed in the calcaneus. |
Stimulation sessions with a TENS® EMS NMS60 device. These will be carried out for 30 minutes, once a week at 10 Hz, with a pulse width of 200 μs and an intensity between 0 and 100 mA, which will be individually adjusted to each participant. Inicially, frequency between 2-3 Hz, so that when the current passes, a contraction-relaxation will cause the first toe movement visually evident (excitomotor threshold). Once verified, the frequency is raised to what has been established between 10Hz and there the intensity is increased without having to now reach the excitomotor threshold, as long as the physiotherapist notice it is enough (it must be tolerable).
Other Names:
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Experimental: Intervention group 2: Genital vibration
Women will be instructed in the use of the Ferticare 2.0® vibrator with a frequency of 70 Hz, amplitude of 1.5 mm.
It will be recommended to gradually increase its use over time, with a limit of 30 minutes a day.
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Women will be instructed in the use of the Ferticare 2.0® vibrator.
Initially, a practice will be carried out , indicating that the frequency of use will be 70 Hz with an amplitude of 1.5 mm.
It will be recommended to gradually increase its use over time, with a limit of 30 minutes a day.
Other Names:
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Sham Comparator: Control group
A sham of TTNS intervention with the device turned off, twice a week.
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Sham of TTNS intervention with Stimulation sessions with a TENS® EMS NMS60 device. These will be carried out for 30 minutes, once a week. Inicially, frequency between 2-3 Hz, so that when the current passes, a contraction-relaxation will cause the first toe movement visually evident (excitomotor threshold). Once verified, the intensity is decreased to lower the sensitive threshold of treatment.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The "Index of female sexual function (IFSF)"
Time Frame: 5 minutes
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This questionnaire showed validity, internal consistency in all its domains, specifically Cronbach's Alpha 0.745 in arousal and 0.753 in orgasm and test-retest reliability of ICC 0.96.
This questionnaire consists of 19 questions and is grouped into six domains.
The score for each domain is multiplied by a factor and the final result is the arithmetic sum of the domains.
The higher the score, the better sexuality.
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5 minutes
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Sexual Quality of Life-Female (SQOL-F)
Time Frame: 5 minutes
|
SQOL-F showed good validity and reliability.
The questionnaire was developed to measure the impact of sexual disorders on quality of life.
This questionnaire consists of 18 questions with a response scale of 6 options.
The quality of sexual life will be considered poor if the score is between 18-51, moderate between 51-84 and good if it is greater than 84.
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5 minutes
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Cristina Lirio-Romero, PhD, University of Castilla-La Mancha
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CLirio06
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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