Impact of Transcutaneous Tibial Nerve Stimulation on Lumbopelvic Mechanics and Sexual Function in Females With Sexual Dysfunctions and Low Back Pain: a Randomized Controlled Trial
This study will be conducted to examine the effects of Transcutaneous Tibial Nerve Stimulation (TTNS) on lumbopelvic mechanics and sexual function in females with sexual dysfunctions and low back pain
Female sexual dysfunction is a term used to describe various sexual problems, such as low desire or interest, diminished arousal, orgasmic difficulties, and dyspareunia. Female sexual dysfunction is considered common, with a widely quoted prevalence estimate of 43% from the U.S. Low back pain is one of the most common adult musculoskeletal disorders, impacting up to 65% of people per year. Specifically, low back pain negatively impacts sexual activity due to discomfort during sexual relations that leads to a decrease in the frequency of sexual intercourse and alters feelings in the relationship with the partner, leading to a lack of desire or sexual activity. Transcutaneous Tibial Nerve Stimulation (TTNS) is a non-invasive, low-risk electrical stimulation technique that modulates the sacral nerve plexus via stimulation of the posterior tibial nerve, with pelvic floor innervation. TTNS has demonstrated promising outcomes in managing overactive bladder, pelvic pain, and pelvic floor dysfunctions by improving neuromuscular activation, enhancing blood flow, and regulating sensory signaling pathways. Despite growing evidence supporting TTNS in pelvic health, its potential influence on spinal mechanics-such as lumbar angle, spinal mobility, and trunk inclination-remains underexplored, particularly in women experiencing low back pain associated with sexual dysfunction.
Inclusion Criteria: * Females are diagnosed with low back pain combined with female sexual dysfunction. * Their ages will be ranged from 25 to 35 years. * Their body mass index (BMI) will be ranged from 23-28 kg/m2. * Patients with a number of normal deliveries ≤ three times * They had regular menstruation.
Exclusion Criteria: * Prior history of disc prolapse and sacroiliac joints, symphysis pubic joint as well as lower limb problems. * Genital prolapse. * Leg length discrepancy. * Urinary tract infection. * Diastasis recti, diabetes, intrauterine device. * Surgery related to the spine, abdomen or pelvis as well as skin disease that interferes with the usage of TTNS.
[{"measure":"Female Sexual Function Index (FSFI)","timeFrame":"6 weeks"},{"measure":"Pelvic inclination angle","timeFrame":"6 weeks"},{"measure":"lumbar lordotic angle","timeFrame":"6 weeks"},{"measure":"Spinal mobility","timeFrame":"6 weeks"}]