Methods to assess sexuality after stroke used in rehabilitation: a scoping review

Nothing on the protocols employed to make sure you are having enough sex after your stroke. My recreational therapist was worthless, he did nothing to solve any of the problems I eventually encountered. 

Missionary style sex just doesn't work anymore, or the Queens's throne, or the Mare, or the Swing(Look up Kama Sutra). Problems:

1.  Fingers and thumb will not stay flat.

2. Wrist collapses.

3. Elbow collapses.

4. Bicep spasticity pulls everything out of line.

 

All this is why you need to be doing lots of sex, why the hell can't your doctor get you fucking again? In fact you should be doing it in the hospital.

Sexual Frequency Predicts Greater Well-Being, But More is Not Always Better

 

Sex after stroke

 

Sex linked to better brain power in older age

Sex: The Ultimate Full Body Workout

 

Better Memory From This Extremely Pleasurable Activity - Sex

 

WHY SEX IS BETTER FOR YOUR BRAIN THAN SUDOKU 

 

Sex linked to better brain power in older age

 

Good News About Sex- It Doesn't Cause a Stroke

 

Sex Does Not Increase Heart Attack Risk - What about stroke?

 

Frequent orgasms may protect against heart attacks

 

An orgasm a day keeps the doctor away!

In case you don't have a partner she could prescribe this.

Electrosex

And the benefits of marijuana for sex here:

Sex, Marijuana and Baby Booms

 

And how is your doctor ensuring you get enough sex while in the hospital?

The latest here:

 

Methods to assess sexuality after stroke used in rehabilitation: a scoping review

Louis-Pierre Auger1-2 , Mélanie Aubertin3 , Myrian Grondin4 , Claudine Auger1-2 , Annie Rochette1-2 1: School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, Qc, Canada. 2: Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Qc, Canada. 3: School of Rehabilitation, Université de Sherbrooke, Sherbrooke, Qc, Canada. 4: Marguerite-d’Youville Library, Université de Montréal, Montreal, Qc, Canada. Corresponding author: Louis-Pierre Auger, MOT, MSc, doctoral student in rehabilitation sciences at Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut universitaire sur la réadaptation en déficience physique de Montréal – Lindsay pavilion, 6363 chemin Hudson, Montreal (Qc), Canada, H3S 1M9. E-mail: louis-pierre.auger@umontreal.ca Acknowledgments The authors gratefully acknowledge that the first author was supported by doctoral scholarships from the Canadian Institutes for Health Research, the Fonds de recherche du Québec en santé (FRQS), the School of Rehabilitation of the Université de Montréal (UdeM) and the Ordre des ergothérapeutes du Québec. The fourth and last author were supported by a career award from the FRQS. Our sincere thanks to the bibliothèques/UdeM for enabling the participation of the third author in this research project. The authors would also like to thank Dr. Johanne Higgins, and Isabelle Quintal, MSc, for their insights on the manuscript.

 

Abstract Word count : 200 

Purpose: 

The aim was to identify and describe the assessment methods used by rehabilitation professionals to evaluate sexuality for individuals post-stroke, as well as the domains of sexuality addressed. 

Methods: 

Seven databases were selected for this scoping review. Articles needed to meet these inclusion criteria: published studies with a sample of ≥ 50% stroke clients and describing a quantitative or qualitative assessment method that could be used by rehabilitation professionals. This study was conducted following the PRISMA guidelines and domains of sexuality were categorized using the ICF core set for stroke. 

Results: 

Of the 2447 articles reviewed, the 96 that met the selection criteria identified a total of 116 assessment methods classified as standardized assessment tools (n = 62), original questionnaires (n = 28), semi-structured interviews (n = 16) or structured interviews (n = 10). Sexual functions were predominantly assessed using standardized tools, while intimate relationships and partner’s perspective were generally addressed more by original questionnaires and qualitative methods. A stepwise approach combining relevant assessment methods is presented. 

Conclusions: 

Individually, these diverse assessment methods addressed a limited scope of relevant domains. Future research should combine quantitative and qualitative methods to encompass most domains of sexuality of concern to post-stroke individuals.