[en] Introduction. Vaginismus is a female sexual dysfunction, of multifactorial etiology, which is included in sexual pain disorders. Its prevalence is not exactly known, but it is close to 2% of the total female population. This disorder, which in many cases go with pain, anxiety, and/or depression; it is deteriorates the quality women life. Its approach includes psychology, pharmacological treatment and physiotherapy. Aim. The main aim of this study is determinate if physiotherapy is effective in the approach of secondary vaginismus developed after a partum injury in the improving pain, the sexual function and the muscle tone in the pelvic region. Material and methods. It is proposed the design of an experimental study of crossover controlled clinical trial, randomized, single blind. The sample consists of 98 women diagnosed with secondary vaginismus who are going to divide into two groups. Group A will be receive physiotherapy for 3 months, while group B remains on hold. At the end of this period, the groups are exchanged between them, being the second one who receives the treatment. The intervention is going to be divided into: a face-to-face work twice a week where functional electrical stimulation, manual therapy and pelvic floor relaxation exercises with biofeedback will be applied; and a plus home workout that they must do daily. This home program includes pelvic floor relaxation exercises and diaphragmatic breathing, lumbo-pelvic stretching and flexibilization and therapy with dilators. Three evaluations will be made, in the 1°, 5° and 9° month, where the variables of pain, sexual function, strength, tone and elasticity of the pelvic floor muscles are going to be measured. Applicability. This project contributes to creating high-quality studies on the evidence for physiotherapy in the approcach to vaginismus, and consequently, to the future performance of systematic reviews on the topic with the aim of generating a clinic guideline for the treatment of this disorder.

[gl] Introducción. O vaxinismo é unha disfunción sexual femenina, de etioloxía multifactorial, que se engloba dentro dos trastornos sexuais por dor. A súa prevalencia descoñécese con exactitude, pero aproxímase ao 2% do total da poboación feminina. Este trastorno, que en moitos casos vai acompañado de dor, ansiedade e depresión; deteriora a calidade de vida das mulleres. Dentro da súa abordaxe inclúese psicoloxía, tratamiento farmacolóxico e fisioterapia. Obxectivo. O obxectivo principal de este estudo é determinar se a fisioterapia é eficaz na abordaxe do vaxinismo secundario desenvolto tras unha lesión no parto, na mellora da dor, función sexual e tono da musculatura de rexión pélvica. Material e métodos. Proponse o deseño dun estudo experimental de tipo ensaio clínico controlado cruzado, aleatorizado, doble cego,. A mostra componse de 98 mulleres diagnosticadas de vaxinismo secundario que serán divididas en dous grupos. O grupo A recibirá fisioterapia durante 3 meses, mentres que o grupo B permanece en espera. Ao finalizar este período os grupos intercámbianse recibindo o tratamento ó segundo grupo. A intervención dividirase en: un traballo presencial con frecuencia de 2 veces/semana onde se aplicarán estimulación eléctrica funcional, terapia manual e exercicios de relaxación do chan pélvico con biorretroalimentación; e un traballo domiciliario que deberán realizar diariamente. Este programa domiciliario recolle, exercicios de relaxación do chan pélvico e respiración diafragmática, estiramentos e flexibilización lumbo-pélvica, e terapia con dilatadores. Realizaránse tres valoracións, no 1°, 5° e 9° mes, onde se medirán as variables dor, función sexual, forza, tono e elasticidade da musculatura do chan pélvico. Aplicabilidade. Este proyecto contibúe a xerar estudos de alta calidade sobre a evidencia da fisioterapia no abordaxe do vaxinismo, e, en consecuencia, á futura realización de revisións sistemáticas sobre o tema co obxectivo de xerar una guia clínica para o abordaxe deste trastorno.