R - SEXUAL HEALTH & RELATIONSHIPS
Inform individuals with SCI that it is common for the degree of spasticity to change as a result of sexual activity. (Adapted from CSCM 2010, p.316; Level C).
Discuss safety issues with individuals with SCI and their partners when engaging in sexual activity. Positioning options should be discussed as related to their level of mobility, and positioning aids can be recommended as needed. Sexual activities involving the use of a wheelchair, hot water shower or shower equipment should be discussed, and factors relating to balance and trunk stability should also be considered on an individual basis. (Adapted from CSCM 2010, p.318; Level C)