Clinical studies

 

MAPLe EMG, Biofeedback & Electrostimulation

* Reliability and differentiation of pelvic floor muscle electromyography measurements in healthy volunteers using a new device: the Multiple Array Probe Leiden (MAPLe) (Click Here)



MAPLe Overactive Bladder

* The effect of EMG biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: A randomized controlled trial(Click here).

* Sacral Neuromodulation Changes Pelvic Floor Activity in Overactive Bladder Patients – Possible New Insights in Mechanism of Action: A Pilot Study (Click here).

* Differences in EMG Activity of the Pelvic Floor Muscles in Women with Complaints of the Overactive Bladder Syndrome and Healthy Women (Click here).

* Changes in EMG Signals of the pelvic floor in women with the overactive bladder syndrome after biofeedback assisted pelvic floor muscle therapy (Click here).

* Differences in EMG signals of pelvic floor musculature (PFM) in women with and without  the overactive bladder syndrome (Click here).

* EMG activity of the pelvic floor musculature in women with complaints of the overactive bladder syndrome and healthy women (Click here).

* Effects of Biofeedback assisted Pelvic Floor Muscle Therapy as urge suppression technique on EMG signals of the Pelvic Floor in women with the overactive bladder syndrome (Click here).



MAPLe Sacral Neuromodulation

* Needle Placement and Position of Electrical Stimulation Inside Sacral Foramen Determines Pelvic Floor Electromyographic Response – Implications for Sacral Neuromodulation (Click here) .

* Neural pathway of bellows response during SNM treatment revisited: conclusive evidence for direct efferent motor response (Click here).

* Pelvic Floor Muscle Electromyography as a Guiding Tool During Lead Placement and (RE)Programming in Sacral Neuromodulation Patients: Validity, Reliability, and Feasibility of the Technique (Click here).

* Pelvic floor activation upon stimulation of the sacral spinal nerves in sacral neuromodulation patients (Click here).



MAPLe Chronic Pelvic Pain

* Efficacy of botulinum toxin A injection in pelvic floor muscles in chronic pelvic pain patients: a study protocol for a multicentre randomised controlled trial (Click here).



MAPLe LUTS

* Exploring pelvic floor muscle activity in men with lower urinary tract symptoms (Click here).

* The test-retest reproducibility of the multiple array probe Leiden in men with lower urinary tract symptoms (Click here).

* Pelvic floor muscle activity in men with and without pelvic floor symptoms: an observational study (Click here).



MAPLe Pilates

* The effect of modified Pilates-based positions on pelvic floor electromyographic (EMG) activity; a pilot study (Click here).




MAPLe Rectal

* Targeted Electromyographic Biofeedback With Endoanal Electrostimulation for Anal Incontinence (Click here).

* To what extent are anorectal function tests comparable? A study comparing digital rectal examination, anal electromyography, 3-dimensional high-resolution anal manometry, and transperineal ultrasound (Click here).

* Pelvic floor physical therapy in patients with chronic anal fissure: long-term follow-up of a randomized controlled trial (Click here).

* Assessment of Faecal Incontinence with MAPLe (Click here).

* Electromyography evaluation of the pelvic floor muscles and functional outcomes in patients who underwent rectal cancer treatment EFFORT trial (Click here).



MAPLe Benchmark

* Scientific evidence for pelvic floor devices presented at conferences: An overview (Click here).

* Pelvic floor muscle activation during contractions of the muscles surrounding the Pelvic Floor (Click here).

* THE MULTIPLE ARRAY PROBE (MAPLE): A NEW TOOL CAPABLE OF MEASURING EMG OF AND DIFFERENTIATE BETWEEN INDIVIDUAL PELVIC FLOOR MUSCLES (Click here).

* Whitepaper: EMG Registration for Pelvic Floor Muscles (Click here).



EMG / Biofeedback

* EMG-biofeedback assisted pelvic floor muscle training is an effective therapy of stress urinary or mixed incontinence: a 7-year experience with 390 patients (Click here).

* Efficacy of biofeedback on quality of life in stages I and II pelvic organ prolapse: A Pilot study (Click here).

* Electromyographic Biofeedback for Stress Urinary Incontinence or Pelvic Floor Dysfunction in Women: A systematic Review and Meta-Analysis (Click here).



Electrostimulation / Biofeedback

* Placement of probes in electrostimulation and biofeedback training in pelvic floor dysfunction (Click here).

* Pelvic floor electrostimulation in women with urinary incontinence  and/or overactive bladder syndrome: a systemic review (Click here).

* Efficacy of transcutaneous perineal electrostimulation in the treatment of urinary incontinence after a radical prostatectomy: randomized controlled trial (Click here).



Pelvic Physiotherapy

* The effects of pelvic floor muscle therapy on symptoms, voiding, and pelvic floor muscle activity parameters in children with overactive bladder (Click here).

* Validation and Standardization of the pelvic floor inventories in English: an ongoing study (Click here).

* Pelvic Floor Physical Therapy for Pelvic Floor Hypertonicity: A Systematic Review of Treatment Efficacy (Click here).

* Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women – Systematic Review of Methods (Click here).

* Effectiveness of interventions aimed at improving the sexuality of women with multiple sclerosis: a systematic review (Click here).



Patient cases

Case: 35 year old woman with dyspareunia, coccyx pain and anal irritation

This case concerns a 35 year old woman with dyspareunia, coccyx pain post partum and irritation at the anus. The woman was being treated by a general physiotherapist in connection with coccyx problems and was referred to a pelvic physiotherapist concerning these problems. read more

Overactive bladder in men
Man, 39 years, was referred by the urologist in connection with symptoms of frequency and urgency. The patient also suffers from abdominal pain, scrotalgia and pain during ejaculation. He enjoys sport and regularly cycles long distances (180 km per day) and is also a football coach. He has a sedentary job and travels a lot by car. Read more

Fourty years old woman suffering from defecation while running
The patient is a 46 year old woman. Three years ago, she took up running however after three quarters of an hour of doing so she feels an urge and also passes a small amount of feces. Read more

Man with anal pain and difficulty emptying the bowel
Man, 46 years old, a sedentary occupation, suffers from anal pain especially during defecation, with pain that continues for a long period thereafter. Evacuation is laborious during defecation and he strains a lot throughout the day. He feels as if there is an obstruction and cannot fully empty his bowles. Read more

Urinary incontinence and fecal incontinence
Woman, 74 years old, mother of three children. Has suffered from urinary incontinence for 15 years and fecal incontinence for the past five years. This has had a huge impact on her quality of life. She is a carer and her partner who has MS and she enjoys walking to keep fit. Read more

Incontinence while running
Woman, 37 years old, has three children and suffers from urinary incontinence while running. This affects her quality of life as she enjoys sport and running is an important outlet for her. Read more

Woman suffering from pain in the lower left abdomen after laparoscopy and a difficult evacuation of feces
Woman, around 35, suffering from pain in the lower left abdomen after laparoscopy and a difficult evacuation of feces. She wants to ease the defeaction process and reduce her abdominal pain. Read more

Male incontinence after TURP
Man, around 65, suffers from urine loss after 2nd transurethral prostate resection (TURP). He wants to get rid of his incontinence. He was treated before in another practice with myofeedback and electrostimulation and would like to try the MAPLe now. Read more

Woman wants to improve micturition and reduce the urgency
Woman, around 40, otherwise healthy, had 1 pregnancy and has a daughter. She wants to improve micturition and reduce the urgency. Read more

Cases and Clinical studies

Read more about studies done with the MAPLe.

Abstract: Pelvic floor muscle activation during contractions of the muscles surrounding the Pelvic Floor

Needle Placement and Position of Electrical Stimulation Inside Sacral Foramen Determines Pelvic Floor Electromyographic Response-Implications for Sacral Neuromodulation. 

Reliability and differentiation of pelvic floor muscle electromyography measurements in healthy volunteers using a new device: The Multiple Array Probe Leiden (MAPLe)

The effect of EMG biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: a randomised controlled trial

The effect of EMG biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: one-year follow-up

Differences in EMG signals of pelvic floor musculature (PFM) in women with and without the overactive bladder syndrome

 

The MAPLe® is CE marked in Europe for diagnosis and treatment of Pelvic Floor Dysfunction. 
The MAPLe® is not available in the United States. For more information please contact us.

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