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MAPLe HD EMG Assessment & Biofeedback

Understanding your pelvic floor before deciding how to treat it.

The pelvic floor plays an important role in bladder control, bowel function, sexual function and comfort. Like any muscle group, it can become weak, overactive, poorly coordinated or simply fail to work efficiently.

MAPLe provides detailed information about the activity of different regions of your pelvic floor, helping identify which muscles may be contributing to your symptoms and where the greatest opportunities for improvement exist.

Unlike many assessment tools, MAPLe can also become part of treatment, through targeted biofeedback and electrical stimulation.

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A man walking a coastal track, quietly confident
At a glance
Best suited forPelvic pain, bladder and bowel dysfunction, ED, premature ejaculation, recovery after prostate surgery and complex pelvic floor dysfunction
Functions targetedPelvic floor assessment, muscle activation, relaxation, coordination, motor control, targeted stimulation and progress monitoring
Session timeApproximately 45 to 60 minutes, depending on assessment or assessment with treatment
ClothingA small internal assessment probe is required; your physiotherapist explains fully and obtains consent
InvasiveMinimally invasive internal assessment and, where appropriate, targeted stimulation
ComfortGenerally well tolerated, with every effort made to ensure comfort, dignity and privacy
DowntimeNone. Normal activities can usually be resumed immediately
Typical courseUsed where detailed assessment or targeted biofeedback is likely to improve rehabilitation
Body systems targeted

Each treatment plays a different role. Highlighted below are the systems this one focuses on.

Blood Flow
Tissue Health
Nerve Function
Pelvic FloorPrimary
Motor ControlPrimary
Why it might be recommended

Not every pelvic floor problem is caused by weakness.

Some muscles work too hard. Some activate at the wrong time. Some fail to relax. Others simply don’t coordinate with breathing, movement and the rest of your body.

Without understanding how your pelvic floor is functioning, it’s difficult to know which rehabilitation approach is most appropriate. MAPLe helps us make more informed decisions and, where appropriate, provide highly targeted rehabilitation.

Our goal isn’t simply to collect information. It’s to use that information to guide better rehabilitation.

What it helps optimise

Pelvic floor & neuromuscular assessment
Muscle activation patterns
Muscle relaxation
Coordination and motor control
Biofeedback and motor learning
Targeted electrical stimulation

Who may benefit

Chronic pelvic painBladder leakage, urgency or frequencyDifficult bowel emptyingED & premature ejaculationRecovery after prostate surgeryComplex or persistent symptoms

Not everyone will benefit, which is why assessment always comes first.

What happens during treatment

MAPLe uses a specialised probe containing multiple sensors that measure muscle activity from different regions of the pelvic floor.

During assessment you perform gentle contractions and relaxation tasks while the system records how different muscles are functioning, displayed in real time.

Where appropriate, the same system can deliver targeted electrical stimulation to specific regions: to activate underactive muscles, improve motor control, or encourage relaxation.

MAPLe regional muscle activity on screen in the CoreGood clinic, with Nathan pointing to the pelvic floor map
The MAPLe HD EMG system: charging base, wireless unit, multi-sensor probe and its tablet display showing regional muscle activity

Our treatments don’t compete with each other. They complement each other.

This treatment is rarely the entire solution. Depending on your assessment, your personalised programme may also include:

Is it right for you?

Every recommendation begins with understanding.

You don’t need to know whether this is the right treatment for you. You simply need to know you’d like something to change. Together we’ll identify what’s holding you back and build a personalised pathway forward.

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