Devices, systems and methods of pelvic floor muscle examination

1 . A glove-mountable system for pelvic floor muscle (PFM) examination, comprising:

a first flexible member configured to be secured to an examination glove, the first flexible member including a force sensor configured to detect a force applied to a PFM of a patient by a user;

a second flexible member configured to be secured to the examination glove, the second flexible member being separately attachable from the first flexible member and configured to be stacked directly over the first flexible member in a glove-mounted configuration that preserves tactile sensitivity, the second flexible member including an integrated array comprising an electromyography (EMG) electrode, a stimulation electrode, and a 3-D digitization probe configured to determine spatial coordinates of palpated PFM locations in real time;

an actuation button configured to be actuated by the user when at least one point of interest is detected in at least one PFM; and

a computer including a processor and a memory in communication with the first flexible member, the second flexible member and the actuation button, the memory storing computer instructions configured to instruct the processor to a use the force data, EMG data, stimulation-evoked responses, and digitization-probe-derived spatial coordinates to generate a patient-specific 3-D map of a plurality of PFMs of the patient.

2 . The system of claim 1 , wherein the second flexible member stacked on the first flexible member is an outer layer with respect to the user.

3 . The system of claim 1 , further including a control device in electrical communication with the first flexible member, the second flexible member and the actuation button, the control device including a signal amplification module configured to amplify a signal received from the first or second flexible members, and the control device including a muscle stimulation module configured to deliver an electrical stimulation to the stimulation electrode.

4 . The system of claim 1 , wherein the first flexible member is configured to capture force data and communicate the force data to the computer, and wherein the second flexible member is configured to capture at least one of EMG data, motor point location data or trigger point location data and communicate at least one of the EMG data, the motor point location data or the trigger point location data to the computer.

5 . The system of claim 1 , wherein the 3-D map of the plurality of PFMs of the patient is a 3-D point cloud of the plurality of PFMs of the patient generated using data received from the 3-D digitization probe.

6 . The system of claim 5 , wherein the 3-D point cloud is overlaid on a 3-D model of a PFM anatomy of the patient.

7 . The system of claim 6 , wherein the 3-D point cloud includes a trigger point map including locations of trigger points identified by the user.

8 . The system of claim 6 , wherein the 3-D point cloud includes a pain map including locations where pain was reported by the patient.

9 . The system of claim 6 , wherein the 3-D point cloud includes an EMG map including data of PFM activity detected by the EMG electrode as a result of muscle stimulation by the stimulation electrode or palpation by the user.

10 . The system of claim 6 , wherein the 3-D point cloud includes a myofascial trigger point map including locations of myofascial trigger points identified by the user.

11 . The system of claim 1 , wherein the computer instructions stored in the memory of the computer are configured to instruct the processor to diagnose overactive PFM activity or underactive PFM activity and recommend a treatment regimen.

12 . The system of claim 11 , wherein the recommended treatment regimen includes at least one botulinum toxin injection for treating overactive PFM activity.