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. 2023 Jul 21:14:1198232.
doi: 10.3389/fneur.2023.1198232. eCollection 2023.

Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder

Andrea Cvitkovic-Roic  1   2   3 , Danijel Mikulic  4 , Daniel Turudic  5 , Danko Milosevic  6   7 , Goran Roic  3   8 , Valentina Matijevic  9   10   11
Affiliations

Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder

Andrea Cvitkovic-Roic et al. Front Neurol. .

Abstract

Background: GIGER MD device applies a biofeedback method through stimulated coordinated rhythmic and dynamic movements of the trunk and extremities in an anti-gravity position, thus helping to regain lost motor functions.

Methods: In this article, the performance of the GIGER MD device was evaluated in 36 children with neurogenic bladder measuring gait speed, voiding bladder capacity, deviation from the age-adjusted bladder capacity (measured using the Koff scale), and urinary incontinence.

Results: Children using the GIGER MD device had an increase in voiding bladder capacity (33.79%, median volume increase of 50 ml) with a subsequent median decrease in median age-adjusted bladder capacity by 45.50% (median deviation before was 36% vs. 16% after treatment). The number of urinary incontinence episodes also reduced by 55.57% (7-3 episodes per day), and the 20-meter motor gait speed increased by 14.26% (from 23 to 19 s).

Conclusion: Children who follow the GIGER MD therapy regularly for a period of 6 months show that CNS functional damage can be significantly improved.

Keywords: GIGER MD; children; neurogenic bladder; rehabilitation; spina bifida.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The difference in (A) bladder volume capacity, (B) deviation from the Koff scale, (C) gait speed, and (D) urinary leakage episodes.
Figure 2
Figure 2
Correlation matrix of Tables 1, 2.
See this image and copyright information in PMC

References

    1. Schalow G, Zäch GA. Reorganization of the human central nervous system. Gen Physiol Biophys. (2000) 19:11–240. - PubMed
    1. Buonomano DV, Merzenich MM. Cortical plasticity: from synapses to maps. Annu Rev Neurosci. (1998) 21:149–86. doi: 10.1146/annurev.neuro.21.1.149 - DOI - PubMed
    1. Kahn LE, Lum PS, Rymer WZ, Reinkensmeyer DJ. Robot-assisted movement training for the stroke-impaired arm: does it matter what the robot does? J Rehabil Res Dev. (2006) 43:619–30. doi: 10.1682/jrrd.2005.03.0056, PMID: - DOI - PubMed
    1. Global Forum for Health Research Forum 8 . 2006 The Giger MD medical device with biofeedback fliers. Switzerland: Combo Ltd. (2004).
    1. Matijević V, Cvitković-Roić A, Martić M. GIGER MD – novi izazov u re/habilitaciji. Paediatr Croat. (2019) 63:98–101.

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