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

BackgroundGIGER 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.MethodsIn this article, the performance of the GIGER MD device was evaluated in 3...

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Main Authors: Andrea Cvitkovic-Roic, Danijel Mikulic, Daniel Turudic, Danko Milosevic, Goran Roic, Valentina Matijevic
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1198232/full
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author Andrea Cvitkovic-Roic
Andrea Cvitkovic-Roic
Andrea Cvitkovic-Roic
Danijel Mikulic
Daniel Turudic
Danko Milosevic
Danko Milosevic
Goran Roic
Goran Roic
Valentina Matijevic
Valentina Matijevic
Valentina Matijevic
author_facet Andrea Cvitkovic-Roic
Andrea Cvitkovic-Roic
Andrea Cvitkovic-Roic
Danijel Mikulic
Daniel Turudic
Danko Milosevic
Danko Milosevic
Goran Roic
Goran Roic
Valentina Matijevic
Valentina Matijevic
Valentina Matijevic
author_sort Andrea Cvitkovic-Roic
collection DOAJ
description BackgroundGIGER 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.MethodsIn 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.ResultsChildren 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).ConclusionChildren who follow the GIGER MD therapy regularly for a period of 6 months show that CNS functional damage can be significantly improved.
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spelling doaj.art-2c58a28036b745d98478524199b3b2af2023-07-21T21:34:52ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-07-011410.3389/fneur.2023.11982321198232Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladderAndrea Cvitkovic-Roic0Andrea Cvitkovic-Roic1Andrea Cvitkovic-Roic2Danijel Mikulic3Daniel Turudic4Danko Milosevic5Danko Milosevic6Goran Roic7Goran Roic8Valentina Matijevic9Valentina Matijevic10Valentina Matijevic11Helena Clinic for Pediatric Medicine, Zagreb, CroatiaFaculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaFaculty of Medicine, University of Rijeka, Zagreb, CroatiaDepartment of Emergency, University Hospital Centre “Sisters of Charity”, Zagreb, CroatiaDepartment of Pediatrics, University Hospital Centre Zagreb, Zagreb, CroatiaCroatian Academy of Medical Sciences, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaFaculty of Medicine, University of Rijeka, Zagreb, CroatiaChildren's Hospital Zagreb, Zagreb, CroatiaDepartment of Rheumatology, Physical Medicine and Rehabilitation, University Hospital Centre “Sisters of Charity”, Zagreb, Croatia0Libertas International University, Zagreb, Croatia1School of Medicine, Catholic University of Croatia, Zagreb, CroatiaBackgroundGIGER 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.MethodsIn 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.ResultsChildren 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).ConclusionChildren who follow the GIGER MD therapy regularly for a period of 6 months show that CNS functional damage can be significantly improved.https://www.frontiersin.org/articles/10.3389/fneur.2023.1198232/fullGIGER MDrehabilitationneurogenic bladderchildrenspina bifida
spellingShingle Andrea Cvitkovic-Roic
Andrea Cvitkovic-Roic
Andrea Cvitkovic-Roic
Danijel Mikulic
Daniel Turudic
Danko Milosevic
Danko Milosevic
Goran Roic
Goran Roic
Valentina Matijevic
Valentina Matijevic
Valentina Matijevic
Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder
Frontiers in Neurology
GIGER MD
rehabilitation
neurogenic bladder
children
spina bifida
title Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder
title_full Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder
title_fullStr Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder
title_full_unstemmed Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder
title_short Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder
title_sort rehabilitation approach and results of using the biofeedback method giger md device in children with neurogenic bladder
topic GIGER MD
rehabilitation
neurogenic bladder
children
spina bifida
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1198232/full
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