AUTHOR=Cvitkovic-Roic Andrea , Mikulic Danijel , Turudic Daniel , Milosevic Danko , Roic Goran , Matijevic Valentina 

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

JOURNAL=Frontiers in Neurology

VOLUME=Volume 14 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2023.1198232

DOI=10.3389/fneur.2023.1198232

ISSN=1664-2295

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 to 3 episodes per day), and the 20-meter motor gait speed increased by 14.26% (from 23 to 19 seconds). 
Conclusion: Children who follow the GIGER MD therapy regularly for a period of 6 months show that CNS functional damage can be significantly improved.