{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:09:36Z","timestamp":1753891776523,"version":"3.41.2"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T00:00:00Z","timestamp":1689897600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Children using the GIGER MD device had an increase in voiding bladder capacity (33.79%, median volume increase of 50\u2009ml) 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\u20133 episodes <jats:italic>per<\/jats:italic> day), and the 20-meter motor gait speed increased by 14.26% (from 23 to 19\u2009s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Children who follow the GIGER MD therapy regularly for a period of 6\u2009months show that CNS functional damage can be significantly improved.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2023.1198232","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T21:35:00Z","timestamp":1689975300000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder"],"prefix":"10.3389","volume":"14","author":[{"given":"Andrea","family":"Cvitkovic-Roic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danijel","family":"Mikulic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Turudic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danko","family":"Milosevic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Goran","family":"Roic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Matijevic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"key":"ref1","first-page":"11","article-title":"Reorganization of the human central nervous system","volume":"19","author":"Schalow","year":"2000","journal-title":"Gen Physiol Biophys"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1146\/annurev.neuro.21.1.149","article-title":"Cortical plasticity: from synapses to maps","volume":"21","author":"Buonomano","year":"1998","journal-title":"Annu Rev Neurosci"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1682\/jrrd.2005.03.0056","article-title":"Robot-assisted movement training for the stroke-impaired arm: does it matter what the robot does?","volume":"43","author":"Kahn","year":"2006","journal-title":"J Rehabil Res Dev"},{"volume-title":"2006 The Giger MD medical device with biofeedback fliers","year":"2004","key":"ref4"},{"key":"ref5","first-page":"98","article-title":"GIGER MD \u2013 novi izazov u re\/habilitaciji","volume":"63","author":"Matijevi\u0107","year":"2019","journal-title":"Paediatr 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adulte atteint de dysraphisme spinal (spina bifida) [guidelines on the urological management of the adult patient with spinal dysraphism (spina bifida)]","volume":"33","author":"Manunta","year":"2023","journal-title":"Prog Urol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1555","DOI":"10.1007\/s00345-018-2419-z","article-title":"Non-surgical urologic management of neurogenic bladder after spinal cord injury","volume":"36","author":"Romo","year":"2018","journal-title":"World J Urol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1237","DOI":"10.1111\/ner.13459","article-title":"Transcutaneous electrical stimulation for neurogenic bladder dysfunction following spinal cord injury: meta-analysis of randomized controlled trials","volume":"24","author":"Parittotokkaporn","year":"2021","journal-title":"Neuromodulation"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"57","DOI":"10.12998\/wjcc.v11.i1.57","article-title":"Rehabilitation care of patients with neurogenic bladder after spinal cord injury: a literature review","volume":"11","author":"Xiang","year":"2023","journal-title":"World J Clin Cases"}],"container-title":["Frontiers in Neurology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2023.1198232\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T21:35:04Z","timestamp":1689975304000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2023.1198232\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,21]]},"references-count":12,"alternative-id":["10.3389\/fneur.2023.1198232"],"URL":"https:\/\/doi.org\/10.3389\/fneur.2023.1198232","relation":{},"ISSN":["1664-2295"],"issn-type":[{"type":"electronic","value":"1664-2295"}],"subject":[],"published":{"date-parts":[[2023,7,21]]},"article-number":"1198232"}}