神经源性膀胱患儿使用生物反馈疗法（GIGER MD设备）的康复方法及结果
Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder.
作者信息
Cvitkovic-Roic Andrea, Mikulic Danijel, Turudic Daniel, Milosevic Danko, Roic Goran, Matijevic Valentina
机构信息
Helena Clinic for Pediatric Medicine, Zagreb, Croatia.
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
出版信息
Front Neurol. 2023 Jul 21;14:1198232. doi: 10.3389/fneur.2023.1198232. eCollection 2023.
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 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.
背景
GIGER MD设备通过在反重力姿势下刺激躯干和四肢协调的有节奏动态运动来应用生物反馈方法，从而有助于恢复丧失的运动功能。
方法
在本文中，对36名神经源性膀胱患儿使用GIGER MD设备进行评估，测量步态速度、排尿膀胱容量、与年龄调整膀胱容量的偏差（使用科夫量表测量）以及尿失禁情况。
结果
使用GIGER MD设备的患儿排尿膀胱容量增加（33.79%，中位容量增加50毫升），随后年龄调整膀胱容量中位数下降45.50%（治疗前中位偏差为36%，治疗后为16%）。尿失禁发作次数也减少了55.57%（从每天7次减至3次），20米运动步态速度提高了14.26%（从23秒降至19秒）。
结论
定期接受GIGER MD治疗6个月的患儿表明中枢神经系统功能损伤可得到显著改善。
Zotero 插件