Publications by authors named "Z Candan Algun"

15 Publications

Effects of additional action observation to an exercise program in patients with chronic pain due to knee osteoarthritis: A randomized-controlled trial.

Musculoskelet Sci Pract 2021 04 24;52:102334. Epub 2021 Jan 24.

Istanbul Medipol University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey.

Background: Knee osteoarthritis (OA) leads to pain, stiffness, and functional impairment and eventually decreased level of the quality of life. Although several treatment methods have been used to achieve pain relief, patients still complain of pain.

Objective: The aim of this study was to investigate the effects of the addition of action observation therapy to an exercise program on pain severity, pressure pain threshold, kinesiphobia functionality, and pain catastrophization in knee OA patients with chronic pain.

Methods: This prospective, randomized-controlled, superiority trial included a total of 36 patients with knee OA. The patients were randomly divided into two groups as the treatment group (n = 18) receiving action observation therapy in addition to exercise and control group (n = 18) receiving exercise alone. The interventions were performed three times weekly for six weeks. The primary outcomes were pain and pressure pain threshold. Secondary outcomes were kinesiphobia, functionality, and pain catastrophization. All participants were assessed at baseline (pre-intervention) and after the six-week treatment (post-intervention).

Results: There was no significant difference in the primary and secondary outcome measures before and after the intervention between the groups (p > 0.05). Both groups showed a significant improvement in all outcome measures after the intervention (p < 0.01).

Conclusion: Our study results suggest that action observation therapy in addition to an exercise program does not contribute any additional benefits to pain, pressure pain threshold, kinesiophobia, pain catastrophization, and functionality in knee OA patients with chronic pain. Nonetheless, further large-scale, long-term, prospective studies are needed to gain a better understanding on this subject.
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http://dx.doi.org/10.1016/j.msksp.2021.102334DOI Listing
April 2021

Investigating the effects of myofascial induction therapy techniques on pain, function and quality of life in patients with chronic low back pain.

J Bodyw Mov Ther 2020 Oct 1;24(4):188-195. Epub 2020 Aug 1.

Department of Physical Therapy and Rehabilitation, Medipol University of Health Sciences Institute, Turkey. Electronic address:

Introduction: Low back pain (LBP) is well documented as a common health problem; it is the leading cause of activity limitation and work absence throughout much of the world, and it causes an enormous economic burden on individuals, families, communities, industry, and governments. The aim of this study was to comparatively investigate the effects of myofascial induction therapy (MIT) against pain neuroscience education (PNE) on pain and function in patients with chronic low back pain (CLBP).

Method: Forty patients with CLBP were included and randomly divided into two groups according to the treatment program (40 min/session, 2 sessions/week during 8-week), as follows: the MIT and the PNE groups. The outcome measures were the fear-avoidance beliefs questionnaire (FABQ), Roland Morris disability questionnaire, McGill pain questionnaire, finger floor test, SF-36 quality-of-life questionnaire, and thoracolumbar fascia ultrasound imaging results. Patients were evaluated before and after treatment.

Results: Within both groups, all outcome scores showed a significant improvement (p < 0.05). After 8-week, SF-36 physical function, physical role and mental health scores significantly improved in MIT group compared with PNE group, finger floor test score significantly decreased in MIT group compared with PNE group, and FABQ score significantly decreased in PNE group compared with MIT group (p < 0.05).

Conclusions: Although both MIT and PNE were found to be effective on pain and function in patients with CLBP, MIT techniques were substantially better in improving the mobility of trunk flexion and quality of life in these patients.
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http://dx.doi.org/10.1016/j.jbmt.2020.07.014DOI Listing
October 2020

Research on the Effects of a Web-Based System with Oculomotor and Optokinetic Stimuli on Vestibular Rehabilitation.

Am J Phys Med Rehabil 2020 Sep 2. Epub 2020 Sep 2.

Graduate School of Health Sciences, Physical Therapy and Rehabilitation Ph.D Program, Istanbul Medipol University, Istanbul, Turkey (GGE); Istanbul Medipol University, School Of Health Science, Division Of Ergotherapy, Istanbul, Turkey. (DT); Acıbadem Maslak Hospital, Department Of Audiology, Istanbul, Turkey. (OGS); Acıbadem Maslak Hospital, Department Of Audiology, Istanbul, Turkey. (ZGG);Acıbadem Maslak Hospital, Department Of Ear Nose And Throat, Istanbul, Turkey. (NK); Istanbul Medipol University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey. (ZCA).

Objective: The variety and use of technologies used in vestibular rehabilitation is very limited. The purpose of this study was to investigate the effects of a web-based system on vestibular rehabilitation in patients with vestibular hypofunction.

Design: 20 patients with unilateral vestibular hypofunction were randomly assigned to two groups. Conventional vestibular rehabilitation was applied to the control group, whereas the study group received treatment with the web-based system supporting the vestibulo-ocular reflex with oculomotor and optokinetic stimulus (SVORE-Simulation of Vestibulo-Ocular Reflex Exercises). Vestibular and balance tests, oculomotor level, Tampa Kinesiophobia Scale (TKS) and Dizziness Handicap Inventory (DHI) were used to evaluate the efficacy treatment's.

Results: Vestibular symptoms and findings, balance tests, oculomotor functions, Tampa Kinesiophobia Scale and Dizziness Handicap Inventory improved significantly in both of the groups after the interventions (p<0.05). In the intergroup analysis, improvement was found in eyes closed Romberg, semi-tandem and left one-foot position balance tests in favor of the study group (p<0.05).

Conclusion: The new vestibular technology, SVORE was found to be effective in vestibular rehabilitation.
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http://dx.doi.org/10.1097/PHM.0000000000001584DOI Listing
September 2020

Comparison of the effects of treadmill and vibration training in children with attention deficit hyperactivity disorder: A randomized controlled trial.

NeuroRehabilitation 2020 ;47(2):121-131

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.

Objective: The aim of this study was to compare the effects of treadmill training (TT) and whole body vibration training (WBVT) on attention, severity of attention deficit hyperactivity disorder (ADHD) symptoms and impairment of executive function behaviors, and quality of life in children with ADHD.

Methods: Thirty children (7-11 years of age) with ADHD were randomly assigned to either the 'TT' group or the 'WBVT in addition to TT' group (TT + WBVT). Both groups received TT for 8 weeks (3 days/week). The TT + WBWT group also received WBVT for 15 minutes. Stroop Test TBAG form, Behavior Rating Inventory of Executive Function (BRIEF), Conners' Rating Scale (CRS) and Pediatric Quality of Life Inventory (PedsQL) were applied at baseline and after 8 weeks of training.

Results: All assessment results significantly improved in both groups at the end of the program compared to baseline values (p < 0,05). There were significant differences between groups regarding improvements in CTRS-R/L and BRIEF-Teacher form in favor of the TT + WBVT group.

Conclusions: The findings suggest that exercise training including TT and WBVT might be used in the treatment of ADHD but further research is required to provide evidence of the effectiveness of the whole body vibration training in the management of ADHD.
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http://dx.doi.org/10.3233/NRE-203040DOI Listing
January 2021

Is Xbox 360 Kinect-based virtual reality training as effective as standard physiotherapy in patients undergoing breast cancer surgery?

Support Care Cancer 2020 Sep 6;28(9):4295-4303. Epub 2020 Jan 6.

Faculty of Health Science, Department of Physiotherapy and Rehabilitation, Istanbul Medipol University, Istanbul, Turkey.

Purpose: Breast cancer surgery may be associated with pain and physical symptoms in the upper limbs. Functional impairment and pain-related avoidance of movement may further increase disability level. This study aimed to investigate the potential effects of early postoperative virtual reality (VR) therapy on pain, range of motion (ROM), muscle strength, functionality, and fear of movement.

Methods: Forty women with breast cancer who had undergone unilateral mastectomy with axillary lymph node dissection and who were receiving adjuvant therapy were included in the study and randomly assigned to two groups: the Kinect-based rehabilitation group (KBRG) and the standardized physical therapy group (SPTG). The KBRG (n = 20) received VR therapy using Xbox Kinect-based games and the SPTG (n = 20) received standard physiotherapy. Study subjects were assessed at baseline and after the 6-week treatment. Outcome measures were pain (visual analogue scale), grip strength (dynamometer), functionality (disabilities of the arm shoulder and hand questionnaire), muscle strength (handheld dynamometer), ROM (digital goniometer), and fear of movement (Tampa kinesiophobia scale (TKS)).

Results: Both groups detected significant changes in pain, ROM, muscle strength, grip strength, functionality, and TKS scores after the treatment (p < 0.01). Fear of movement was significantly improved in the KBRG and the SPTG displayed more improvement in functionality (p < 0.05). There were no differences in ROM, muscle strength, grip strength, and pain between the groups after the treatment (p > 0.05).

Conclusion: Kinect-based VR therapy resulted in significant outcomes that were comparable to those obtained under standard physiotherapy in the early postoperative phase in patients who had undergone breast cancer surgery.

Trial Registration: This study is registered at ClinicalTrials.gov ( ClinicalTrials.gov identifier: NCT03618433).
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http://dx.doi.org/10.1007/s00520-019-05287-xDOI Listing
September 2020