Publications by authors named "Dimitrios Stasinopoulos"

45 Publications

Is Lateral Elbow Tendinopathy an Appropriate Clinical Diagnostic Term When the Condition Is Persistent?

J Clin Med 2022 Apr 20;11(9). Epub 2022 Apr 20.

Department of Neurology, Faculty of Health and Caring Sciences, University of West Attica, Agiou Spyridonos 28, Egaleo, 12243 Athens, Greece.

Lateral elbow tendinopathy (LET) seems to be the most appropriate term to use in clinical practice because previous terms such as lateral epicondylitis, tennis elbow, lateral epicondylalgia, epicondylosis, enthesopathy, Father of the Bride's Elbow, lateral elbow or extensor tendonitis, lateral elbow or extensor tendinosis, and extensor tendinopathy make reference to inappropriate aetiological, anatomical, and pathophysiological terms [...].
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http://dx.doi.org/10.3390/jcm11092290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9103793PMC
April 2022

Is a Heavy-Slow Resistance Exercise Program an Appropriate Treatment Approach for All Patients with Lateral Elbow Tendinopathy? Editorial.

J Clin Med 2022 Mar 11;11(6). Epub 2022 Mar 11.

Member of Laboratory of Neuromuscular & Cardiovascular Study of Motion (LANECASM), Deptartment of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Agiou Spyridonos 28, Egaleo, 12243 Athens, Greece.

Heavy-slow resistance exercise programs are the most effective physiotherapy treatment approaches in lateral elbow tendinopathy (LET) management [...].
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http://dx.doi.org/10.3390/jcm11061556DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8954075PMC
March 2022

Stop Using the Eccentric Exercises as the Gold Standard Treatment for the Management of Lateral Elbow Tendinopathy.

J Clin Med 2022 Feb 28;11(5). Epub 2022 Feb 28.

Laboratory of Neuromuscular & Cardiovascular Study of Motion (LANECASM), Department of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, 12243 Athens, Greece.

The most common tendinopathy in the elbow area is the Lateral elbow tendinopathy (LET) [...].
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http://dx.doi.org/10.3390/jcm11051325DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911334PMC
February 2022

The Greek version of shoulder rating questionnaire (SRQ): Translation, cultural adaptation, a reliability and validity study in patients with rotator cuff related shoulder pain.

Physiother Theory Pract 2022 Feb 25:1-9. Epub 2022 Feb 25.

Department of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Laboratory of Neuromuscular and Cardiovascular Study of Motion (Lanecasm), Egaleo, Greece.

Background: The Shoulder Rating Questionnaire (SRQ) was created in the English language to assess shoulder disorders in six areas: global function, pain, daily activities, recreational and athletic activities, and work.

Purpose: The study aimed to translate and culturally adapt Shoulder Rating Questionnaire (SRQ) into Greek.

Methods: The SRQ English version was translated and adapted into the Greek language using forward translation, expert panel synthesis, and backward translation procedures. A pilot testing has been made in the target population, and the final version was created. A cross-sectional study was conducted in clinical settings with the SRQ and the Shoulder Pain and Disability Index. A total of 168 Greek adult patients with rotator cuff-related shoulder pain were recruited from physical therapy clinics. Τhe reliability of the SRQ Greek version was assessed using intraclass correlation coefficients. Internal consistency was assessed using the Cronbach alpha coefficient. Concurrent validity was measured by correlating the Shoulder Rating Questionnaire with the Shoulder Pain and Disability Index using Pearson's correlation coefficient.

Results: The results showed that the SRQ Greek version has excellent internal consistency (Cronbach's α = 0.99), test-retest reliability (ICC = 0.976), and concurrent validity (r > 0.9). No ground or ceiling effects were found. The standard error of measurement and the minimum detectable change of the total score were 5.55 and 15.38.

Conclusions: The Greek Language Version of the SRQ is a reliable and valid instrument that can be used to evaluate adult patients with shoulder rotator cuff-related disorders in the acute or chronic phases and in clinical trials.
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http://dx.doi.org/10.1080/09593985.2022.2040667DOI Listing
February 2022

Age-Related Electrocardiographic Characteristics of Male Junior Soccer Athletes.

Front Cardiovasc Med 2021 3;8:784170. Epub 2022 Feb 3.

Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.

Introduction: Very limited data exist on normal age-related ECG variations in adolescents and no data have been published regarding the ECG anomalies induced by intensive training, which are relevant in pre-participation screening for sudden cardiac death prevention in the adolescent athletic population. The purpose of this study was to establish normal age-related electrocardiographic measurements (P wave duration, PR interval, QRS duration, QT, and QTc interval) grouped according to 2-year age intervals.

Methods: A total of 2,151 consecutive healthy adolescent Soccer athletes (trained for a mean of 7.2 ± 1.1 h per week, 100% male Caucasians, mean age 12.4 ± 1.4 years, range 7-18) underwent pre-participation screening, which included ECG and transthoracic echocardiography in a single referral center.

Results: Their heart rate progressively slowed as age increased ( < 0.001, ranging from 80.8 ± 13.2 to 59.5 ± 10.2 bpm), as expected. The P wave, PR interval, and QRS duration significantly increased in older age classes ( = 0.019, = 0.001, and < 0.001, respectively), and after Bonferroni's correction, the difference remained significant in all age classes for QRS duration. The QTc interval diminished progressively with increasing age ( = 0.003) while the QT interval increased progressively ( < 0.001).

Conclusions: Significant variations in the normal ECG characteristics of young athletes exist between different age groups related to increasing age and training burden, thus, age-specific reference values could be adopted, as already done for echocardiographic measurements, and may help to further discriminate potentially pathologic conditions.
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http://dx.doi.org/10.3389/fcvm.2021.784170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8850359PMC
February 2022

Greek physiotherapists' contemporary knowledge and practice for lateral elbow tendinopathy: An online survey.

Musculoskelet Sci Pract 2022 Feb 5;57:102502. Epub 2022 Jan 5.

Department of Physiotherapy, University of West Attica, Greece; Laboratory of Advanced Physiotherapy (LAdPhys), Physiotherapy Department, School of Health and Care Sciences, University of West Attica, Greece.

Objectives: To investigate physiotherapists' current knowledge and practice in the management of patients with lateral elbow tendinopathy, to explore associations between the participants' education and management preferences and to identify potential evidence-to-practice gaps by making comparisons with recent research recommendations.

Design: An on-line cross-sectional survey.

Subjects: Registered physiotherapists working in Greece with previous experience in the management of lateral elbow tendinopathy.

Results: Three hundred and seventy eight responses met the inclusion criteria. Most responders (70.4%-91.5%) use pain provocation tests for the diagnosis of the condition, while a limited proportion uses patient rated outcome measures (6.9%-13%). Supervised exercise is the mainstay of rehabilitation (92.6%), followed by adjunctive research recommended treatment techniques such as manual therapy (72%) and advice (59.5%). Up to 83.6% of participants use adjunctive treatment techniques that are not recommended or without research recommendation (such as electrophysical agents, ice etc.). Physiotherapists with post-graduate education in musculoskeletal physiotherapy are almost three times more likely to choose only research recommended treatment approaches. There is a lack of consensus in an optimal exercise programme (type, volume, duration etc.) in patients with lateral elbow tendinopathy.

Conclusion: Despite research recommendations a limited use of patient rated outcome measures in lateral elbow tendinopathy is recorded. Supervised exercise is the first line treatment option for most physiotherapists, although the optimal application is still unclear. A large proportion of physiotherapists apply adjunctive treatment techniques that are either ineffective or poorly researched suggesting a substantial evidence-to-practice gap. Better access to knowledge, organisational and peer-support can potentially help to bridge this gap.
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http://dx.doi.org/10.1016/j.msksp.2022.102502DOI Listing
February 2022

Comparing hip and knee focused exercises versus hip and knee focused exercises with the use of blood flow restriction training in adults with patellofemoral pain.

Eur J Phys Rehabil Med 2022 Apr 5;58(2):225-235. Epub 2022 Jan 5.

Department of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece.

Background: Hip and knee strengthening exercises are implemented in rehabilitation of patellofemoral pain patients, but typically use high loads (70% of 1 repetition maximum). This may lead to increased patellofemoral joint stress. Low load training (20-30% of 1 repetition maximum) with blood flow restriction could allow for exercise strength benefits to proximal and distal muscles with reduced joint stress and by promoting hypoalgesia.

Aim: The aim of this study was to compare hip and knee focused exercises with and without blood flow restriction in adults with patellofemoral pain for short term effectiveness.

Design: A randomized observed-blind controlled trial.

Setting: Musculoskeletal laboratories of the European University Cyprus, Nicosia, Cyprus.

Population: 60 volunteer patients, 18-40 years of age with patellofemoral pain.

Methods: Participants were randomly assigned to (1 reference group) hip and knee strengthening at (70% of 1 repetition maximum) or (2 experimental group) Strengthening with blood flow restriction at (30% of 1 repetition maximum at 70% of limb occlution pressure). Treatments took place 3 times per week for 4weeks and outcomes were assessed at baseline, end of treatment and at 2-month follow-up. The primary outcome was the Kujala Anterior Knee Pain Scale and secondary outcomes were worst and usual pain, pain with Single leg Squats, the maximum pain free flexion angle, the Tampa Scale of kinesiophobia, the Pain Catastrophizing Scale and isometric strength of knee extensors, hip extensors and hip abductors.

Results: No difference were found for the main outcome of this study between groups. There was a significant effect of time for all outcome measures in both groups. Between group differences showed a significant difference for isometric strength of Knee extensor values at 2 month follow-up F(1,58)=5.56, P=0.02, partial η2=0.09, 459.4 (412.13, 506.64) vs. 380.68 (333.42, 427.93) and in worst pain post-treatment F(1,58)=5.27, P=0.02, partial η=0.08, 0.76 (0.48, 1.04) vs. reference group 1.30 (0.91, 1.68) with significantly better scores in the blood flow restriction group.

Conclusions: Blood flow restriction exercises of the hip and knee musculature used in this study were as effective as usual exercises of Hip and knee musculature in reducing symptoms in the short term. They also indicated greater increases in strength and reduction of worst pain post-treatment.

Clinical Rehabilitation Impact: Further research is needed to investigate the dose response relationship with longer follow-ups.
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http://dx.doi.org/10.23736/S1973-9087.22.06691-6DOI Listing
April 2022

Healing potential of the anterior cruciate ligament in terms of fiber continuity after a complete rupture: A systematic review.

J Bodyw Mov Ther 2021 10 12;28:246-254. Epub 2021 Jun 12.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus. Electronic address:

Introduction: Complete rupture of the anterior cruciate ligament is a major problem owing to inadequate surgery outcomes and the limited healing capacity of the ligament. This study aimed to summarise the evidence on the spontaneous healing potential of the anterior cruciate ligament in terms of fiber continuity based on magnetic resonance imaging (MRI) findings.

Methods: PubMed, Cochrane Library, Scopus, and MEDLINE databases were searched from their inception to November 1, 2020. Studies that analysed patients diagnosed with complete anterior cruciate ligament rupture were included. Further, studies that used conservative treatment as intervention and MRI finding as an outcome measure were included.

Results: In total, 9 studies, with a total of 734 participants, met the inclusion criteria. Knee laxity was measured in all studies. Two studies classified patients according to rupture location, where most ligaments with restored fiber continuity had proximal ruptures. All included studies reported spontaneous healing. Furthermore, none of the included studies reported the absence of healing.

Conclusions: This systematic review demonstrates the intrinsic healing capacity of the anterior cruciate ligament, indicating a higher healing potential for proximal ruptures. While our study reveals an emerging need to question general practice, a definitive conclusion could not be drawn owing to the low quality of the studies included and the heterogeneity of results.
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http://dx.doi.org/10.1016/j.jbmt.2021.06.003DOI Listing
October 2021

Blood flow restriction training in patients with knee osteoarthritis: Systematic review of randomized controlled trials.

J Bodyw Mov Ther 2021 Jul 23;27:477-486. Epub 2021 Apr 23.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus. Electronic address:

Introduction: Knee osteoarthritis (KOA) is one of the most common musculoskeletal disorders in the elderly. The patient experiences reduction in muscle strength, pain, joint stiffness and consequently a reduction in quality of life. Whereas high intensity training (HI-TR) is the most effective in the general elderly population, in KOA patients, painless alternatives might be more suitable, since pain can be a deterrent for exercising. Research interest has increased in blood flow restriction training (BFR-TR) due to the observation that, in this specific population, BFR-TR results in equal muscular adaptions to HI-TR but with less join discomfort/pain.

Objective: We aimed to: (1) determine the value of BFR-TR in patients with KOA and (2) examine which exercise guidelines applied to healthy elderly populations can be adopted for patients suffering from this knee pathology.

Methodology: We searched the literature from the database inception to 2019 through PubMed, Cochrane, and Medline (EBSCO). The inclusion criteria were determined using PICOS principles. We assessed methodology using the Risk of Bias 2 tool and the Pedro scale. Conclusions were extracted with the use of best evidence synthesis.

Results: The literature search yielded 45 articles. After screening, three studies matched the inclusion criteria. The included studies were analyzed and discussed. All the included studies reported within group improvements for BFR-TR regarding pain and strength.

Conclusion: Although the evidence of BFR-TR efficacy on KOA remains scarce, the results favor its use for muscle strengthening and pain reduction in KOA. Further high-quality studies with larger samples are required.
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http://dx.doi.org/10.1016/j.jbmt.2021.04.015DOI Listing
July 2021

Comments on the article "The analgesic effect of joint mobilization and manipulation in tendinopathy: a narrative review".

J Man Manip Ther 2021 08 20;29(4):262-263. Epub 2021 Apr 20.

Department of Physiotherapy, University of West Attica, Member of Laboratory of Neuromuscular & Cardiovascular Study of Motion (LANECASM), Agiou Spyridonos 28, Egaleo, Athens 12243, Greece.

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http://dx.doi.org/10.1080/10669817.2021.1916728DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8366608PMC
August 2021

Comments on the article comparing radial extracorporeal shockwave therapy with ultrasound therapy in patients with lateral epicondylitis.

J Med Ultrason (2001) 2021 Jul 19;48(3):365-366. Epub 2021 Apr 19.

Department of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Member of Laboratory of Neuromuscular and Cardiovascular Study of Motion (LANECASM), Agiou Spyridonos 28, Egaleo 12243, Athens, Greece.

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http://dx.doi.org/10.1007/s10396-021-01087-1DOI Listing
July 2021

The effects of cognitive behavioural therapy delivered by physical therapists in knee osteoarthritis pain: A systematic review and meta-analysis of randomized controlled trials.

J Bodyw Mov Ther 2021 Jan 6;25:157-164. Epub 2020 Nov 6.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus. Electronic address:

Background: Recent evidence suggests that knee osteoarthritis (KOA) chronic pain can result in brain structural and organizational changes. Thus, patients' pain level, emotional status, and perception of their condition might be negatively altered. An approach to reverse such adaptations to chronic pain is cognitive behavioural therapy (CBT). Combining CBT with exercise might enhance therapy outcomes.

Objectives: To identify the effect of combining exercise and CBT when delivered by a physical therapist in KOA pain.

Methods: A systematic search in PubMed, Cochrane, and Medline Complete (EBSCO) databases was conducted from their inception to March 2020, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study risk of bias and quality were assessed through the Risk-of-bias 2 (ROB2) and PEDro scales.

Results: Six primary studies met eligibility criteria. All studies had a low risk of bias and were divided into two sub-groups, in-person interventions and distance interventions. Both groups of studies showed within group participant improvements. In regards of WOMAC pain subscale, our meta-analysis revealed an overall deduction of -1.42 (95% CI: -1.76, -1.09; I = 58%), -1.62 (95% CI: -1.97, -1.27; I = 0%) in centre-based intervention, and -1.28 (95% CI: -1.75, -0.81; I = 73%) in distance delivered intervention.

Conclusion: Combining exercise and CBT seems to be an effective method to reduce KOA pain, although it is based on a small number of studies. Further studies are needed to reveal any differences when each intervention is applied separately.
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http://dx.doi.org/10.1016/j.jbmt.2020.11.002DOI Listing
January 2021

The Beliefs and Attitudes of Cypriot Physical Therapists Regarding the Use of Deep Friction Massage.

Medicina (Kaunas) 2019 Aug 12;55(8). Epub 2019 Aug 12.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus.

: Deep friction massage (DFM) is a widely used technique by physical therapists worldwide for chronic pain management. According to Dr. James Cyriax, compliance with the proposed guidelines is vital to obtain the desired therapeutic results. : This study explored the beliefs and attitudes of Cypriot physical therapists to DFM and their compliance with the suggested guidelines to identify any empirical-based application patterns and compare them to the suggestions of Cyriax. In addition, the prevalence of DFM use in clinical practice in Cyprus was investigated. : Questionnaires, consisting of 18 multiple choice questions and a table of six sub-questions, were distributed to 90 local physical therapists. : A total of 70% of respondents declared that they perform DFM in their daily practice. The respondents answered 11 out of the 19 technical questions in compliance with the guidelines. : The study revealed the DFM application pattern of Cypriot physical therapists. The compliance percentage of this pattern to Cyriax guidelines was 58% in general and 62.5% for patients with chronic conditions.
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http://dx.doi.org/10.3390/medicina55080472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723561PMC
August 2019

Cyriax Friction Massage-Suggestions for Improvements.

Medicina (Kaunas) 2019 May 21;55(5). Epub 2019 May 21.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus.

Cyriax friction massage is a widely known and used technique in the field of chronic pain management. Despite its frequent use in daily clinical practice, the technique lacks evidence to support its therapeutic value. While this might be due to various factors, the authors of this paper suggest that the technique might need to be improved and/or modernized according to the recent literature. The purpose of this letter is to further analyze our point of view. Using the most relevant methods to the subject literature, the authors intended to point out a few technical details that might need reconsideration and/or modernization. An appropriate terminology is suggested in the text. Further, suggestions are made regarding the technique's interval time, a possible addition of self-treatment, a discussion of the combination with Mill's manipulation, tendon positioning and other parameters. As a therapeutic value has not yet been clearly documented, and since the modernization and/or improvement of the technique might be needed, we suggest that this technique should not be used as a first-line treatment for the management of chronic pain.
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http://dx.doi.org/10.3390/medicina55050185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572216PMC
May 2019

Comments on the article 'Tennis elbow'.

Shoulder Elbow 2019 Feb 25;11(1):71. Epub 2019 Jan 25.

Physiotherapy Program, Department Health Sciences, School of Sciences, European University of Cyprus, Nicosia, Cyprus.

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http://dx.doi.org/10.1177/1758573218812217DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348583PMC
February 2019

Reliability and validity of the Greek shoulder pain and disability index in patients with shoulder pain.

Disabil Rehabil 2020 05 17;42(9):1299-1304. Epub 2019 Jan 17.

Physiotherapy Program, Department of Health Sciences School of Sciences, European University of Cyprus, Nicosia, Cyprus.

The Shoulder Pain and Disability Index is one of the most common questionnaire to evaluate the impact of shoulder disorders on function. There is no valid and reliable Greek version of the Shoulder Pain and Disability Index available at present for all shoulder disorders. Therefore, the aim of the current study was to test the reliability and validity of the Shoulder Pain and Disability Index in patients with shoulder pain for at least four weeks. The validation study was conducted in clinical settings by questionnaires comprising the Greek Shoulder Pain and Disability Index and Disability of the Arm, Shoulder, and Hand questionnaire. 130 (68 women and 62 men) Greek reading patients over 18 years old with shoulder pain for at least four weeks were recruited from physical therapy clinics. Internal consistency of the translated instrument was measured using Cronbach's . to establish test-retest reliability, the patients without any change in their condition after 2-3 days from their initial visit were asked to complete the Shoulder Pain and Disability Index for a second time. An intraclass correlation coefficient was used to assess the test-retest reliability of the Shoulder Pain and Disability Index. The Greek version of the Shoulder Pain and Disability Index and Disability of the Arm, Shoulder, and Hand questionnaire was also administered in both visits. Concurrent validity was measured by correlating the Shoulder Pain and Disability Index with the Greek Shoulder Pain and Disability Index and Disability of the Arm, Shoulder and Hand scale using Pearson's correlation coefficient. The results showed that the Greek Shoulder Pain and Disability Index has good internal consistency (Cronbach  = 0.947), test-retest reliability (ICC =0.926) and concurrent validity ( > 0.7). The standard error of measurement (SEM) and the smallest detectable change (SDC) of the Greek SPADI total score were 4.77 and 13.18. The Greek version of the Shoulder Pain and Disability Index is a reliable and valid measure when administered to patients aged over 18 years old with shoulder pain for at least four weeks.Implications for RehabilitationThe Greek version of the Shoulder Pain and Disability Index has been found to be reliable and valid when used in patients with shoulder pain for at least four weeks.The results of the psychometric characteristics were compatible with those of the original English version.The Shoulder Pain and Disability Index could be applied to a Greek-speaking population to assess functional limitations and symptoms in patients over 18 years old with shoulder pain for at least four weeks.
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http://dx.doi.org/10.1080/09638288.2018.1519728DOI Listing
May 2020

Can extracorporeal shock-wave therapy be used for the management of lateral elbow tendinopathy?

World J Methodol 2018 Nov 29;8(3):37-39. Epub 2018 Nov 29.

Department Health Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus.

Lateral elbow tendinopathy (LET) is one of the two most common tendinopathies of the upper limb. The most effective treatment in the management of LET is the exercise program. Clinicians combine exercise program with other physiotherapy, electrotherapeutic and no, techniques. Extracorporeal shock wave therapy (ESWT) is one of the most common recommended electrotherapeutic modalities for the management of LET. Further research is needed to find out the optimal treatment protocol of ESWT in the management of LET.
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http://dx.doi.org/10.5662/wjm.v8.i3.37DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6275556PMC
November 2018

Insertional and mid-substance Achilles tendinopathies: eccentric training is not for everyone - updated evidence of non-surgical management.

J Man Manip Ther 2018 Jul 1;26(3):119-122. Epub 2018 Jun 1.

Center for Rehabilitation Research, Department of Rehabilitation Sciences, Texas Tech University Health Sciences Center, Lubbock, TX, USA.

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http://dx.doi.org/10.1080/10669817.2018.1470302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055959PMC
July 2018

The role of proprioception in the management of lateral elbow tendinopathy.

J Hand Ther 2019 Jan - Mar;32(1):e2-e3. Epub 2018 Jul 13.

EUC, Nicosia, Cyprus. Electronic address:

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http://dx.doi.org/10.1016/j.jht.2018.02.010DOI Listing
January 2020

Comments on the Article "What Is the Most Effective Eccentric Stretching Position in Lateral Elbow Tendinopathy?": To the Editor.

Clin Orthop Surg 2018 06 18;10(2):269. Epub 2018 May 18.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.

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http://dx.doi.org/10.4055/cios.2018.10.2.269DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964279PMC
June 2018

Treatment of Carpal Tunnel Syndrome in pregnancy with Polarized Polychromatic Non-coherent Light (Bioptron Light): A Preliminary, Prospective, Open Clinical Trial.

Laser Ther 2017 Dec;26(4):289-295

Rheumatologist retired.

The aim of this trial was to assess the efficacy of polarized polychromatic noncoherent light (Bioptron light) in the treatment of Carpal Tunnel Syndrome (CTS) in pregnancy. An uncontrolled experimental study was conducted in pregnant patients with CTS who visited our clinic from January 2006 to January 2010. Bioptron light (480-3400 nm; 95% polarization; 40 mW/cm; and 2.4 J/cm) was administered perpendicular to the carpal tunnel area. The irradiation time for each session was 6 min at an operating distance of 5-10 cm from the carpal tunnel area, twice each day, five days per week for 2 weeks. Pain and paraesthesia using a visual analogue scale (VAS) and finger pinch strength were evaluated at the end of treatment (week 2) and 1-month (week 6) after the end of treatment. The Student'sttest was used and p values < 0.05 were accepted as statistically significant. 46 patients participated in the study. The mean age of subjects was 27.6 years (range 22-37). The patient population had a mean duration of CTS of 2.3 months (range 1-4). All patients were in the third trimester. Pain and paraesthesia decreased at the end of treatment and at the 1-month follow-up, whereas the finger pinch strength increased at the end of treatment and at the 1-month follow-up. In conclusion, the results of the present study suggest that Bioptron light is a reliable, safe, and effective treatment option in pregnant patients with CTS. Controlled clinical trials are needed to establish the absolute and relative effectiveness of this intervention.
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http://dx.doi.org/10.5978/islsm.17-OR-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5801454PMC
December 2017

Failure patterns of different bracket systems and their influence on treatment duration: A retrospective cohort study.

Angle Orthod 2018 May 2;88(3):338-347. Epub 2018 Feb 2.

Objectives: To compare the failure pattern of four different bracket types and to assess its effect on treatment duration.

Materials And Methods: A total of 78 white patients (28 male, 50 female) with a mean age of 12.6 years were included in this retrospective cohort study and treated for a mean period of 30.6 months. The patients were treated in a private practice with stainless steel conventionally ligated brackets, ceramic conventionally ligated brackets, stainless steel self-ligating brackets, or nickel-free self-ligating brackets. The loss of at least one bracket during the course of treatment was analyzed with Cox proportional hazards survival analyses and generalized linear regression.

Results: The overall bracket failure rate at the tooth level was 14.1% (217 brackets), with significant differences according to tooth type (between 8.0%-23.4%) and bracket type (between 11.2%-20.0%). After taking confounders into account, patients treated with ceramic brackets lost more brackets (hazard ratio = 1.62; 95% confidence interval = 1.14-2.29; P = .007) than patients with stainless steel brackets. On average, treatment time increased by 0.6 months (95% confidence interval = 0.21-1.05; P = .004) for each additional failed bracket.

Conclusions: Bracket failure was more often observed with ceramic brackets and was associated with increased treatment duration.
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http://dx.doi.org/10.2319/081817-559.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8288329PMC
May 2018

Comments on the article "Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis?"

Knee Surg Sports Traumatol Arthrosc 2018 08 30;26(8):2547-2548. Epub 2017 Oct 30.

Physiotherapy Program, Department of Health Sciences, School of Sciences, European University Cyprus, Cyprus Musculoskeletal and Sports Trauma Research Centre (CYMUSTR EC), 6, Diogenes Str. Engomi, P.O.Box 22006, 1516, Nicosia, Cyprus.

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http://dx.doi.org/10.1007/s00167-017-4750-0DOI Listing
August 2018

Is the heavy slow resistance program effective for all patients with tendinopathy and effective for all its sites?

J Sports Med Phys Fitness 2016 11;56(11):1430-1431

Department of Health Sciences, School of Sciences, Nicosia, Cyprus.

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November 2016

Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy.

J Hand Ther 2017 Jan - Mar;30(1):13-19. Epub 2016 Nov 4.

Rheumatology and Rehabilitation Centre, Athens, Greece.

Study Design: RCT.

Introduction: Lateral elbow tendinopathy is a common clinical condition. eccentric exercises. eccentric-concentric loading and, isometric exercises are indicated to reduce and manage tendon pain.

Purpose Of The Study: To compare the effectiveness of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy.

Methods: A randomized clinical trial was carried out in a rheumatology and rehabilitation center. A group of 34 patients with later elbow tendinopathy was randomly allocated to Group A (n = 11) who underwent eccentric training, Group B had eccentric-concentric and Group C who had eccentric-concentric and isometric training. All patients received 5 treatments per week for 4 weeks. Pain was evaluated using a visual analog scale and function using a visual analog scale and pain-free grip strength at the end of the 4-week course of treatment (week 4) and 1 month (week 8) after the end of treatment.

Results: The eccentric-concentric training combined with isomentric contractions produced the largest effect in the reduction of pain and improvement of function at the end of the treatment (P < .05) and at any of the follow-up time points (P < .05).

Conclusion: The eccentric-concentric training combined with isomentric contractions was the most effective treatment. Future well-designed studies are needed to confirm the results of the present trial.

Level Of Evidence: III.
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http://dx.doi.org/10.1016/j.jht.2016.09.001DOI Listing
December 2017

Lateral elbow tendinopathy: Evidence of physiotherapy management.

World J Orthop 2016 Aug 18;7(8):463-6. Epub 2016 Aug 18.

Stasinopoulos Dimitrios, Physiotherapy Program, Department Health Sciences, School of Sciences, European University of Cyprus, 1516 Nicosia, Cyprus.

Lateral elbow tendinopathy (LET) is a common musculoskeletal/sports injury. A plethora of physiotherapy techniques has been proposed in the management of LET. The exercise programme is the most common treatment in the management of LET. The optimal protocol of exercise programme is still unknown. The effectiveness of the exercise programme is low when it is applied as monotherapy. Therefore, exercise programme is combined with other physiotherapy modalities such as soft tissue techniques, external support, acupuncture, manual therapy and electrotherapy, in the treatment of LET. Future research is needed to determine which treatment strategy combined with exercise programme will provide the best results in LET rehabilitation.
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http://dx.doi.org/10.5312/wjo.v7.i8.463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4990766PMC
August 2016
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