1. Poster Title Dr. Stasinopoulos Dimitrios, Assistant Professor Physiotherapy Physiotherapy Program, Department of Health Sciences School of Sciences European University of Cyprus Email:D.Stassinopoulos@euc.ac.cy J Nov Physiother 5: 238. doi:10.4172/2165-7025.1000238 Dr. Stasinopoulos Dimitrios, Assistant Professor Physiotherapy Physiotherapy Program, Department of Health Sciences School of Sciences European University of Cyprus Email:D.Stassinopoulos@euc.ac.cy J Nov Physiother 5: 238. doi:10.4172/2165-7025.1000238 The Effectiveness of Isometric Contractions Combined with Eccentric Contractions and Stretching Exercises on Pain and Disability in Lateral Elbow Tendinopathy. A Case Report. Stasinopoulos Dimitrios 1 & Eustratiadis Anastasios 1 Physiotherapy program, Department of Health Sciences, School of Sciences, European University of Cyprus, Cyprus BACKGROUND Eccentric and static stretching exercises have shown good clinical results in Lateral Elbow Tendinopathy (LET) (Malliaras, Maffulli & Garau, 2008). However, eccentric and stretching exercises are not enough for all patients with tendinopathy (Cannell et al., 2001). Isometric muscle contractions reduce tendon pain (Rio et al., 2013). No studies have been investigated the effectiveness of these two kinds of contractions and stretching exercises in the management of LET. The aim of the present case report is to present the effect of eccentric training combined with isometric contraction and static stretching exercises on pain and disability in a patient experiencing LET. OBJECTIVES RESULTS At the end of the treatment and at the follow – up there was a decline in pain and a rise in function (Table 1). Table 1: Pain, function and pain-free grip strength over the 24 h before each evaluation CONCLUSION The results of the present case report suggest that the combination of eccentric training of wrist extensors with isometric contractions of wrist extensors and static stretching exercises of wrist extensors can produce significant improvements in terms of pain and disability in LET. REFERENCES 1.Malliaras P, Maffulli N, Garau G. Eccentric training programmes in the management of lateral elbow tendinopathy. Disabil Rehabil 2008;30: 1590-1596 2.Cannell L, Taunton J, Clement D, et al. A randomized clinical trial of the efficacy of drop squats or leg extension leg curls to treat clinically diagnosed jumper’s knee in athletes: A pilot study. Br J Sports Med 2001; 35: 60–64 3.Rio E Kidgell DJ, Mosely L, Pearce AJ, Gaida J, Cook J, et al. Exercise to reduce tendon pain: A comparison of isometric and isotonicmuscle contractions and effects on pain, cortical inhibition and muscle strength (conference abstract) Journal of Science and Medicine in Sport 2013;16:30. METHODS A patient with unilateral LET for 8 months was included in the present report. The patient followed an exercise programme consisted of slow progressive eccentric exercises of wrist extensors, isometric contractions of wrist extensors and static stretching of the extensor muscles of the wrist five times per week for 4 weeks. The programme was individualized on the basis of the patient’s description of pain experienced during the procedure. Outcome measures were pain, using a visual analogue scale, and function, using a visual analogue scale and the pain-free grip strength. The patient was evaluated at baseline, at the end of treatment (week 4), and 1 month (week 8) after the end of treatment.