Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee Osteoarthritis

The Baker cyst (BC), also known as the popliteal cyst or parameniscal cyst, is a fluid-filled sac that normally develops in the back of the knee, between the semimembranosus and medial head of the gastrocnemius. We aimed to evaluate the effectiveness of physiotherapy (10 days of treatment) that asso...

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Main Authors: Elena-Valentina Ionescu, Liliana-Elena Stanciu, Andreea Bujduveanu, Mihaela Minea, Doinita Oprea, Adina Petcu, Madalina-Gabriela Iliescu, Viorela-Mihaela Ciortea, Florina-Ligia Popa, Emma Gheorghe, Bogdan Obada, Carmen Oprea
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/20/6605
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author Elena-Valentina Ionescu
Liliana-Elena Stanciu
Andreea Bujduveanu
Mihaela Minea
Doinita Oprea
Adina Petcu
Madalina-Gabriela Iliescu
Viorela-Mihaela Ciortea
Florina-Ligia Popa
Emma Gheorghe
Bogdan Obada
Carmen Oprea
author_facet Elena-Valentina Ionescu
Liliana-Elena Stanciu
Andreea Bujduveanu
Mihaela Minea
Doinita Oprea
Adina Petcu
Madalina-Gabriela Iliescu
Viorela-Mihaela Ciortea
Florina-Ligia Popa
Emma Gheorghe
Bogdan Obada
Carmen Oprea
author_sort Elena-Valentina Ionescu
collection DOAJ
description The Baker cyst (BC), also known as the popliteal cyst or parameniscal cyst, is a fluid-filled sac that normally develops in the back of the knee, between the semimembranosus and medial head of the gastrocnemius. We aimed to evaluate the effectiveness of physiotherapy (10 days of treatment) that associates intermittent vacuum therapy (IVT) on the lower limbs in the treatment of the BC, respectively, in its size reduction. Sixty-five patients with knee osteoarthritis using Kellgren–Lawrence criteria and the presence of BC (ultrasonography evaluation), were divided into the Control and Vacuum groups. We collected the following features: sex, age, level of education, occupation, environment, body mass index, Knee Injury and Osteoarthritis Outcome Score, Western Ontario, and McMaster Universities Osteoarthritis Index, the Functional Independence Measurement, the Fall Risk Score, and the Visual Analog Scale were recorded at baseline and after 10 days. Both groups are similar in terms of demographic features. Regarding the clinical functional parameters, the results elicit a statistically significant change in all parameters between admission and discharge, including the echo volume at BC. Physical medicine and rehabilitation increase the autonomy of patients with BC. Clinical-functional improvement begins in the first 10 days of complex rehabilitation treatment; it is statistically significant and is not different between the two groups, which brings an additional argument for the effectiveness of conservative therapy in the treatment of BC. Although IVT has not demonstrated its superiority over classical balneo-physical therapy, additional research, and long-term monitoring are needed to provide additional arguments regarding this aspect.
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spelling doaj.art-f2e2db9cc2b24cd6b61b942a000a837d2023-11-19T16:53:26ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220660510.3390/jcm12206605Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee OsteoarthritisElena-Valentina Ionescu0Liliana-Elena Stanciu1Andreea Bujduveanu2Mihaela Minea3Doinita Oprea4Adina Petcu5Madalina-Gabriela Iliescu6Viorela-Mihaela Ciortea7Florina-Ligia Popa8Emma Gheorghe9Bogdan Obada10Carmen Oprea11Balneal and Rehabilitation Sanatorium of Techirghiol, 34-40, Dr. Victor Climescu Street, 906100 Techirghiol, RomaniaBalneal and Rehabilitation Sanatorium of Techirghiol, 34-40, Dr. Victor Climescu Street, 906100 Techirghiol, RomaniaBalneal and Rehabilitation Sanatorium of Techirghiol, 34-40, Dr. Victor Climescu Street, 906100 Techirghiol, RomaniaBalneal and Rehabilitation Sanatorium of Techirghiol, 34-40, Dr. Victor Climescu Street, 906100 Techirghiol, RomaniaBalneal and Rehabilitation Sanatorium of Techirghiol, 34-40, Dr. Victor Climescu Street, 906100 Techirghiol, RomaniaFaculty of Pharmacy, Ovidius University of Constanta, 1 University Alley, Campus–Corp C, 900470 Constanta, RomaniaBalneal and Rehabilitation Sanatorium of Techirghiol, 34-40, Dr. Victor Climescu Street, 906100 Techirghiol, RomaniaDepartment of Rehabilitation Medicine, University of Medicine and Pharmacy “Iuliu Hatieganu”, 8 Victor Babes Street, 400012 Cluj-Napoca, RomaniaPhysical Medicine and Rehabilitation Department, Faculty of Medicine, “Lucian Blaga” University of Sibiu, Victoriei Blvd., 550024 Sibiu, RomaniaDepartment of Dermathology, Faculty of Medicine, “Ovidius” University of Constanta, 1 University Alley, Campus–Corp B, 900470 Constanta, RomaniaDepartment of Orthopedics and Traumathology, Faculty of Medicine, “Ovidius” University of Constanta, 1 University Alley, Campus–Corp B, 900470 Constanta, RomaniaBalneal and Rehabilitation Sanatorium of Techirghiol, 34-40, Dr. Victor Climescu Street, 906100 Techirghiol, RomaniaThe Baker cyst (BC), also known as the popliteal cyst or parameniscal cyst, is a fluid-filled sac that normally develops in the back of the knee, between the semimembranosus and medial head of the gastrocnemius. We aimed to evaluate the effectiveness of physiotherapy (10 days of treatment) that associates intermittent vacuum therapy (IVT) on the lower limbs in the treatment of the BC, respectively, in its size reduction. Sixty-five patients with knee osteoarthritis using Kellgren–Lawrence criteria and the presence of BC (ultrasonography evaluation), were divided into the Control and Vacuum groups. We collected the following features: sex, age, level of education, occupation, environment, body mass index, Knee Injury and Osteoarthritis Outcome Score, Western Ontario, and McMaster Universities Osteoarthritis Index, the Functional Independence Measurement, the Fall Risk Score, and the Visual Analog Scale were recorded at baseline and after 10 days. Both groups are similar in terms of demographic features. Regarding the clinical functional parameters, the results elicit a statistically significant change in all parameters between admission and discharge, including the echo volume at BC. Physical medicine and rehabilitation increase the autonomy of patients with BC. Clinical-functional improvement begins in the first 10 days of complex rehabilitation treatment; it is statistically significant and is not different between the two groups, which brings an additional argument for the effectiveness of conservative therapy in the treatment of BC. Although IVT has not demonstrated its superiority over classical balneo-physical therapy, additional research, and long-term monitoring are needed to provide additional arguments regarding this aspect.https://www.mdpi.com/2077-0383/12/20/6605baker cystintermittent vacuumknee osteoarthritisultrasonographyphysical therapymud
spellingShingle Elena-Valentina Ionescu
Liliana-Elena Stanciu
Andreea Bujduveanu
Mihaela Minea
Doinita Oprea
Adina Petcu
Madalina-Gabriela Iliescu
Viorela-Mihaela Ciortea
Florina-Ligia Popa
Emma Gheorghe
Bogdan Obada
Carmen Oprea
Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee Osteoarthritis
Journal of Clinical Medicine
baker cyst
intermittent vacuum
knee osteoarthritis
ultrasonography
physical therapy
mud
title Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee Osteoarthritis
title_full Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee Osteoarthritis
title_fullStr Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee Osteoarthritis
title_full_unstemmed Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee Osteoarthritis
title_short Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee Osteoarthritis
title_sort clinical evidence regarding the dynamic of baker cyst dimensions after intermittent vacuum therapy as rehabilitation treatment in patients with knee osteoarthritis
topic baker cyst
intermittent vacuum
knee osteoarthritis
ultrasonography
physical therapy
mud
url https://www.mdpi.com/2077-0383/12/20/6605
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