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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MDPI AG
2023-10-01
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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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language | English |
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publishDate | 2023-10-01 |
publisher | MDPI AG |
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series | Journal of Clinical Medicine |
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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