Penatalaksanaan Fisioterapi pada Kasus Post OP Rekontruksi Anterior Cruriate Ligament Fase 1 Dextra dengan Terapi Latihan

Authors

  • Muhammad Hanif Mardiansyah Universitas Widya Husada Semarang
  • Maya Triyanita Universitas Widya Husada Semarang

DOI:

https://doi.org/10.55606/klinik.v4i1.5693

Keywords:

ACL Injury, Exercise Therapy, Knee Reconstruction, Muscle Strength, Range of Motion

Abstract

ACL injury is one of the injuries that many athletes experience. One of them is basketball athletes. This happens because basketball sports have a lot of movements - speed movements, changing direction, jumping and landing. Efforts to treat total ACL rupture injuries are by reconstruction. The physiotherapy program after ACL reconstruction uses a special exercise therapy protocol including phase 1, phase 2, phase 3 and phase 4. In phase 1, exercise therapy aims to reduce pain, oedema, increase LGS and muscle strength. The research method used is a single - case study of a 19-year-old male patient who suffered a right knee ACL reconstruction injury with exercise therapy in the form of Quad Set, Straight Leg Raise (SLR), Heel Slide, Wall Slide, and Angkle Pump. After the therapy was carried out for 4x, the results were reduced pain from VAS 3 to 1, increased stiffness of the Flexor knee muscle from 100 mmHg to 160 160 mmHg and the Extensor knee muscle from 120 mmHg to 160 mmHg, and increased the scope of active joint motion of knee flexion from 100 ° to 130 ° and knee extension from 110 ° to 135 °. Phase 1 Exercise Therapy Management in patients with Post Reconstruction of ACL knee destra can reduce pain, increase muscle strength, and increase the scope of joint motion.

References

Boden, B. P., & Sheehan, F. T. (2022a). Mechanism of non-contact ACL injury: OREF Clinical Research Award 2021. Journal of Orthopaedic Research, 40(3), 531–540. https://doi.org/10.1002/jor.25257

Boden, B. P., & Sheehan, F. T. (2022b). Mechanism of non-contact ACL injury: OREF Clinical Research Award 2021. Journal of Orthopaedic Research, 40(3), 531–540. https://doi.org/10.1002/jor.25257

Deviandri, R., der Veen, H. C. va., Lubis, A. M. T., Postma, M. J., & van den Akker-Scheek, I. (2022). Translation and psychometric analysis of the Indonesian versions of the Lysholm and Tegner scores for patients with anterior cruciate ligament injuries. Orthopaedic Journal of Sports Medicine, 10(1), 1–8. https://doi.org/10.1177/23259671211066506

Hewett, T. E., Myer, G. D., Ford, K. R., Paterno, M. V., & Quatman, C. E. (2016). Mechanisms, prediction, and prevention of ACL injuries: Cut risk with three sharpened and validated tools. Journal of Orthopaedic Research, 34(11), 1843–1855. https://doi.org/10.1002/jor.23414

Joseph, J., & Hamill, K. M. K. (2013). Biomechanical basis of human movement (Vol. 53). Lippincott Williams & Wilkins.

Khayambashi, K., Ghoddosi, N., Straub, R. K., & Powers, C. M. (2016). Hip muscle strength predicts noncontact anterior cruciate ligament injury in male and female athletes: A prospective study. American Journal of Sports Medicine, 44(2), 355–361. https://doi.org/10.1177/0363546515616237

Kotsifaki, R., Korakakis, V., King, E., Barbosa, O., Maree, D., Pantouveris, M., Bjerregaard, A., Luomajoki, J., Wilhelmsen, J., & Whiteley, R. (2023). Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction. British Journal of Sports Medicine, 57(9), 500–514. https://doi.org/10.1136/bjsports-2022-106158

Lippincott Williams & Wilkins. (2013). 1689–1699 hal. Joseph Hamill, K. M. K. Biomechanical basis of human movement (Vol. 53).

Putri, A. K., Hamidah, N. A., Rahmawati, R. A., & Mrihartini, S. P. (2021). Efektifitas terapi latihan (free active movement dan resisted active movement) dalam menambah lingkup gerak sendi pada pasien osteoarthritis genu dextra. Physiotherapy Health Science (PhysioHS), 3(2), 67–69. https://doi.org/10.22219/physiohs.v3i2.18936

Putri, A. K., Hamidah, N. A., Rahmawati, R. A., & Mrihartini, S. P. (2021). Efektifitas terapi latihan (free active movement dan resisted active movement) dalam menambah lingkup gerak sendi pada pasien osteoarthritis genu dextra. Physiotherapy Health Science (PhysioHS), 3(2), 67–69. https://doi.org/10.22219/physiohs.v3i2.18936

Rodriguez-Merchan, E. C. (2015). Evidence-based ACL reconstruction. Archives of Bone and Joint Surgery, 3(1), 9–12.

Rodriguez-Merchan, E. C. (2015). Evidence-based ACL reconstruction. Archives of Bone and Joint Surgery, 3(1), 9–12.

Santoso, I., Sari, I. D. K., Noviana, M., & Pahlawi, R. (2018). Penatalaksanaan fisioterapi pada post-op rekonstruksi anterior cruciate ligament sinistra grade III akibat ruptur di RSPAD Gatot Soebroto. Jurnal Vokasi Indonesia, 6(1). https://doi.org/10.7454/jvi.v6i1.117

Ungusari, E. (2015). No Ti, 151, 10–17.

Wiggins, M. E., Fadale, P., Barrach, H., Ehrlich, M., & W., W. (2016). Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: A systematic review and meta-analysis. American Journal of Sports Medicine, 44(7), 1861–1876. https://doi.org/10.1177/0363546515621554

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Published

2025-01-31

How to Cite

Muhammad Hanif Mardiansyah, & Maya Triyanita. (2025). Penatalaksanaan Fisioterapi pada Kasus Post OP Rekontruksi Anterior Cruriate Ligament Fase 1 Dextra dengan Terapi Latihan. Jurnal Ilmiah Kedokteran Dan Kesehatan, 4(1), 432–441. https://doi.org/10.55606/klinik.v4i1.5693