Manajemen Fisioterapi pada Post Rekonstruksi Ligamen Posterior Cruciatum pada Atlet Sepak Bola

Physiotherapy Management in Post Posterior Cruciate Ligament Reconstruction in Soccer Athlete

  • Pritha Qurratul Aini Athaya Universitas Hasanuddin
  • Irianto Kadir Universitas Hasanuddin
  • Achmad Aditya Fajar Klinik Orthophysio

Abstract

Posterior Cruciate Ligament (PCL) rupture kondisi cedera yang serius berenergi tinggi dengan kemungkinan konsekuensi jangka pendek dan jangka panjang yang parah. Penelitian ini bertujuan memberikan gambaran manajemen fisioterapi pada kasus post operasi rekonstruksi PCL. Metode: Studi ini merupakan laporan kasus, data primer diperoleh melalui autoanamnesis, alloanamnesis, dan pemeriksaan fisik. Alat pemeriksaan yang digunakan goniometer untuk mengevalusi lingkup gerak sendi, kemudian untuk evaluasi edema dengan pitting edema rating scale, dan mengevaluasi nyeri menggunakan Visual Analogue Scale (VAS). Hasil: Pasien atas nama Tn. R berusia 24 tahun dengan diagnosis post rekonstruksi PCL diberikan penanganan fisioterapi seperti electrotherapy, strengthening exercise, dan weight bearing as tolerated. Hasil evaluasi 8 kali fisioterapi terjadi perubahan pada aspek nyeri dan peningkatan lingkup gerak sendi pada regio knee. Setelah 5 kali pertemuan dan diberikan electrotherapy berupa electrical muscle stimulant serta beberapa exercise seperti quad set, isometric exercise, PROMEX (Passive Range of Motion Exercise), latihan berjalan weight bearing as tolerated dapat menurunkan oedem, nyeri, menjaga kualitas otot dan meningkatkan lingkup gerak sendi pasien yang telah operasi rekonstruksi PCL.

Author Biography

Irianto Kadir, Universitas Hasanuddin

Physiotherapy

References

Raj MA, Mabrouk A, Varacallo M. Posterior Cruciate Ligament Knee Injury. In: The Knee Made Easy [Internet]. Cham: Springer International Publishing; 2023. p. 767–80. Available from: https://link.springer.com/10.1007/978-3-030-54506-2_57.

Cox CF, Graefe SB, Black AC, Bordoni B. Anatomy, Bony Pelvis and Lower Limb, Knee Anterior Cruciate Ligament. In: NCBI Bookshelf [Internet]. StatPearls; 2023. p. 1–10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32644659.

Lucidi GA, Seil R, Agostinone P, Toanen C, Grassi A, Zaffagnini S. Surgical technique: posterior cruciate ligament (PCL) reconstruction using double posteromedial arthroscopic portals. J Exp Orthop [Internet]. 2023;10(1). Available from: https://doi.org/10.1186/ s40634-023-00698-6.

Kammien AJ, Price RC, McLaughlin WM, Park N, Richter DL, Schenck RC, et al. Adverse Events After Isolated Posterior Cruciate Ligament Reconstruction: A National Database Study. Orthop J Sport Med. 2024;12(1):1–6.

Pache S, Z.S. A, M. K, G.Y. N, G. M, C. Z. Posterior cruciate ligament: Current concepts review. Arch Bone Jt Surg [Internet]. 2018;6(1):8–18.

Emery CA, Pasanen K. Current trends in sport injury prevention. Best Pract Res Clin Rheumatol. 2019;33(1):3–15.

Loeb AE, Ithurburn MP, Kidwell-Chandler A, Atkinson A, Cain EL. Technique and Outcomes of Posterior Cruciate Ligament Repair With Augmentation. Orthop J Sport Med. 2024;12(1):2024.

Milanese S, Gordon S, Buettner P, Flavell C, Ruston S, Coe D, et al. Reliability and Concurrent Validity of Knee Angle Measurement: Smart phone app versus universal goniometer used by experienced and novice clinicians. Man Ther [Internet]. 2014 Dec 1;19(6):569–74. Available from: https://doi.org/10.1016/j.math.2014.05.009.

Calzon ME, Blebea J, Pittman C. Quantitative Measurement of Pitting Edema with a Novel Edema Ruler. J Vasc Surg Cases, Innov Tech [Internet]. 2024 Feb;10(1):101373. Available from: https://doi.org/10.1016/j.jvscit.2023.101373.

Begum Mst Rabea, Hossain Mohammad Anwar. Validity and Reliability of Visual Analogue Scale ( Vas ) for Pain Validity and Reliability of Visual Analogue Scale ( VAS ) for Pain Measurement. J Med Case Reports Rev. 2019;394–402.

Ramdan IM. Reliability and Validity Test of the Indonesian Version of the Hamilton Anxiety Rating Scale (HAM-A) to Measure Work-related Stress in Nursing. J Ners. 2019;14(1):33–40.

Irianto I, Andayani K FR, Ayuningtias B RA, Abdillahtulkhaer M. Manajemen Fisioterapi pada Post-Operative Ligamen Anterior Cruciatum pada Pemain Sepakbola. J Fisioter dan Rehabil. 2023;8(1):78–85.

Winkler PW, Zsidai B, Wagala NN, Hughes JD, Horvath A, Senorski EH, et al. Evolving Evidence in the Treatment of Primary and Recurrent Posterior Cruciate Ligament Injuries, Part 2: Surgical Techniques, Outcomes and Rehabilitation. Knee Surgery, Sport Traumatol Arthrosc. 2021;29(3):682–93.

Brigham MG. Rehabilitation Protocol for PCL Reconstruction. Mass General Brigham [Internet]. 2021 Oct;1–7.

Calvin M. POsterior Cruciate Ligament (PCL) Reconstruction Clinical Practice Guideline [Internet]. Ohio, United States; 2023. Available from: https://tco.osu.edu.
Published
2025-06-05
How to Cite
ATHAYA, Pritha Qurratul Aini; KADIR, Irianto; FAJAR, Achmad Aditya. Manajemen Fisioterapi pada Post Rekonstruksi Ligamen Posterior Cruciatum pada Atlet Sepak Bola. Jurnal Fisioterapi dan Rehabilitasi, [S.l.], v. 9, n. 2, p. 214-219, june 2025. ISSN 2599-2791. Available at: <https://jurnal-d3fis.uwhs.ac.id/index.php/akfis/article/view/416>. Date accessed: 25 june 2026. doi: https://doi.org/10.33660/jfrwhs.v9i2.416.