Manajemen Fisioterapi pada Post Rekonstruksi Ligamen Posterior Cruciatum pada Atlet Sepak Bola
Physiotherapy Management in Post Posterior Cruciate Ligament Reconstruction in Soccer Athlete
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.
References
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.
The use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution 4.0 International License.
Author’s Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
User Rights
JFR's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JFR permits users to copy, distribute, display, and perform the work. Users will also need to attribute authors and JFR on distributing works in the journal.
Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article
Co-Authorship
If the article was jointly prepared by other authors, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JFR will not be held liable for anything that may arise due to the author(s) internal dispute. JFR will only communicate with the corresponding author.
Miscellaneous
JFR will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JFR's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.








