Manajemen Fisioterapi pada Post-Operative Anterior Cruciatum Ligament pada Atlet Sepak Bola: Case Report
Physiotherapy Management in Post-Operative Anterior Cruciate Ligament in Soccer Athlete: Case Report
Abstract
Aktivitas olahraga sering menyebabkan cedera pada ACL. Hal ini dapat disebabkan oleh adanya gerakan rotasi pada lutut biasanya dapat menyebabkan cedera pada ligamen khususnya ACL. Penelitian dengan metode case report ini menunjukkan bahwa fisioterapi memiliki peran penting untuk mengatasi masalah komplikasi yang terjadi pada pasien pasca cedera ACL khususnya untuk meningkatkan kekuatan otot dan meningkatkan ROM. Penelitian ini bertujuan untuk memberikan gambaran manajemen fisioterapi pada kasus post operative rekonstruksi ACL yang dilakukan selama 4 kali pertemuan. Metode: Studi ini merupakan laporan kasus, data primer diperoleh melalui anamnesis dan pemeriksaan fisik. Hasil: Pasien atas nama Tn. U berusia 17 tahun dengan diagnosis post operative rekonstruksi ACL. Penelitian ini dilakukan pada pertemuan ke-26 dan diberikan penanganan fisioterapi berupa NMES, ROM exercise, dan strengthening exercise untuk meningkatkan kekuatan otot dan meningkatkan lingkup gerak sendi. Evaluasi dilakukan setelah 4 kali fisioterapi dan hasilnya terjadi peningkatan ROM dan peningkatan lingkar otot. Kesimpulan: Pemberian modalitas fisioterapi berupa NMES, ROM exercise, dan strengthening exercise efektif dalam meningkatkan ROM dan meningkatkan lingkar otot pada kondisi pasca rekonstruksi ACL.
References
Grueva-Pancheva T, Stambolieva K. Effect of early proprioceptive training on postural balance in patients after anterior cruciate ligament reconstruction. J Phys Educ Sport. 2021;21(4):1635–42.
Prodromidis AD, Drosatou C, Thivaios GC, Zreik N, Charalambous CP. Timing of Anterior Cruciate Ligament Reconstruction and Relationship With Meniscal Tears: A Systematic Review and Meta-analysis. Am J Sports Med. 2021;49(9):2551–62.
Stojanović MDM, Andrić N, Mikić M, Vukosav N, Vukosav B, Zolog-Șchiopea DN, et al. Effects of Eccentric-Oriented Strength Training on Return to Sport Criteria in Late-Stage Anterior Cruciate Ligament (ACL)-Reconstructed Professional Team Sport Players. Med. 2023;59(6).
Rodrigues CAS, Albano TR, Pereira Melo AK, Azevedo Tavares ML, Lima PO de P, Almeida GPL. Y-Balance Test after ACL Reconstruction: The relationship with knee and hip muscle strength, ankle dorsiflexion range of motion and postural stability. J Bodyw Mov Ther. 2024;40(October):2099–104.
Gronbeck KR, Tompkins MA. Functional testing following isolated meniscus repair may help to identify patients who need additional physical therapy prior to a return to activity. J ISAKOS. 2024;9(4):557–61.
Kim SH, Lee JW, Kim SG, Cho HW, Bae JH. Low Rate of Return to Preinjury Tegner Activity Level Among Recreational Athletes: Results at 1 Year After Primary ACL Reconstruction. Orthop J Sport Med. 2021;9(1):1–7.
Oleksy Ł, Mika A, Sulowska-Daszyk I, Szymczyk D, Kuchciak M, Stolarczyk A, et al. Standard RTS criteria effectiveness verification using FMS, Y-balance and TJA in footballers following ACL reconstruction and mild lower limb injuries. Sci Rep [Internet]. 2021;11(1):1–9. Available from: https://doi.org/10.1038/s41598-021-81152-4
Kochman M, Kasprzak M, Kielar A. ACL Reconstruction: Which Additional Physiotherapy Interventions Improve Early-Stage Rehabilitation? A Systematic Review. Int J Environ Res Public Health. 2022;19(23).
Einarsson E, Thomson A, Sas B, Hansen CL, Gislason M, Whiteley R. Lower medial hamstring activity after ACL reconstruction during running: A cross-sectional study. BMJ Open Sport Exerc Med. 2021;7(1):1–5.
Chen JW, Wu TY, Guo Y. Nordic hamstring exercises in functional knee rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomised, controlled study. Sci Rep [Internet]. 2023;13(1):1–8. Available from: https://doi.org/10.1038/s41598-023-45817-6
Unverzagt C, Andreyo E, Tompkins J. ACL return to sport testing: It’s time to step up our game. Int J Sports Phys Ther. 2021;16(4):1169–77.
Aquino CF, Ocarino JM, Cardoso VA, Resende RA, Souza TR, Rabelo LM, et al. Current clinical practice and return-to-sport criteria after anterior cruciate ligament reconstruction: a survey of Brazilian physical therapists. Brazilian J Phys Ther [Internet]. 2021;25(3):242–50. Available from: https://doi.org/10.1016/j.bjpt.2020.05.014
Truong LK, Mosewich AD, Miciak M, Pajkic A, Le CY, Li LC, et al. Balance, reframe, and overcome: The attitudes, priorities, and perceptions of exercise-based activities in youth 12–24 months after a sport-related ACL injury. J Orthop Res. 2022;40(1):170–81.
Kotsifaki R, Korakakis V, King E, Barbosa O, Maree D, Pantouveris M, et al. Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction. Br J Sports Med. 2023;57(9):500–14.
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.
