Penatalaksanaan Fisioterapi Paska Rekontruksi Anterior Cruciate Ligament Pattelar Autograft: Studi Kasus
DOI:
https://doi.org/10.22219/physiohs.v4i1.21863Keywords:
Anterior Cruciate Ligament (ACL), ACL Reconstruction, Exercise ProgramAbstract
Rekontruksi anterior cruciate ligament (ACL) merupakan proses cangkok jaringan ligamen yang mengalami robekan atau putus akibat cedera, yang bertujuan untuk mengembalikan fungsinya seperti semula. Paska rekontruksi memerlukan proses rehabilitasi dan mencegah terjadinya komplikasi serta mengembalikan performa di lapangan. Penelitian ini menggunakan desain single case selama 3 kali dalam 4 minggu pada Desember 2021, di Jogja Orthopaedic Sport Clinic. Penelitian ini untuk mengetahui efektifitas penatalaksanaan fisioterapi terhadap nyeri, kekuatan otot quadriceps femoris, lingkup gerak sendi dan bengkak. Hasil signifikan didapatkan pada tingkat nyeri gerak dari 4 menjadi 2, nyeri diam bernilai 1 menjadi 0 dan nyeri tekan bernilai 2 menjadi 0. Pada kekuatan otot quadricep femoris dengan nilai 3 menjadi 4. Lingkup gerak sendi dari S: 0° - 15° - 65° meningkat menjadi 0° - 5° - 105°. Terjadi penurunan bengkak dari 38,5 cm menjadi 37 cm pada 10 cm di atas tuberositas tibia menurun sebanyak 1,5 cm, untuk 10 cm di bawah tubersitas tibia dextra dari 32,5 cm menjadi 31,5 cm, penurunan terjadi sebesar 1 cm, dan pasien telah melepas crutch pada minggu ke 3. Hasil laporan menyatakan bahwa elektroterapi yang dikombinasikan dengan terapi latihan active range of motion dan latihan penguatan mampu menurunkan nyeri baik nyeri diam, gerak dan tekan, peningkatan lingkup gerak sendi pada fleksi dan ekstensi knee, bidang sagital, penurunan bengkak setelah diberikan kombinasi IASTM dan peningkatan kekuatan otot quadricep femoris. Kekuatan otot yang dihasilkan mempengaruhi kemampuan pasien dalam aktivitas fungsional terutama berjalan, pasien melepas crutch pada minggu ke 3.
Downloads
References
Alsulaimani, B. H. (2019). Effectiveness of patellar mobilization in patellofemoral pain syndrome. MOJ Orthopedics & Rheumatology, 11(1), 31–33. https://doi.org/10.15406/mojor.2019.11.00465
Amin, A. A., Amanati, S., & Novalanda, W. (2018). Pengaruh Terapi Latihan, Transcutaneous Electrical Nerve Stimulation Dan Kinesiology Taping Pada Post Rekonstruksi Anterior Cruciatum Ligamen. Jurnal Fisioterapi Dan Rehabilitasi, 2(2), 115–124. https://doi.org/10.33660/jfrwhs.v2i2.39
Best, T. M., Wilk, K. E., Moorman, C. T., & Draper, D. O. (2018). Low Intensity Ultrasound for Promoting Soft Tissue Healing: A Systematic Review of the Literature and Medical Technology. Internal Medicine Review, 2(11), 1–9. https://doi.org/10.18103/imr.v2i11.271.Low
Bregenhof, B., Jørgensen, U., Aagaard, P., Nissen, N., Creaby, M. W., Thorlund, J. B., Jensen, C., Torfing, T., & Holsgaard-Larsen, A. (2018). The effect of targeted exercise on knee-muscle function in patients with persistent hamstring deficiency following ACL reconstruction - study protocol for a randomized controlled trial. Trials, 19(1), 1–13. https://doi.org/10.1186/s13063-018-2448-3
Buckthorpe, M., La Rosa, G., & Villa, F. Della. (2019). Restoring Knee Extensor Strength After Anterior Cruciate Ligament Reconstruction: a Clinical Commentary. International Journal of Sports Physical Therapy, 14(1), 159–172. https://doi.org/10.26603/ijspt20190159
Cavanaugh, J. T., & Powers, M. (2017). ACL Rehabilitation Progression: Where Are We Now? Current Reviews in Musculoskeletal Medicine, 10(3), 289–296. https://doi.org/10.1007/s12178-017-9426-3
Czamara, A., Krzemińska, K., Widuchowski, W., & Dragan, S. L. (2021). The muscle strength of the knee joint after acl reconstruction depends on the number and frequency of supervised physiotherapy visits. International Journal of Environmental Research and Public Health, 18(20). https://doi.org/10.3390/ijerph182010588
Garrison, J. C., Bothwell, J., Cohen, K., & Conway, J. (2014). Effects of hip strengthening on early outcomes following anterior cruciate ligament reconstruction. International Journal of Sports Physical Therapy, 9(2), 157–167. http://www.ncbi.nlm.nih.gov/pubmed/24790777%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4004121
Greenberg, E. M., Greenberg, E. T., Albaugh, J., Storey, E., & Ganley, T. J. (2019). Anterior Cruciate Ligament Reconstruction Rehabilitation Clinical Practice Patterns: A Survey of the PRiSM Society. Orthopaedic Journal of Sports Medicine, 7(4), 1–14. https://doi.org/10.1177/2325967119839041
Jayaseelan, D. J., Holshouser, C., & McMurray, M. W. (2020). Functional Joint Mobilizations for Patellofemoral Pain Syndrome: a Clinical Suggestion. International Journal of Sports Physical Therapy, 15(4), 643–649. https://doi.org/10.26603/ijspt2020064
Kim, J., Sung, D. J., & Lee, J. (2017). Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: Mechanisms and practical application. Journal of Exercise Rehabilitation, 13(1), 12–22. https://doi.org/10.12965/jer.1732824.412
Lepley, L. K., Wojtys, E. M., & Palmieri-Smith, R. M. (2017). Combination of eccentric exercise and neuromuscular electrical stimulation to improve biomechanical limb symmetry after anterior cruciate ligament reconstruction. Clinical Biomechanic, 176(12), 139–148. https://doi.org/10.1016/j.clinbiomech.2015.04.011.Combination
Lesmana, S. I. (2015). Hubungan Antara Karakteristik Atlet Dengan Masa Pemulihan Setelah Cedera. Jurnal Fisioterapi, 15(April), 45–51.
Loghmani, M. T., & Whitted, M. (2016). Soft Tissue Manipulation: A Powerful Form of Mechanotherapy. Journal of Physiotherapy & Physical Rehabilitation, 01(04), 1–6. https://doi.org/10.4172/2573-0312.1000122
Lorenz, D., & Reiman, M. (2011). The Role and Implementation of Eccentric Training in Athletic Rehabilitation : Tendinopathy, Hamstring, Strains, and ACL Recontruction. International Journal of Sport Physical Therapy, 1(6), 27–44.
Maralisa, A. D., Lesmana, S. I., Fisioterapi, D., Fisioterapi, F., Unggul, U. E., Graft, H., Knee, I., & Comitee, D. (2020). Penatalaksanaan Fisioterapi Rekonstruksi Acl Knee Dextra Hamstring. Indonesian Journal of Physiotherapy Research and Education, 1(1), 4–17.
Morishita, K., Karasuno, H., Yokoi, Y., Morozumi, K., Ogihara, H., Ito, T., Hanaoka, M., Fujiwara, T., Fujimoto, T., & Abe, K. (2014). Effects of therapeutic ultrasound on range of motion and stretch pain. Journal of Physical Therapy Science, 26(5), 711–715. https://doi.org/10.1589/jpts.26.711
Papadopoulos, E. S., & Mani, R. (2020). The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain. International Journal of Lower Extremity Wounds, 19(4), 350–358. https://doi.org/10.1177/1534734620948343
Prathap Kumar, J., Arun Kumar, M., & Venkatesh, D. (2020). Healthy gait: Review of anatomy and physiology of knee joint. International Journal of Current Research and Review, 12(6), 1–8. https://doi.org/10.31782/IJCRR.2020.12061
Prentice, E. W. (2014). Principles of Athletic Traning: A Competency_Based Approach. USA: McGraw-Hill Companies.
Priono, B. H., Utoyo, G. A., & Ismiarto, Y. D. (2019). Relationship of Acl Injury With Posterior Tibial Slope, Intercondylar Notch Width Ratio, Age, and Sex. (JOINTS) Journal Orthopaedi and Traumatology Surabaya, 7(2), 106. https://doi.org/10.20473/joints.v7i2.2018.106-113
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), 66–80. https://doi.org/10.7454/jvi.v6i1.117
Stańczak, K., Zielińska, M., Synder, M., Domżalski, M., Polguj, M., & Sibiński, M. (2018). Comparison of hamstring and patellar tendon grafts in anterior cruciate ligament reconstruction: A prospective randomized study. Journal of International Medical Research, 46(2), 785–791. https://doi.org/10.1177/0300060517722696
Vance, C. G. T., Dailey, D. L., Rakel, B. A., & Sluka, K. A. (2014). Using TENS for pain control: the state of the evidence. Pain Management, 4(3), 197–209. https://doi.org/10.2217/pmt.14.13
Yadollahpour, A., & Rashidi, S. (2017). A review of mechanism of actions of ultrasound waves for treatment of soft tissue injuries. International Journal of Green Pharmacy, 11(1), S13–S20.
Yuliana, E., & Kushartanti, W. (2020). Fungsional lutut dan kesiapan psikologis pasca cedera ACL penanganan operatif dan non-operatif. Jurnal Sportif Jurnal Penelitian Pembelajaran, 6(3), 561–574.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Nur Laisya Mayeda, Dwi Rosella Komalasari, Iin Rohayani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Physiotherapy Health Science (PhysioHS) agree to the following terms:
- For all articles published in Physiotherapy Health Science (PhysioHS), copyright is retained by the authors. Authors give permission to the publisher to announce the work with conditions. When the manuscript is accepted for publication, the authors agree to automatic transfer of the publishing right to the publisher.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
