Physiotherapy management of functional activity disorders of knee dekstra et cause post-op anterior cruciate ligament reconstruction
Abstract
Introduction: anterior cruciate ligament injury is one of the common knee injuries among athletes, which can cause functional activity impairment of the knee, such as pain, edema, range of motion limitation, contracture, and anxiety. Anterior cruciate ligament reconstruction is a surgical procedure that aims to restore the stability and function of the knee. Patients who undergo Anterior cruciate ligament reconstruction require appropriate physiotherapy management to accelerate the healing and recovery process.
Aim: this study aims to determine the physiotherapy management of functional activity disorders of the knee joints and the causes of postoperative anterior cruciate ligament reconstruction.
Methods: this study used a case study method with a research subject of a 24-year-old male who suffered an anterior cruciate ligament injury on the right knee and underwent Anterior cruciate ligament reconstruction. Data were collected using instruments such as the VAS pain scale, goniometer to measure a range of motion, MMT to measure muscle strength, and international knee documentation committee questionnaire to measure functional activity.
Results: showed a decrease in pain, an increase in range of motion, an increase in muscle strength, and an increase in functional activity on the right knee caused post-op Anterior cruciate ligament reconstruction after receiving physiotherapy intervention for 9 sessions.
Conclusion: physiotherapy management given in the form of electrical muscle stimulation, prone hang, passive range of motion exercise, patella mobilization, isotonic & isometric strengthening, and walking exercise, as well as education, can help overcome functional activity impairment on the right knee et cause post-op anterior cruciate ligament reconstruction.
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References
De Almeida, A. C. et al. (2020) ‘A periodized training attenuates thigh intermuscular fat and improves muscle quality in patients with knee osteoarthritis: results from a randomized controlled trial’, Clinical Rheumatology, 39(4), pp. 1265–1275. doi: 10.1007/s10067-019-04892-9.
Buckthorpe, M. et al. (2021) ‘Recommendations for Hamstring Function Recovery After ACL Reconstruction’, Sports Medicine, 51(4), pp. 607–624. doi: 10.1007/s40279-020-01400-x.
Buckthorpe, M. and Della Villa, F. (2020) ‘Optimising the “Mid-Stage” Training and Testing Process After ACL Reconstruction’, Sports Medicine, 50(4), pp. 657–678. doi: 10.1007/s40279-019-01222-6.
Carter, H. M., Webster, K. E. and Smith, B. E. (2021) ‘Current preoperative physiotherapy management strategies for patients awaiting Anterior Cruciate Ligament Reconstruction (ACLR): A worldwide survey of physiotherapy practice’, The Knee, 28, pp. 300–310. doi: 10.1016/j.knee.2020.12.018.
Christivana, N. D. and Susilo, T. E. (2023) ‘Case Report: Penatalaksanaan Fisioterapi Pada Kasus Post Op Anterior Cruciate Ligament (ACL) Phase 1’, in Prosiding University Research Colloquium, pp. 1239–1244.
Cohen, S. P., Vase, L. and Hooten, W. M. (2021) ‘Chronic pain: an update on burden, best practices, and new advances’, The Lancet, 397(10289), pp. 2082–2097. doi: 10.1016/S0140-6736(21)00393-7.
Comitato, A. and Bardoni, R. (2021) ‘Presynaptic Inhibition of Pain and Touch in the Spinal Cord: From Receptors to Circuits’, International Journal of Molecular Sciences, 22(1), p. 414. doi: 10.3390/ijms22010414.
Eliya, Y. et al. (2020) ‘Anatomical anterior cruciate ligament reconstruction (ACLR) results in fewer rates of atraumatic graft rupture, and higher rates of rotatory knee stability: a meta-analysis’, Journal of ISAKOS, 5(6), pp. 359–370. doi: 10.1136/jisakos-2020-000476.
Glattke, K. E., Tummala, S. V and Chhabra, A. (2022) ‘Anterior Cruciate Ligament Reconstruction Recovery and Rehabilitation’, Journal of Bone and Joint Surgery, 104(8), pp. 739–754. doi: 10.2106/JBJS.21.00688.
Irianto, I. et al. (2023) ‘Physiotherapy Management in Postoperative Anterior Cruciate Ligament’, Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), pp. 247–254. doi: 10.35816/jiskh.v12i1.1035.
Jenkins, S. M. et al. (2022) ‘Rehabilitation After Anterior Cruciate Ligament Injury: Review of Current Literature and Recommendations’, Current Reviews in Musculoskeletal Medicine, 15(3), pp. 170–179. doi: 10.1007/s12178-022-09752-9.
Ketiga, P. K. U. and Putra, F. P. (2021) ‘Physiotherapy Management on Anterior Cruciate Ligament (ACL) Reconstruction: A Case Report’, Physical Therapy Journal of Indonesia, 2(2), pp. 25–29. doi: 10.51559/ptji.v2i2.28.
McClinton, S. M., Cobian, D. G. and Heiderscheit, B. C. (2020) ‘Physical Therapist Management of Anterior Knee Pain’, Current Reviews in Musculoskeletal Medicine, 13(6), pp. 776–787. doi: 10.1007/s12178-020-09678-0.
Narici, M. et al. (2021) ‘Impact of sedentarism due to the COVID‐19 home confinement on neuromuscular, cardiovascular and metabolic health: Physiological and pathophysiological implications and recommendations for physical and nutritional countermeasures’, European Journal of Sport Science, 21(4), pp. 614–635. doi: 10.1080/17461391.2020.1761076.
Nathania, N. P. S. et al. (2023) ‘Physiotherapy rehabilitation management on phase IV of post-operative anterior cruciate ligament reconstruction with medial meniscus repair : a case report’, Kinesiology and Physiotherapy Comprehensive, 2(1), pp. 28–36. doi: 10.62004/kpc.v2i1.16.
Nelson, C. et al. (2021) ‘Postoperative Rehabilitation of Anterior Cruciate Ligament Reconstruction: A Systematic Review’, Sports Medicine and Arthroscopy Review, 29(2), pp. 63–80. doi: 10.1097/JSA.0000000000000314.
Nuccio, S. et al. (2021) ‘Deficit in knee extension strength following anterior cruciate ligament reconstruction is explained by a reduced neural drive to the vasti muscles’, The Journal of Physiology, 599(22), pp. 5103–5120. doi: 10.1113/JP282014.
Patterson, B. E. et al. (2021) ‘Exercise-therapy and education for individuals one year after anterior cruciate ligament reconstruction: a pilot randomised controlled trial’, BMC Musculoskeletal Disorders, 22(1), p. 64. doi: 10.1186/s12891-020-03919-6.
Porrino, J. et al. (2020) ‘Prosthetic joint infections: diagnosis, management, and complications of the two-stage replacement arthroplasty’, Skeletal Radiology, 49(6), pp. 847–859. doi: 10.1007/s00256-020-03389-w.
Reza, R. P. K. and Tiara, T. F. (2022) ‘Pengaruh Cryotherapy, Ultrasound dan Strengthening Exercise pada Post Rekonstruksi Anterior Cruciate Ligament Fase I: A Case Report’, COMSERVA Indonesian Jurnal of Community Services and Development, 2(3), pp. 217–225. doi: 10.59141/comserva.v2i3.243.
De Ridder, D., Adhia, D. and Vanneste, S. (2021) ‘The anatomy of pain and suffering in the brain and its clinical implications’, Neuroscience & Biobehavioral Reviews, 130, pp. 125–146. doi: 10.1016/j.neubiorev.2021.08.013.
Saki, F. et al. (2023) ‘The effects of core stabilization exercises on the neuromuscular function of athletes with ACL reconstruction’, Scientific Reports, 13(1), p. 2202. doi: 10.1038/s41598-023-29126-6.
Seehafer, L. et al. (2021) ‘A Multi-Systems Approach to Human Movement after ACL Reconstruction: The Cardiopulmonary System’, International Journal of Sports Physical Therapy, 17(1), p. 27. doi: 10.26603/001c.29451.
Shahid, J., Kashif, A. and Shahid, M. K. (2023) ‘A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals’, Brain Sciences, 13(5), p. 717. doi: 10.3390/brainsci13050717.
Zumwalt, M. (2023) ‘Prevention and Management of Common Musculoskeletal Injuries in the Adult Female Athlete’, in The Active Female. Cham: Springer International Publishing, pp. 243–258. doi: 10.1007/978-3-031-15485-0_15.
Copyright (c) 2024 Yery Mustari, Ghina Agrifina Kaharuddin, Rahsinta Eka Febrianty, Chaerunnisa Chaerunnisa, Nuraeni Nuraeni
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