Case Report: Physiotherapy Management of Post Operative ACL Reconstruction in Football Players

  • Irianto Irianto Unhas
  • Dian Nurfadillah Mahasiswa
  • Naurah Nadhifah Unhas
Keywords: ACL, physiotherapy, rehabilitation.

Abstract

After Anterior Cruciate Ligament Reconstruction (ACLR), it is important to follow rehabilitation and postoperative instructions to facilitate recovery and avoid injury to the new graft tissue. Emphasis is placed on initial physical therapy and home exercises. Anterior Cruciate Ligament (ACL) injuries most commonly occur in sports activities that involve sudden stops or changes of direction, jumps and landings such as soccer. Purpose: to provide an overview of physiotherapy management in cases of ACL reconstruction. Methods: this study is a case report. Primary data obtained through autoanamnesis and physical examination. Results: 22 years old male patient complaints of swelling, muscle weakness, muscle atrophy and ROM limitation. Patients received physiotherapy interventions in 3 sessions per week for 2 weeks, with total 5 meetings. Results showed that it could reducing swelling and increasing Range of Motion (ROM). Conclusion: this case report describes the clinical presentation and physiotherapeutic management of ACL reconstruction. The physiotherapy program must be individualized taking into account the severity and clinical presentation of the patient.

References

Alshewaier, S. A., Majmaah, A., Alshewaier, S. A., & Majmaah, A. (2023). Drivers of Successful Physical Therapy Rehabilitation Pro- gram following ACL Reconstruction : A narrative review. 11(1), 125–147.
Bansal Riya, jain Deepak, Patil Deepali, Phansopkar Pratik, D. M. (2022). Physical therapy rehabilitation in patient with post ACL reconstruction. Medical Science, 2223(5(5)), 1–8. https://doi.org/10.52058/2786-6025-2022-5(5)-260-269
Christivana, N. D., & Susilo, T. E. (2022). Case Report : Penatalaksanaan Fisioterapi Pada Kasus Post Op Anterior Cruciate Ligament ( ACL ) Phase 1 Case Report : Penatalaksanaan Fisioterapi Pada Kasus Post Op Anterior Cruciate Ligament ( ACL ) Phase 1. 1239–1244.
Cooper, R., & Hughes, M. (2019). A criteria driven ACL rehabilitation protocol and guide for both clinicians and people who have undergone a surgical reconstruction of the Anterior Cruciate Ligament (ACL) (p. 8). ACL Guide. https://www.melbourneaclguide.com/docs/ACL_Guide.pdf
Grassi, A., Macchiarola, L., Filippini, M., Lucidi, G. A., Villa, F. Della, & Zaffagnini, S. (2019). Epidemiology of Anterior Cruciate Division Soccer Players. XX(X), 1–10. https://doi.org/10.1177/1941738119885642
Gusma, K. C. (2022). A Survey of Causes of Anterior Cruciate Ligament (ACL) Injury in Indonesia’s ACL Community, DIY Central Branch. Unnes Journal of Sport Sciences, 6(2).
Alshewaier, S. A., Majmaah, A., Alshewaier, S. A., & Majmaah, A. (2023). Drivers of Successful Physical Therapy Rehabilitation Pro- gram following ACL Reconstruction : A narrative review. 11(1), 125–147.
Bansal Riya, jain Deepak, Patil Deepali, Phansopkar Pratik, D. M. (2022). Physical therapy rehabilitation in patient with post ACL reconstruction. Medical Science, 2223(5(5)), 1–8. https://doi.org/10.52058/2786-6025-2022-5(5)-260-269
Christivana, N. D., & Susilo, T. E. (2022). Case Report : Penatalaksanaan Fisioterapi Pada Kasus Post Op Anterior Cruciate Ligament ( ACL ) Phase 1 Case Report : Penatalaksanaan Fisioterapi Pada Kasus Post Op Anterior Cruciate Ligament ( ACL ) Phase 1. 1239–1244.
Cooper, R., & Hughes, M. (2019). A criteria driven ACL rehabilitation protocol and guide for both clinicians and people who have undergone a surgical reconstruction of the Anterior Cruciate Ligament (ACL) (p. 8). ACL Guide. https://www.melbourneaclguide.com/docs/ACL_Guide.pdf
Grassi, A., Macchiarola, L., Filippini, M., Lucidi, G. A., Villa, F. Della, & Zaffagnini, S. (2019). Epidemiology of Anterior Cruciate Division Soccer Players. XX(X), 1–10. https://doi.org/10.1177/1941738119885642
Gusma, K. C. (2022). A Survey of Causes of Anterior Cruciate Ligament (ACL) Injury in Indonesia’s ACL Community, DIY Central Branch. Unnes Journal of Sport Sciences, 6(2).

Kotsifaki, R., Korakakis, V., King, E., Barbosa, O., Maree, D., Pantouveris, M., Bjerregaard, A., Luomajoki, J., Wilhelmsen, J., & Whiteley, R. (2023). Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction. 500–514. https://doi.org/10.1136/bjsports-2022-106158
Memmel, C., Krutsch, W., Szymski, D., Pfeifer, C., Henssler, L., Frankewycz, B., Angele, P., Alt, V., & Koch, M. (2022). Current Standards of Early Rehabilitation after Anterior Cruciate Ligament Reconstruction in German Speaking Countries — Differentiation Based on Tendon Graft and Concomitant Injuries.
Moran, U., Gottlieb, U., Gam, A., & Springer, S. (2019). Functional electrical stimulation following anterior cruciate ligament reconstruction : a randomized controlled pilot study. 0, 1–9.
Mungikar, S., & Garg, K. (2022). Effectiveness Of Mirror Therapy In Adjunct To Conventional Physiotherapy On Pain , Instability , Joint Mobility And Proprioception In Patients With Post Anterior Cruciate Ligament Reconstruction Surgery : A Randomized Controlled Trial. April 2023. https://doi.org/10.14704/nq.2022.20.9.NQ44694
Nida Sha , Rehana Mushtaq, F. B. (2021). MRI Diagnosis and Grading of Anterior Cruciate Ligament Injuries. Pakistan Biomedical Journal, 5(c), 37–40. https://doi.org/DOI: https://doi.org/10.54393/pbmj.v5i1.128 PAKISTAN
Putu, L., Sintia, S., Agung, A., Eka, G., & Utama, S. (2023). Risk factors of reoperative post anterior cruciate ligament reconstruction. April, 20–23.
Saki, F., Shafiee, H., Tahayori, B., & Ramezani, F. (2023). The effects of core stabilization exercises on the neuromuscular function of athletes with ACL reconstruction. Scientific Reports, 1–9. https://doi.org/10.1038/s41598-023-29126-6
Sandon, A., Krutsch, W., Alt, V., & Forssblad, M. (2022). Increased occurrence of ACL injuries for football players in teams changing coach and for players going to a higher division. Knee Surgery, Sports Traumatology, Arthroscopy, 30(4), 1380–1387. https://doi.org/10.1007/s00167-021-06604-w
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
Shimokochi, Y., & Shultz, S. J. (2018). Mechanisms of Noncontact Anterior Cruciate Ligament Injury. Journal of Athelic Training, 43(4), 396–408. https://doi.org/doi: 10.4085/1062-6050-43.4.396
Song, D., & Zhang, L. (2022). Intermediate frequency electrotherapy stimulation to the medial femoris muscle for functional recovery of knee joint after anterior cruciate ligament reconstruction. April.
Webster, K. E., Hewett, T. E., & Feller, J. A. (2021). Anterior Cruciate Ligament Injuries in Australian Rules Football: Incidence, Prevention and Return to Play Outcomes. Open Access Journal of Sports Medicine, Volume 12, 33–41. https://doi.org/10.2147/oajsm.s250414
Published
2024-05-20
How to Cite
Irianto, I., Nurfadillah, D., & Nadhifah, N. (2024). Case Report: Physiotherapy Management of Post Operative ACL Reconstruction in Football Players. Jurnal Fisioterapi Dan Kesehatan Indonesia, 4(01), 1-11. https://doi.org/10.59946/jfki.2024.209