Case Report: Physiotherapy Management of Post Operative ACL Reconstruction in Football Players
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
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
Copyright (c) 2024 IFI Cabang Kota Bekasi
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Submission Preparation Checklist
As part of the submission process, authors are required to check off their submission's compliance with all of the following items, and submissions may be returned to authors that do not adhere to these guidelines.
- I hereby declare that this submission is my own work.
- I hereby stated that this manusrcipt have no plagiarism matter.
- I declare the submission has no potential conflict of interest.
- I hereby stated that this manusrcipt have never been previously published in any other scientific publication and not being under reviewing process of any other scientific publication.
- The submitted manuscript contains no least than 2.000 words and not exceed 25 pages A4 including figures and tables, without any appendixes.
- The submitted manuscript has been written using Open Office Text Document (.odt) or Microsoft Word (.doc/.docx).
- Title already brief and concise, written in English, and less than 15 words.
- Abstract already brief and concise and not exceed 150 words in English.
- Keywords are written in English, between three to five phrase.
- The manuscript structure already consist: Introduction, Method/Material, Result and Discussion, Conclusion, Acknowledgement, and References.
- References are written according the writing style of MEV. The primary references are no less than 80% from at least fifteen sources and had been taken from the late ten year publications.
- The instructions in Ensuring a Blind Review have been followed to the submitted manuscript.
- (At least) two scientific referees have been suggested in "Comments for the Editor" textbox in the bottom of this page.
Copyright Notice
Retained Rights/Terms and Conditions of Publication
1. As an author you (or your employer or institution) may do the following:
- make copies (print or electronic) of the article for your own personal use, including for your own classroom teaching use;
- make copies and distribute such copies (including through e-mail) of the article to research colleagues, for the personal use by such colleagues (but not commercially or systematically, e.g. via an e-mail list or list server);
- present the article at a meeting or conference and to distribute copies of the article to the delegates attending such meeting;
- for your employer, if the article is a ‘work for hire’, made within the scope of your employment, your employer may use all or part of the information in the article for other intra-company use (e.g. training);
- retain patent and trademark rights and rights to any process, procedure, or article of manufacture described in the article;
- include the article in full or in part in a thesis or dissertation (provided that this is not to be published commercially);
- use the article or any part thereof in a printed compilation of your works, such as collected writings or lecture notes (subsequent to publication of the article in the journal); and prepare other derivative works, to extend the article into book-length form, or to otherwise re-use portions or excerpts in other works, with full acknowledgement of its original publication in the journal;
- may reproduce or authorize others to reproduce the article, material extracted from the article, or derivative works for the author’s personal use or for company use, provided that the source and the copyright notice are indicated, the copies are not used in any way that implies RCEPM-LIPI endorsement of a product or service of any employer, and the copies themselves are not offered for sale.
All copies, print or electronic, or other use of the paper or article must include the appropriate bibliographic citation for the article’s publication in the journal.
2. Requests from third parties
Although authors are permitted to re-use all or portions of the article in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use. Requests for all uses not included above, including the authorization of third parties to reproduce or otherwise use all or part of the article (including figures and tables), should be referred to RCEPM-LIPI by going to our website athttp://telimek.lipi.go.id.
3. Author Online Use
- Personal Servers. Authors and/or their employers shall have the right to post the accepted version of articles pre-print version of the article, or revised personal version of the final text of the article (to reflect changes made in the peer review and editing process) on their own personal servers or the servers of their institutions or employers without permission from RCEPM-LIPI, provided that the posted version includes a prominently displayed RCEPM-LIPI copyright notice and, when published, a full citation to the original publication, including a link to the article abstract in the journal homepage. Authors shall not post the final, published versions of their papers;
- Classroom or Internal Training Use. An author is expressly permitted to post any portion of the accepted version of his/her own articles on the author’s personal web site or the servers of the author’s institution or company in connection with the author’s teaching, training, or work responsibilities, provided that the appropriate copyright, credit, and reuse notices appear prominently with the posted material. Examples of permitted uses are lecture materials, course packs, e-reserves, conference presentations, or in-house training courses;
- Electronic Preprints. Before submitting an article to an MEV Journal, authors frequently post their manuscripts to their own web site, their employer’s site, or to another server that invites constructive comment from colleagues. Upon submission of an article to MEV Journal, an author is required to transfer copyright in the article to RCEPM-LIPI, and the author must update any previously posted version of the article with a prominently displayed RCEPM-LIPI copyright notice. Upon publication of an article by the RCEPM-LIPI, the author must replace any previously posted electronic versions of the article with either (1) the full citation to the work with a Digital Object Identifier (DOI) or link to the article abstract in MEV journal homepage, or (2) the accepted version only (not the final, published version), including the RCEPM-LIPI copyright notice and full citation, with a link to the final, published article in journal homepage.
4. Articles in Press (AiP) service
RCEPM-LIPI may choose to publish an abstract or portions of the paper before we publish it in the journal. Please contact our Production department immediately if you do not want us to make any such prior publication for any reason, including disclosure of a patentable invention.
5. Author/Employer Rights
If you are employed and prepared the article on a subject within the scope of your employment, the copyright in the article belongs to your employer as a work-for-hire. In that case, RCEPM-LIPI assumes that when you sign this Form, you are authorized to do so by your employer and that your employer has consented to the transfer of copyright, to the representation and warranty of publication rights, and to all other terms and conditions of this Form. If such authorization and consent has not been given to you, an authorized representative of your employer should sign this Form as the Author.
6. RCEPM-LIPI Copyright Ownership
It is the formal policy of RCEPM-LIPI to own the copyrights to all copyrightable material in its technical publications and to the individual contributions contained therein, in order to protect the interests of the RCEPM-LIPI, its authors and their employers, and, at the same time, to facilitate the appropriate re-use of this material by others. RCEPM-LIPI distributes its technical publications throughout the world and does so by various means such as hard copy, microfiche, microfilm, and electronic media. It also abstracts and may translate its publications, and articles contained therein, for inclusion in various compendiums, collective works, databases and similar publications
Every accepted manuscript should be accompanied by "Copyright Transfer Agreement" prior to the article publication.