Program Fisioterapi pada Kondisi Pasca Rekonstruksi Anterior Cruciate Ligament (ACL) Fase I: A Case Report
DOI:
https://doi.org/10.30787/phyjou.v1i2.795Kata Kunci:
Rekonstruksi Anterior Cruciate Ligament, Cryotherapy, Transcutaneous Electrical Nerve Stimuation, Terapi LatihanAbstrak
Rekonstruksi Anterior Cruciate Ligament (ACL) merupakan prosedur pembedahan dengan mencangkokkan ACL menggunakan jaringan tendon (graft). Tindakan ini dilakukan untuk mengembalikan stabilitas pada lutut dan fiksasi sendi pasca cedera ACL. Kondisi pasca rekonstruksi ACL menyebabkan adanya komplikatif sehingga terjadi nyeri, oedema, penurunanan lingkup gerak sendi, kelemahan otot. Pelaksanaan program fisioterapi pada kasus ini bertujuan untuk mengetahui pengauh pemberian intervensi fisioterapi berupa cryotherapy, Transcutaneous Electrical Nerve Stimulation (TENS), Range of Motion (ROM) exercise dan strengthening exercise dalam mengurangi oedema, mengurangi nyeri, meningkatkan lingkup gerak sendi dan meningkatkan kekuatan otot pada sendi lutut pasca rekonstruksi ACL. Metode penelitian ini dilakukan secara langsung kepada 1 responden dengan kondisi pasca rekonstruksi Anterior Cruciate Ligament (ACL) fase 1 dengan pemberian terapi sebanyak 3 kali sesi terapi. Setelah dilakukan terapi sebanyak tiga sesi didapatkan hasil penurunan nyeri, penurunan oedema, peningkatan lingkup gerak sendi, dan peningkatan kekuatan otot. Kesimpulan yang didapat bahwa program fisioterapi komprehensif pada kasus pasca rekonstruksi Anterior Cruciate Ligament fase 1 terbukti mampu mengurangi keluhan nyeri, oedema, meningkatkan lingkup gerak sendi dan meningkatkan kekuatan otot.Referensi
Adhya, B., Dhillon, M. S., & Dhillon, H. S. (2014). Rehabilitation Techniques after Anterior Cruciate Ligament (ACL) Reconstruction the Indian Approach. Indian Journal of Physiotherapy & Occupational Therapy, 8(2). DOI: 10.5958/j.0973-5674.8.2.092
Amin, A. A., Amanati, S., & Novalda, W. (2018). Pengaruh Terapi Latihan, Transcutaneous Electrical Nerve Stimulation dan Kinesiology Taping pada Post Rekontruksi Anterior Cruciatum Ligament. Jurnal Fisioterapi dan Rehabilitasi, 2(2). DOI: https://doi.org/10.33660/jfrwhs.v2i2.39
Arovah, N, I. (2010). Dasar-Dasar Fisioterapi pada Cedera Olahraga, Yogyakarta: FIK UNY.
Domnick, C., Raschke, M., & Herbort, M. (2016). Biomechanics of the Anterior Cruciate Ligament: Physiology, Rupture and Reconstruction Techniques. World Journal of Orthopaedic, 7(2), 82-93. DOI: 10.5312/wjo.v7.i2.82
Faxon, J. L., Sanni, A. A., & McCully, K. K. (2018). Hamstrings and Quadriceps Muscles Function in Subjects with Prior ACL Reconstruction Surgery. Journal of Functional Morphology and Kinesiology, 3(4). DOI: https://doi.org/10.3390/jfmk3040056
Filbay, S. R. & Grindem, H. (2019). Evidence-based Recommendations for the Management of Anterior Cruciate Ligament (ACL) Rupture. Best Practice and Research: Clinical Rheumatology, 33(1), 33–47. DOI: https://doi.org/10.1016/j.berh.2019.01.018
Fukuda, T. Y., Fingerhut, D., Moreira, V. C., Camarini, P. M. F., Scodeller, N. F., Duarte, A., Martinelli, M., & Bryk, F. F. (2013). Open Kinetic Chain Exercises in a Restricted Range of Motion after Anterior Cruciate Ligament Reconstruction: A randomized controlled clinical trial. American Journal of Sports Medicine, 41(4), 788–794. DOI https://doi.org/10.1177/0363546513476482
Gans, I., Retzky, J. S., Jones, L. C., & Tanaka, M. J. (2018). Epidemiology of Recurrent Anterior Cruciate Ligament Injuries in National Collegiate Athletic Association Sports: The Injury Surveillance Program, 2004-2014. Orthopaedic Journal of Sports Medicine, 6(6), 1–7. DOI: https://doi.org/10.1177/2325967118777823
Gasibat, Q. & Jahan, A. M. (2018). Pre and post-operative rehabilitation of anterior cruciate ligament reconstruction in young athletes. International Journal of Orthopaedics Sciences, 3(1), 819-828. DOI: https://doi.org/10.22271/ortho.2017.v3.i1l.118
Kiapour, A. M., & Murray, M. M. (2014). Basic science of anterior cruciate ligament injury and repair. Bone and Joint Research, 3(2), 20–31. DOI: https://doi.org/10.1302/2046- 3758.32.2000241
Maralisa, A. D. & Lesmana, S. I. (2020). Penatalaksanaan Fisioterapi Rekontruksi ACL Knee Dextra Hamstring Graft. Indonesian Journal of Physiotherapy Research and Education, 1(1), 4–17. https://journal.aptifi.org/index.php/ijopre/article/view/22/2
Millett, P. J. (2010). ACL Recontruction Rehabilitation Protocol. Sports Medicine and Orthopedic Surgery.
Musahl, V. & Karlsson, J. (2019). Anterior Cruciate Ligament Tear. New England Journal of Medicine, 380(24), 2341–2348. DOI: https://doi.org/10.1056/nejmcp1805931
Paschos, N. K. & Howell, S. M. (2016). Anterior Cruciate Ligament Reconstruction: Principles of treatment. EFORT Open Reviews, 1(11), 398–408. DOI: https://doi.org/10.1302/2058-5241.1.160032
Pramudiana, N., & Pristianto, A. (2022). Comprehensive Physiotherapy Management in Post Coronary Artery Bypass Grafting Et Causa Coronary Artery Disease Involving 3 Vessels (CAD3VD) Case: Case Report. FISIOMU: Physiotherapy Evidences, 3(1), 8–15. DOI: https://doi.org/10.23917/fisiomu.v3i1.12960
Prentice, W. E. (2014). Principles of Athletic Traning: A Competency-Based Approach. USA: McGraw-Hill Companies
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. DOI: http://dx.doi.org/10.7454/jvi.v6i1.117
Thomas, A. C., Wojtys, E. M., Brandon, C., Palmieri-Smith, R. M. (2017). Muscle Atrophy Contributes to Quadriceps Weakness after ACL Reconstruction. Journal of Science and Medicine in Sport, 19(1), 7-11. DOI: 10.1016/j.jsams.2014.12.009
Waterman, B., Walker, J. J., Swaims, C., Shortt, M., Todd, M. S., Machen, S. M., & Owens, B. D. (2012). The Efficacy of Combined Cryotherapy and Compression Compared with Cryotherapy Alone following Anterior Cruciate Ligament Reconstruction. The Journal of Knee Surgery, 25(2), 155–160. DOI: https://doi.org/10.1055/s-0031-1299650
Wright, R. W., Haas, A. K., Anderson, J., Calabrese, G., Cavanaugh, J., Hewett, T. E., Lorring, D., McKenzie, C., Preston, E., & Williams. (2015). Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines. Sports Health, 7(3), 239–243. DOI: 10.1177/1941738113517855
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