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Adhitya, I Putu Gde Surya, Aryana, I Gusti Ngurah Wien, Saraswati, Putu Ayu Sita, Purnama, Fajar, Kurniawati, Ida, Wardhana, Noval Adhitya, Dinata, I Putu Prananda, Ardaswari, Putu Devinda, Wijaya, Tabita Febyola. (1404). Physical Therapy Interventions for a Patient with Poor Muscle Strength,Knee Function, and Psychological Readiness After Anterior Cruciate Ligament Reconstruction with Meniscus Repair: A Case Report. سامانه مدیریت نشریات علمی, 12(2), 110-115. doi: 10.30476/jrsr.2024.101403.1462
I Putu Gde Surya Adhitya; I Gusti Ngurah Wien Aryana; Putu Ayu Sita Saraswati; Fajar Purnama; Ida Kurniawati; Noval Adhitya Wardhana; I Putu Prananda Dinata; Putu Devinda Ardaswari; Tabita Febyola Wijaya. "Physical Therapy Interventions for a Patient with Poor Muscle Strength,Knee Function, and Psychological Readiness After Anterior Cruciate Ligament Reconstruction with Meniscus Repair: A Case Report". سامانه مدیریت نشریات علمی, 12, 2, 1404, 110-115. doi: 10.30476/jrsr.2024.101403.1462
Adhitya, I Putu Gde Surya, Aryana, I Gusti Ngurah Wien, Saraswati, Putu Ayu Sita, Purnama, Fajar, Kurniawati, Ida, Wardhana, Noval Adhitya, Dinata, I Putu Prananda, Ardaswari, Putu Devinda, Wijaya, Tabita Febyola. (1404). 'Physical Therapy Interventions for a Patient with Poor Muscle Strength,Knee Function, and Psychological Readiness After Anterior Cruciate Ligament Reconstruction with Meniscus Repair: A Case Report', سامانه مدیریت نشریات علمی, 12(2), pp. 110-115. doi: 10.30476/jrsr.2024.101403.1462
Adhitya, I Putu Gde Surya, Aryana, I Gusti Ngurah Wien, Saraswati, Putu Ayu Sita, Purnama, Fajar, Kurniawati, Ida, Wardhana, Noval Adhitya, Dinata, I Putu Prananda, Ardaswari, Putu Devinda, Wijaya, Tabita Febyola. Physical Therapy Interventions for a Patient with Poor Muscle Strength,Knee Function, and Psychological Readiness After Anterior Cruciate Ligament Reconstruction with Meniscus Repair: A Case Report. سامانه مدیریت نشریات علمی, 1404; 12(2): 110-115. doi: 10.30476/jrsr.2024.101403.1462

Physical Therapy Interventions for a Patient with Poor Muscle Strength,Knee Function, and Psychological Readiness After Anterior Cruciate Ligament Reconstruction with Meniscus Repair: A Case Report

Journal of Rehabilitation Sciences & Research
دوره 12، شماره 2، شهریور 2025، صفحه 110-115    اصل مقاله (2.12 M)
نوع مقاله: Case Report
شناسه دیجیتال (DOI): 10.30476/jrsr.2024.101403.1462
نویسندگان
I Putu Gde Surya Adhitya* 1؛ I Gusti Ngurah Wien Aryana2؛ Putu Ayu Sita Saraswati1؛ Fajar Purnama3؛ Ida Kurniawati4؛ Noval Adhitya Wardhana5؛ I Putu Prananda Dinata6؛ Putu Devinda Ardaswari6؛ Tabita Febyola Wijaya6
1Department of Physical Therapy, College of Medicine, Universitas Udayana, Bali, Indonesia
2Department of Orthopaedic and Traumatology, College of Medicine and Sanglah General Hospital, Universitas Udayana, Bali, Indonesia
3Department of Information Technology, College of Engineering, Universitas Udayana, Bali, Indonesia
4Department of Histology, Faculty of Medicine and Health Sciences, Universitas Warmadewa, Bali, Indonesia
5Royal Sports Medicine Center, Royal Progress Hospital, Jakarta, Indonesia
6Professional Program of Physical Therapy, College of Medicine, Universitas Udayana, Bali, Indonesia
چکیده
Background: This case report aims to evaluate phase III of physical therapy management, focusing on the late rehabilitation phase tailored to a patient’s specific goals and athletic demands. The objective was to improve muscle strength, knee function, and psychological readiness following anterior cruciate ligament reconstruction (ACLR).
Case Presentation: A patient underwent ACLR with a hamstring tendon graft and lateral meniscus repair on November 7, 2022. Thirteen weeks post-surgery, the patient exhibited poor muscle strength (<10 mmHg compared to the uninjured leg), reduced knee function (Lysholm score <80), and low psychological readiness (ACL Return to Sport Index [ACL-RSI] score <70). From February 6 to February 15, 2023, the patient participated in five sessions of standard physical therapy interventions. Baseline and follow-up assessments were conducted, measuring leg circumferences, muscle strengths, and knee functions. Improvements were noted in leg circumferences: increases of 0.2 cm, 1 cm, and 0.5 cm at 20 cm, 10 cm, and 5 cm above the center of the patella (COP), respectively, and a 1 cm increase below COP. Muscle strength improvements were recorded for the quadriceps (+12 mmHg), hamstrings (+15 mmHg), and calf muscles (+25 mmHg). The Lysholm score increased by 27 points, and the ACL-RSI score improved by 32 points.
Conclusion: This case study demonstrates that phase III physical therapy interventions effectively enhance leg circumferences, muscle strength, knee function, and psychological readiness in post-ACLR patients. The protocols used in this case provide a valuable reference for treating similar cases.
 
 
کلیدواژه‌ها
ACLR؛ Knee Joint؛ Physical Therapy؛ Rehabilitation؛ Sports Injury
مراجع
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