STUDI KASUS PENATALAKSANAAN FISIOTERAPI PADA REHABILITASI FASE 1 PASIEN PASCA REKONSTRUKSI ACL DAN MENISCUS REPAIR

Main Article Content

Yose Rizal
Toto Marzuki
Amelia Dwi Mariza

Abstract

Anterior cruciate ligament (ACL) and meniscus injuries are common knee injuries in athletes that require comprehensive postoperative rehabilitation. This study aimed to determine the effectiveness of a physiotherapy program combining electrotherapy modalities (TENS, NMES, Ultrasound) and muscle contraction exercises during phase 1 rehabilitation after ACL reconstruction and meniscus repair. A case study with a pre- and post-test design was conducted on a 22-year-old male soccer player who underwent physiotherapy for two weeks (June 16–30, 2025) at Fisiohands Clinic, Pekanbaru. Evaluations were performed using the Visual Analog Scale (VAS) for pain, a goniometer for range of motion (ROM), and the Lower Extremity Functional Scale (LEFS) for knee function. The results showed a reduction in resting pain from 6/10 to 3/10 and movement pain from 8/10 to 5/10. Knee ROM improved from S=0°–16°–68° to S=0°–8°–94°, while the LEFS score increased from 27 to 38. In conclusion, the combination of electrotherapy and muscle contraction exercises was effective in reducing pain, improving ROM, and enhancing knee function in the early rehabilitation phase after ACL reconstruction and meniscus repair, although the patient remained in the category of major functional limitations.

Article Details

How to Cite
Rizal, Y., Marzuki, T., & Mariza, A. D. (2025). STUDI KASUS PENATALAKSANAAN FISIOTERAPI PADA REHABILITASI FASE 1 PASIEN PASCA REKONSTRUKSI ACL DAN MENISCUS REPAIR. Journal of Physical Activity and Sports (JPAS), 6(2), 127-135. https://doi.org/10.53869/jpas.v6i2.355
Section
Articles

References

Blasimann, A., Busch, A., Henle, P., Bruhn, S., Vissers, D., & Baur, H. (2024). Bilateral neuromuscular control in patients one year after unilateral ACL rupture or reconstruction. A cross-sectional study. Heliyon, 10(2), e24364. https://doi.org/10.1016/j.heliyon.2024.e24364

Borque, K. A., Laughlin, M. S., Pinheiro, V. H., Jones, M., & Williams, A. (2023). Rebranding the ‘anatomic’ ACL reconstruction: Current concepts. Journal of ISAKOS, 8(1), 23–28. https://doi.org/10.1016/j.jisako.2022.11.001

Ciemniewska-Gorzela, K., ?ak-Pa?czy?ska, K., Henklewski, R., Murray, J., Wa?ko, M. K., & Gille, J. (2025). Complex Meniscal Tear Repair With Meniscus Cap Implant: Technical Note. Arthroscopy

Techniques, 14(6), 1–8. https://doi.org/10.1016/j.eats.2025.103512

Dohnert, M. B., Novaski, N. de O. C., Deves, J. R., Soares, A. R. de O., Silveira, M. M. da, Santos, J. V. E. dos, Kuplich, P. A., & Daitx, R. B. (2022). High frequency transcutaneous electrical stimulation in the immediate postoperative period of anterior cruciate ligament reconstruction: a randomized clinical trial. ABCS Health Sciences, 47, e022229. https://doi.org/10.7322/abcshs.2021024.1720

Fauziansyah, A., Hidayatullah, M. F., Riyadi, S., Maret, S., Ilmu, D., Pasca, P., Sebelas, S. U., Tengah, J., & Direct, S. (2024). LITERATURE REVIEW: PENGARUH ECCENTRIC EXERCISE TERHADAP PENINGKATAN KEKUATAN OTOT QUADRICEPS PADA CEDERA ANTERIOR CRUCIATE LIGAMENT (ACL). 174–188.

Fitra, H. W., Sari, D. R. K., & Halim, M. (2021). Exercises Rehabilitation for Phase 2 Post Reconstruction of Anterior Cruciatum Ligament (Acl). Academic Physiotherapy Conference Proceeding, 358–366.

Gronbeck, K. R., & Tompkins, M. A. (2024). Functional testing following isolated meniscus repair may help to identify patients who need additional physical therapy prior to a return to activity. Journal of ISAKOS, 9(4), 557–561. https://doi.org/10.1016/j.jisako.2024.04.007

Indriastuti & Pristianto, A. (2021). Physiotherapy Program in Post-Anterior Cruciate Ligament Reconstruction ( ACL ) Fase I?: A Case Report. Physio Journal, 1(2), 1–9.

Jia, Z., Greven, J., Hildebrand, F., Kobbe, P., & Eschweiler, J. (2024). Conservative treatment versus surgical reconstruction for ACL rupture: A systemic review. Journal of Orthopaedics, 57(May), 8–16. https://doi.org/10.1016/j.jor.2024.05.026

Kisner, C., & Colby, L. A. (2007). Therapeutic Exercise. In Davis Company (5th ed.). Davis Company.

Kopf, S., Beaufils, P., Hirschmann, M. T., Rotigliano, N., Ollivier, M., Pereira, H., Verdonk, R.,

Darabos, N., Ntagiopoulos, P., Dejour, D., Seil, R., & Becker, R. (2020). Management of traumatic meniscus tears: the 2019 ESSKA meniscus consensus. Knee Surgery, Sports Traumatology, Arthroscopy, 28(4), 1177–1194. https://doi.org/10.1007/s00167-020-05847-3

Labanca, L., Rocchi, J. E., Giannini, S., Faloni, E. R., Montanari, G., Mariani, P. P., & Macaluso, A. (2022). Early Superimposed NMES Training is Effective to Improve Strength and Function Following ACL Reconstruction with Hamstring Graft regardless of Tendon Regeneration. Journal of Sports Science and Medicine, 21(1), 91–103. https://doi.org/10.52082/jssm.2022.91

Nisya Khairani Simatupang, Adnan Faris Naufal, & Halim Mardianto. (2024). Penatalaksanaan Fisioterapi Dengan Terapi Latihan (Isometric Exercise) Pada Kondisi Meniscuss Tears: Case Report. Physio Journal, 4(1), 14–26. https://doi.org/10.30787/phyjou.v4i1.1394

Poitras, S., & Brosseau, L. (2012). Electrotherapeutic Modalities and Physical Agents. In Evidence-Based Management of Low Back Pain. Mosby, Inc. https://doi.org/10.1016/B978-0-323-07293-9.00014-3

Prasetyo, H. B., Pratama, D. S., & Prastiwi, B. K. (2021). Analisis Kondisi Fisik dan Teknik Dasar Pemain Sepak Bola Klub Mahardhika Kecamatan Belik Kabupaten Pemalang. Journal of Physical Activity and Sports (JPAS), 2(3), 395–403. https://doi.org/10.53869/jpas.v2i3.89

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

Saputra, S., Kasumbung, M. T., Larasati, P., & Setianing, R. (2023). Physiotherapy Rehabilitation for Accelerating the Recovery of Patient with Anterior Cruciate Ligament Total Reconstruction and Meniscal Repair: A Case Report. Indonesian Journal of Medicine, 8(4), 376–384. https://doi.org/10.26911/theijmed.2023.8.4.657

Schweizer, N., Strutzenberger, G., Franchi, M. V., Farshad, M., Scherr, J., & Spörri, J. (2022). Screening Tests for Assessing Athletes at Risk of ACL Injury or Reinjury—A Scoping Review. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19052864

Toth, M. J., Tourville, T. W., Voigt, T. B., Choquette, R. H., Anair, B. M., Falcone, M. J., Failla, M. J., Stevens-lapslaey, J. E., Endres, N. K., Slauterbeck, J. R., & Beynnon, B. D. (2020). Utility of Neuromuscular Electrical Stimulation to Preserve Quadriceps Muscle Fiber Size and Contractility After Anterior Cruciate Ligament Injuries and Reconstruction. 1–9. https://doi.org/10.1177/0363546520933622

Vittala, G., I Putu Prananda Dinata, Putu Devinda Ardaswari, Tabita Febyola Wijaya, Lanang Imam Herlambang, & I Dewa Gede Alit Kamayoga. (2024). Physical therapy management for muscle tightness in a surfing athlete: a case report study. Physical Therapy Journal of Indonesia, 5(1), 18–24. https://doi.org/10.51559/ptji.v5i1.171