Document Type : Case Report
Authors
- I Putu Gde Surya Adhitya 1
- I Gusti Ngurah Wien Aryana 2
- Putu Ayu Sita Saraswati 1
- Fajar Purnama 3
- Ida Kurniawati 4
- Noval Adhitya Wardhana 5
- I Putu Prananda Dinata 6
- Putu Devinda Ardaswari 6
- Tabita Febyola Wijaya 6
1 Department of Physical Therapy, College of Medicine, Universitas Udayana, Bali, Indonesia
2 Department of Orthopaedic and Traumatology, College of Medicine and Sanglah General Hospital, Universitas Udayana, Bali, Indonesia
3 Department of Information Technology, College of Engineering, Universitas Udayana, Bali, Indonesia
4 Department of Histology, Faculty of Medicine and Health Sciences, Universitas Warmadewa, Bali, Indonesia
5 Royal Sports Medicine Center, Royal Progress Hospital, Jakarta, Indonesia
6 Professional Program of Physical Therapy, College of Medicine, Universitas Udayana, Bali, Indonesia
Abstract
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.
Keywords
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