EXERCISES REHABILITATION FOR PHASE 2 POST RECONSTRUCTION OF ANTERIOR CRUCIATUM LIGAMENT (ACL)

Abstract

Introduction : Rupture is the tearing of tissue caused by trauma. The anterior cruciate ligament (ACL) is one of the main ligaments of the knee which functions to prevent the tibia from shifting anteriorly from the femur and to control rotational movement of the knee. case presentation: A 29-year-old male patient with as a sports teacher came to physiotherapy complaining of pain and stiffness in the knee joint at Wongsonegoro Hospital, Semarang, Central Java. The patient did a surgery of anterior cruciate ligament on October 2020. The management of exercises set for phase 2 rehabilitation. Management and outcomes :The exercises rehabilitation program included static bicycles, forward lunges on bosu, side lunges on bosu, step ups on bosu, squads with theraband, forward step down, lateral step down with resistance bands for 1 month. Several physical examinations were carried out to examine pain of knee using VAS (Visual Analog Scale), muscle strength examination using Manual Muscle Testing (MMT) on the hamstring and quadriceps muscles, a goneometer used to measure joint range of motion for knee flexion and extension movements, and functional examination measured by Knee Injury and Osteoarthritis Outcome Score (KOOS). Discussion: exercises rehabilitation for phase 2 post surgery o anterior cruciate ligament (ACL) served to restore balance, increase muscle strength by stabilizing and strengthening during exercise for activation of neumuscular control. Conclusion : A month of exercises programs for three times a week were successfully decreasing pain, increasing muscle strength, range of joint motion and functional activity as well.