Halim Mardianto
Rumah Sakit Umum Daerah KRMT Wongsonegoro, Semarang

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PHYSIOTHERAPY MANAGEMENT OF PHASE II REHABILITATION POST ANTERIOR CRUCIATE LIGAMENT (ACL) RECONSTRUCTION: OPTIMIZATION OF MUSCLE STRENGTH AND RANGE OF MOTION OF THE KNEE JOINT Khoirunnisa'; Wijianto; Halim Mardianto
JTH: Journal of Technology and Health Vol. 3 No. 3 (2026): January: JTH: Journal of Technology and Health
Publisher : CV. Fahr Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61677/jth.v3i3.741

Abstract

Anterior cruciate ligament (ACL) injury is one of the most common knee ligament injuries among physically active adolescents, particularly in sports requiring frequent pivoting and landing such as basketball. Functional outcomes following ACL reconstruction are strongly influenced by the quality of postoperative physiotherapy, especially during Phase II rehabilitation, which serves as a transition toward higher functional activities. This study aimed to evaluate the outcomes of Phase II physiotherapy management incorporating progressive weight-bearing exercises on muscle strength, knee range of motion, pain, and functional performance in an adolescent patient after ACL reconstruction. A case report design was applied to a 17-year-old female patient following anterior cruciate ligament reconstruction (ACLR). The intervention program consisted of progressive strengthening exercises (mini squats and lunges), balance and stability training, range of motion exercises, and functional task-oriented training. Outcome measures included muscle strength assessed using a sphygmomanometer, knee range of motion measured with a goniometer, pain intensity evaluated using the Visual Analogue Scale (VAS), and functional performance assessed using the Lysholm Knee Scoring Scale (LKSS). The results demonstrated improvements in quadriceps strength (145–210 mmHg) and hamstring strength (130–155 mmHg), restoration of full knee extension (−5° to 0°), increased knee flexion to 145°, decreased pain intensity (VAS 4 to VAS 1), and improved functional performance (LKSS 79 to 92). Phase II physiotherapy incorporating progressive weight-bearing exercises resulted in clinically meaningful improvements in knee function and prepared the patient for advanced rehabilitation phases.
PHYSIOTHERAPY MANAGEMENT IN POST-OPERATING RECOVERY OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION (ACLR) SINISTRA IN PHASE 1: A CASE REPORT Jihadilia Islami Putri; Wijianto; Halim Mardianto
JTH: Journal of Technology and Health Vol. 3 No. 4 (2026): April: JTH: Journal of Technology and Health
Publisher : CV. Fahr Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61677/jth.v3i4.814

Abstract

Anterior cruciate ligament reconstruction (ACLR) requires structured physiotherapy management to support early postoperative recovery. This case report describes phase 1 physiotherapy management and short-term clinical changes in a patient after ACLR. Physiotherapy was conducted in three sessions, with clinical evaluations performed at four time points: T0 as baseline assessment and T1–T3 as follow-up evaluations after each session. The intervention focused on pain management, knee range of motion exercise, muscle activation, and gradual functional training. Outcomes were assessed descriptively using pain intensity, knee range of motion, anthropometric measurement, and the Lysholm Knee Scoring Scale. After physiotherapy, movement pain decreased from 4 to 1, tenderness pain decreased from 5 to 2, and resting pain remained 0. Left knee range of motion improved from S: 10°–10°–65° to S: 5°–10°–75°. Anthropometric measurements showed slight increases at 5 cm, 10 cm, and 15 cm proximal to the tibial tuberosity. Functional ability improved slightly, with the Lysholm Knee Scoring Scale increasing from 44 to 48. These findings indicate short-term clinical improvement during early rehabilitation after ACLR. However, because this study was a single case report with a short intervention period, the results should be interpreted descriptively and cannot be generalized as evidence of intervention effectiveness.