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All Journal Indonesian Journal of Health Science Jurnal Profesional Fisioterapi
Ardhia Pramesti Amalia
Universitas Muhammadiyah Pekajangan Pekalongan
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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PENATALAKSANAAN FISIOTERAPI PADA PASIEN POST REKONSTRUKSI ANTERIOR CRUCIATE LIGAMENT (ACL) SINISTRA DI KLINIK BINTANG PHYSIO BANDUNG : A CASE STUDY: PHYSIOTHERAPY MANAGEMENT IN POST ANTERIOR CRUCIATE LIGAMENT (ACL) RECONSTRUCTION PATIENT AT BINTANG PHYSIO CLINIC BANDUNG: A CASE STUDY Nur Afiyati; Hani Irfana Faiza; Muhammad Ghilang Maulud Setyawan; Ardhia Pramesti Amalia
JURNAL PROFESIONAL FISIOTERAPI Vol. 5 No. 2 (2026): July
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v5i2.11498

Abstract

Introduction: Anterior cruciate ligament (ACL) injury is one of the most common knee injuries and may result in instability and functional impairment, particularly in physically active individuals. In cases of ACL rupture, reconstruction surgery is performed to restore knee stability. However, during the early rehabilitation phases (phase 1–2), patients commonly experience problems such as limited range of motion and decreased muscle strength, which may hinder the process of returning to sport. Methods: This study used a case study design with a descriptive observational approach involving one post-ACL reconstruction patient at Bintang Physio Clinic Bandung. Physiotherapy interventions were administered over four sessions and included Transcutaneous Electrical Nerve Stimulation (TENS) and progressive exercise therapy. Outcome measures included range of motion assessed with a goniometer, muscle atrophy assessed by midline measurement, muscle strength assessed using Manual Muscle Testing (MMT), and functional activity assessed using the Lower Extremity Functional Scale (LEFS). Results: After four therapy sessions, the patient demonstrated improvements in range of motion from 100° to 130°, muscle strength from grade 4 to 4+, reduction in muscle atrophy, and improvement in LEFS score from 33 to 56. Conclusion: Physiotherapy intervention during the early phase after ACL reconstruction showed positive outcomes in improving knee function and functional activity, and may serve as an important foundation in preparing patients for a safe and gradual return to sport. Keywords: ACL Injury, ACL Reconstruction, Physiotherapy, Return to Sport
Management of right-sided tennis elbow using ultrasound, TENS, and therapeutic exercise: A case study Alifah Nurseptiyani; Ninit Amalia Permata; Ardhia Pramesti Amalia
Indonesian Journal of Health Science Vol 6 No 4 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i4.2399

Abstract

Tennis elbow or lateral elbow tendinopathy is a tendinopathy caused by repetitive microtrauma and overuse of the extensor carpi radialis brevis (ECRB) tendon, which can result in pain, decreased muscle strength, and functional limitations of the upper extremity. Physiotherapy management is needed to reduce pain and improve the patient's functional ability. This study aimed to describe the outcome of physiotherapy management using a combination of ultrasound, Transcutaneous Electrical Nerve Stimulation (TENS), and eccentric exercise in a patient with right-sided tennis elbow. This study used a case report design involving a 47-year-old male patient diagnosed with right-sided tennis elbow. The patient experienced pain on the lateral aspect of the right elbow following excessive tennis and weightlifting activities. Physiotherapy interventions were provided in three sessions on March 4, 11, and 18, 2026. The treatment program consisted of ultrasound therapy at a frequency of 1 MHz, an intensity of 1 W/cm² for 5 minutes, TENS at a frequency of 100 Hz for 20 minutes, and eccentric exercise consisting of 3 sets of 10 repetitions. Evaluation was performed using the Visual Analog Scale (VAS), Range of Motion (ROM), Manual Muscle Testing (MMT), and Patient-Rated Tennis Elbow Evaluation (PRTEE). The results demonstrated clinical improvement after three physiotherapy sessions, characterized by a reduction in pain based on the VAS, increased ROM, improved muscle strength based on MMT, and a decreased PRTEE score indicating improved functional ability. The combination of ultrasound, TENS, and eccentric exercise showed positive outcomes in reducing symptoms and improving functional ability in the patient with right-sided tennis elbow. It can be concluded that the combination of ultrasound, TENS, and eccentric exercise may be considered as a conservative physiotherapy treatment option for patients with right-sided tennis elbow, particularly for reducing pain and improving functional ability. Further studies involving larger sample sizes and longer intervention periods are needed to strengthen these findings.
Co-Authors Alifah Nurseptiyani Hani Irfana Faiza Muhammad Ghilang Maulud Setyawan Ninit Amalia Permata Nur Afiyati