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All Journal Jurnal Fisioterapi dan Rehabilitasi Healthcare Nursing Journal Jurnal Pengabdian Masyarakat Multidisiplin JUMANTIK (Scientific Journal of Health research) Physiotherapy Health Science (PhysioHS) Journal of Innovation Research and Knowledge Prosiding University Research Colloquium Gaster Community: Jurnal Pengabdian Pada Masyarakat Jurnal KeFis : Jurnal Kesehatan dan Fisioterapi Solo International Collaboration and Publication of Social Sciences and Humanities Jurnal Dunia Ilmu Kesehatan JTH: Journal of Technology and Health Physio Journal Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Abisatya
Wijianto
Universitas Muhammadiyah Surakarta
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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.
PHYSIOTHERAPY MANAGEMENT IN A 2-MONTH POST-OPERATIVE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION (ACLR) CASE AT A3 PHYSIO CENTER YOGYAKARTA: A CASE REPORT Muthia Endang Safitri; Wijianto; Anggi Wahyu Sudianingrum
JTH: Journal of Technology and Health Vol. 4 No. 1 (2026): July: JTH: Journal of Technology and Health
Publisher : CV. Fahr Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61677/jth.v4i1.852

Abstract

Anterior Cruciate Ligament (ACL) injury can cause pain, limited range of motion, knee instability, and impaired functional activities. ACL reconstruction should be followed by physiotherapy rehabilitation to support the recovery of knee function. This study aimed to describe the examination, physiotherapy management, and intervention outcomes in a patient with post-operative Anterior Cruciate Ligament Reconstruction (ACLR). The study used a case report design on a 20-year-old male patient with a right knee post-operative ACLR condition two months after surgery. The intervention was conducted in three sessions over three weeks at A3 Physio Center Physiotherapy Clinic, Yogyakarta. Evaluation was performed using the Numeric Rating Scale (NRS), goniometer, Manual Muscle Testing (MMT), and International Knee Documentation Committee (IKDC). Physiotherapy interventions included TENS, ultrasound, massage gun, patellar mobilization, functional knee exercises, active resisted exercise using a theraband, education, and a home program. After therapy, movement pain decreased from 5/10 to 0/10, resting pain decreased from 2/10 to 0/10, and pressure pain decreased from 3/10 to 0/10. Active ROM of the right knee increased from S: 0º–0º–125º to S: 0º–0º–127º. Quadriceps and hamstring muscle strength remained at 5/5. The IKDC score increased from 58 to 88. Physiotherapy management in post-operative ACLR patients can reduce pain, increase ROM, maintain muscle strength, and improve knee functional ability.
Dynamic Stretching and Ankle Strategy Exercise in Healthy Ageing Wijianto Wijianto; Nora Eny Zulikha; Agus Widodo; Ekan Faozi; Hafidh Erli Nurdin Pratama; Hana Nuha Kurnia; Rika Ayu Sarah Nirmala; Naila Putri Kasanda
HealthCare Nursing Journal Vol. 8 No. 2 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i2.7991

Abstract

The Growing elderly population requires effective strategies to maintain functional capacity and support healthy ageing. Degenerative processes often decline dynamic balance, significantly increasing fall risks and reducing independence in older adults. This study aims to evaluate the effectiveness of combining Dynamic Sretching Exercise (DSE) and Ankle Strategy Exercise (ASE) on dynamic balance among older adults. A Quas experimental study with one group pre test post test design was conducted. Purposive sampling yielded 28 older adults aged 60-70 years at posyandu lansia ngudi was, Karanganyar. The intervention was administeres once a week for eight weeks. Dynamic balance was measured using the Berg Balance Scale (BBS) and analyzed via Wilcoxon Signed Rank Test. The statistical analysis showed a significant improvement in dynamic balance, with the median BBS score increasing from 52.50 at pretest to 55.00 at post test (Z=-3.651, p<0.001). post intervention data revealed that 17 participants experienced positive ranks (increase scores), while 11 remained unchanged, and none deteriorated.  The combination of DSE and ASE is significantly increasing the capacity of dynamic balance among older adults, serving as a viable preventive strategy against fall risks in community settings.
Penatalaksanaan Terapi Latihan Pada Kasus Post Operasi ACL Sinistra Minggu Ke 2 Nur Iffani Khoirun Nisa; Wijianto Wijianto; Halim Mardianto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 4 No. 1 (2024): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v4i1.2946

Abstract

The ACL is the most frequently injured knee ligament, accounting for almost half of all knee injuries. from approximately 33 cases in 100,000 in 1994 to between 40 and 60 incidents in 100,000 in 2014. This number is expected to continue to increase as a result of increased participation of adolescents and young adults in athletic activities. The aim of providing interventions is to reduce pain, increase strength muscle, increase muscle strength and to increase the functional activity of the patient and the patient can continue to the next phase of training. In previous studies, physical therapy has been shown to be very important for surgical recovery to regain strength and range of motion. The results obtained were a decrease in pain which was related to an increase in muscle strength, a decrease in pain and an increase in muscle strength influenced the increase in ROM in the knee, which could increase the functional activity of the injured leg.
Co-Authors Abdurrafi Fajar Syauqi Adelia Suryani Adnan Faris Naufal Agus Widodo Ahda Maulida Ulufan Nurinnafi'a Ahmad Awaludin Taslim Angga Prastowo Anggi Wahyu Sudianingrum Anisah Luthfitah Anissa Tri Hidayani Annisa Mutiara Ariyanti Annisa Septiyani Anzela Rosepti Farlinda Ardian Rifcky Muhammad Arif Abdullah Arif Pristianto Arin Supriyadi Ariska Nabila Asmin Vetiani Aulia Intamiara Devi Christine Viola Dea Choirunisa Desi Rahmadhina Putri Dewangga, Mahendra Wahyu Dimas Arif Dinyoga Bima Waskito Diyah Putri Kurniawati Dwi Rosella Komala Sari Edi Sugiarto Edward Kusumandari Ega Fahla Agustianti Ekan Faozi Eko Prihati Faradila Risky Adha Farid Rahman Hafidh Erli Nurdin Pratama Halim Mardianto Halim Mardianto Hana Nuha Kurnia Izki Aulia Jihadilia Islami Putri Kartika Saktiyarini Khoirunnisa' Kingkinnarti Kingkinnarti Lathifah Nuryati Maryam Habibah Mashur Bayu Budiman Mely Erlika Sari Muhammad Wildan Firdaus Multasih Nita Utami Muthia Endang Safitri Naila Putri Kasanda Nanik Sulistyowati Nilam Nur Hamidah Nizar Wazdi Nora Eny Zulikha Nur Iffani Khoirun Nisa Nuraida Batubara Prama Haditya Bayu Putra Prihantoro Larasati Mustiko Rafika Hasmi Lefia Restu Tama Febriany Retno Widiyas Tuti Rika Ayu Sarah Nirmala Rizkina Elistya Febriani Salma Muazarroh Salsabila Nurul Fitri Sastyana Suryandaru Siti Khadijah Suci Indah Ramadhani Taufik Anwar Taufik Eko Susilo Teguh Prihastomo Yasyfi Addiningsih