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Neuromuscular adaptations to plyometric exercises in late-phase ACL reconstruction rehabilitation: A case report Fadhilah, Siti; Pristianto, Arif; Mardianto, Halim
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 2 (2025): March 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i2.88

Abstract

Postanterior cruciate ligament (ACL) reconstruction rehabilitation poses significant challenges in restoring optimal neuromuscular function and athletic performance.This study aimed to evaluate the therapeutic efficacy of a structured plyometric exercise protocol on muscle strength, dynamic balance, and functional outcomes in young athletes who underwent ACL reconstruction. A single-case study of a 16-year-old male soccer athlete who underwent right anterior cruciate ligament (ACL) reconstruction was conducted. The intervention comprised three sessions of progressive plyometric exercises over a seven-day period. Outcomes were assessed via a modified sphygmomanometer test for muscle strength, the Y balance test for dynamic balance, and the Tegner Lysholm knee scoring scale for functional ability. Knee flexor strength improved from 50 to 100 mmHg (100% increase), and extensor strength increased from 110 to 130 mmHg (18.2% increase). The dynamic balance composite score increased from 88% to 108%. The functional performance on the Tegner-Lysholm scale improved from 90 to 95 points, primarily because of reduced pain scores. This case demonstrates that a structured plyometric exercise protocol may effectively improve muscle strength, dynamic balance, and functional performance during late-stage ACL rehabilitation. These findings suggest the potential utility of return-to-sport protocols, although large-scale investigations are warranted.
Rehabilitasi Fisioterapi pasca Operasi Rekonstruksi ACL pada Atlet Sepakbola: Case Report Abdalla, Haydar Aly; Amalia, Tiara; Mardianto, Halim
Academic Physiotherapy Conference Proceeding 2025: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Cedera ligamen anterior cruciate (ACL) sering terjadi pada atlet, terutama dalam cabang olahraga yang menuntut perubahan arah cepat seperti sepak bola.Case Presentation: Studi kasus ini bertujuan untuk mengevaluasi efektivitas program fisioterapi dalam meningkatkan fungsi lutut pasca operasi rekonstruksi ACL pada seorang atlet sepakbola pria usia 23 tahun.Management and Outcome: Intervensi terdiri dari latihan sepeda statis, lunges, latihan proprioseptif menggunakan BOSU dan theraband, serta passing drill. Hasil menunjukkan peningkatan signifikan dalam kekuatan otot, lingkup gerak sendi (LGS), penurunan nyeri (NRS), dan perbaikan skor fungsi lutut berdasarkan Lysholm Knee Scoring Scale (LKSS) dari skor 89 (baik) menjadi 94 (sangat baik). Conclusion: Rehabilitasi fase 2 menunjukkan peran penting dalam persiapan kembali ke aktivitas olahraga.