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Journal : Academic Physiotherapy Conference Proceeding

Physiotherapy Management of Medial Collateral Ligament (MCL) Repair: A Case Study Dewanto, Adetya Priyo; Purwatama, Galeh; Zena, Dimas; Maghfiroh, Rinna Ainul
Academic Physiotherapy Conference Proceeding 2023: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: The Medial Collateral Ligament (MCL) is a ligament located inside the knee joint that connects the femur to the tibia on the inner or medial side. The MCL's major role is to keep the knee joint stable and to avoid excessive sideways or valgus movements. Injury to the MCL might caused by valgus forces and sudden rotational extension of the knee, which frequently occurs during athletic activities causing the knee to be in a rotational position when the force is applied. As a result, the MCL is sprained or overstretched. If the force applied to the knee is greater, the ligament will rupture. Case Report: The patient is a 30-year-old male who has a ruptured right MCL. He had intraoperative surgery 1 day after his injury for reconstruction. After two weeks, the patient returned to the physiotherapy clinic, where he had difficulties bending and straightening his knee, the quadriceps’ muscle strength appeared to decrease, and he had difficulty in walking. Rehabilitation had been done twice a week and included activities to facilitate the improvement of joint range of motion and muscle strength. Conclusion: The present case concluded that the training program provided can enhance knee joint range of motion following MCL surgery. The findings of this case pointed to the necessity for bigger patient groups to be studied with long-term examination of the safety and efficacy for the MCL’s exercise program.
Manajemen Fisioterapi pada Kasus pasca Laparotomi Debulking Histerektomi Total Salpingooforektomi Bilateral Limfadenektomi Pelvic Kanan: Studi Kasus Maharani, Klarisa Salsa Bila; Maghfiroh, Rinna Ainul; Muflihah, Nurul
Academic Physiotherapy Conference Proceeding 2025: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Neoplasma ovarium kistik merupakan salah satu tumor ginekologis yang sering memerlukan tindakan pembedahan mayor seperti laparotomi debulking dan histerektomi total. Prosedur ini berdampak besar pada sistem muskuloskeletal dan fungsi dasar tubuh, termasuk nyeri, gangguan pernapasan, serta penurunan kemampuan fungsional.Case Presentation: Pasien perempuan usia 39 tahun didiagnosis dengan neoplasma ovarium kistik susp. maligna dan menjalani prosedur pembedahan berupa laparotomi debulking, histerektomi total, salpingooforektomi bilateral, omentektomi, dan limfadenektomi pelvic kanan. Pasien mengalami keluhan nyeri hebat pascaoperasi, keterbatasan mobilisasi, gangguan pernapasan, serta belum mampu buang angin.Management and Outcome: Intervensi fisioterapi dilakukan sejak pre-operasi hingga tiga hari pascaoperasi, terdiri dari deep breathing exercise, general active exercise, abdominal strengthening, pelvic floor exercise, mobilisasi bertahap, dan edukasi postur. Evaluasi menunjukkan penurunan nyeri (NRS diam dari 6 ke 0), peningkatan kekuatan otot abdomen (MMT dari 1 ke 3), perbaikan kontrol pernapasan (Borg Scale dari 3 ke 0.5), serta peningkatan skor Kenny Self Care Index pada kemampuan fungsional dasar pasienDiscussion: Intervensi fisioterapi yang diberikan terbukti efektif dalam menurunkan nyeri dan sesak napas, serta meningkatkan kekuatan otot dan kapasitas fungsional. Latihan seperti abdominal strengthening dan pelvic floor exercise mendukung stabilisasi core dan kontrol kandung kemih. Mobilisasi dini mempercepat pemulihan, dan edukasi postur membantu mencegah komplikasi gerak dan nyeri.Conclusion: Fisioterapi pascaoperasi mayor ginekologis yang diberikan secara bertahap dan komprehensif berperan penting dalam mempercepat pemulihan fisik, mengurangi keluhan, dan meningkatkan kemandirian aktivitas pasien.