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Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy

Abstract

Introduction: Anterior Cruciate Ligament rupture is a condition with a tear in the ACL ligament, caused by direct or indirect contact in the knee. Various problems in patients with post-ACL reconstructions include a limited range of motions (ROM), decreased muscle strength, and decreased functional ability. Exercise therapy in CKCE, OKCE, and core stability is believed to improve functional abilities by decreasing pain and improving ROM and muscle strength. The purpose of this study is to determine the effectiveness of exercise therapy on functional ability in post-reconstructionACL grade 2. Method: Single case study, physiotherapy intervention in a 19-year-old male. Exercise therapy in CKCE, OKCE, and core stability is given three times per week, with five evaluations. Assessment of pain intensity using VAS, ROM using a goniometer, muscle strength with MMT, and functional ability using IKDC parameters. Result: This study finds a decrease in pain, an increase in ROM and MMT, and an increase in functional abilities. Conclusion: Exercise therapy interventions with CKCE, OKCE, and core stability exercise improve functional ability in post-reconstructionACL grade 2 cases measured by IKDC parameters.

References

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Bahasa Abstract

Latar belakang: Ruptur ACL merupakan suatu kondisi terjadinya robekan pada jaringan ligamen ACL yang disebabkan adanya trauma kontak langsung ataupun kontak tidak langsung pada lutut. Hal ini menyebabkan timbulnya berbagai masalah diantaranya keterbatasan lingkup gerak sendi (LGS), penurunan kekuatan otot, serta penurunan kemampuan fungsional. Penerapan terapi latihan berupa CKCE, OKCE, dan Core Stability Exercise diyakini mampu meningkatkan kemampuan fungsional dengan menurunkan nyeri, meningkatkan LGS dan kekuatan otot. Tujuan dari studi ini adalah untuk mengetahui efektivitas terapi latihan terhadap peningkatan kemampuan fungsional post reconstruction ACL grade 2. Metode: Studi kasus tunggal pada pria usia 19 tahun. Terapi latihan berupa CKCE, OKCE, dan core stability exercise diberikan selama 3 kali per minggu, dievaluasi sebanyak 5 kali. Penilaian intensitas nyeri menggunakan VAS, penilaian LGS menggunakan goniometer, penilaian kekuatan otot dengan MMT dan penilaian kemampuan fungsional menggunakan parameter IKDC. Hasil: Terdapat penurunan nyeri, peningkatan ROM dan MMT serta peningkatan kemampuan fungsional. Kesimpulan: Studi ini menunjukan bahwa intervensi terapi latihan dengan jenis latihan CKCE, OKCE, dan core stability exercise dapat meningkatkan kemampuan fungsional pada kasus post reconstruction ACL grade 2 yang diukur menggunakan parameter IKDC.

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