PENATALAKSANAAN FISIOTERAPI PADA KASUS PASCA REKONTRUKSI MEDIAL PATELLOFEMORAL LIGAMENT SINISTRA DI KLINIK BINTANG PHYSIO BANDUNG: CASE REPORT

Nurul Azizah; Wahyu Tri Sudaryanto; Monalisa Meidania

doi:10.53625/jirk.v3i1.5858

Authors

Nurul Azizah Program Studi Profesi Fisioterapi, universitas Muhammadiyah Surakarta, Surakarta, Jawa Tengah, Indonesia
Wahyu Tri Sudaryanto Program Studi Profesi Fisioterapi, universitas Muhammadiyah Surakarta, Surakarta, Jawa Tengah, Indonesia
Monalisa Meidania Program Studi Profesi Fisioterapi, universitas Muhammadiyah Surakarta, Surakarta, Jawa Tengah, Indonesia

DOI:

https://doi.org/10.53625/jirk.v3i1.5858

Keywords:

Medial Patellofemoral Ligament Reconstruction, Dislocated Patella, Transcutaneous Electrical Nerve Stimulation, Cryotherapy, Strengthening, Exercise Therapy

Abstract

Background: Medial Patellofemoral Ligament (MPFL) is the main ligament that provides 60% defense against patella dislocation. MPFL reconstruction is one of several operative treatment approaches available to treat patellar instability, which is characterized by acute or recurrent patella dislocation, reduced functional activity, and decreased exercise activity. Objective: to determine the physiotherapy management using cryotherapy, electrotherapy, and exercise therapy methods in cases of post-reconstruction of the medial patellafemoral ligament. Methods: a study using the Case Report method conducted at the Bintang Physio Bandung Clinic in male patients aged 26 years, diagnosed with post-reconstructive physiotherapy of the Medial Patellafemoral Ligament. Results: there was a decrease in the level of pain, there was an increase in anthropometric measurements of the circumference of the upper and lower leg segments, which meant that there was an increase in quadriceps and hamstring muscle tone, an increase in the range of motion of the joints, an increase in the MMT value. Conclusion: based on research using case reports, it shows that physiotherapy management with the evaluation results obtained has increased.

References

Abbasi D, McCulloch PC. Patellar instability. Orthobullets. https://www. orthobullets.com/knee-and-sports/3020/patellar-instability. Published June 7, 2021. Accessed December 15, 2021.

Buckens, C. F. M., & Saris, D. B. F. (2010). Reconstruction of the medial patellofemoral ligament for treatment of patellofemoral instability: A systematic review. In American Journal of Sports Medicine (Vol. 38, Issue 1, pp. 181–188). https://doi.org/10.1177/0363546509353132

Buckthorpe, M., La Rosa, G., & Villa, F. Della. (2019). Restoring Knee Extensor Strength After Anterior Cruciate Ligament Reconstruction: a Clinical Commentary. International Journal of Sports Physical Therapy, 14(1), 159– 172. https://doi.org/10.26603/ijspt20190159

Endo, Y., Stein, B. E. S., & Potter, H. G. (2011). Radiologic assessment of patellofemoral pain in the athlete. Sports Health, 3(2), 195–210. https://doi.org/10.1177/1941738110397875

Hendricks, T. (n.d.). The Effects of Immobilization on Connective Tissue.

Herman, M., & Rosella Komalasari, D. (n.d.). Penatalaksanaan Fisioterapi Post Operative Anterior Cruciate Ligament: Studi Kasus.

Hsu, J. R., Mir, H., Wally, M. K., Seymour, R. B., Archer, K. R., Attum, B., Chad Coles, K. Y., Dumpe, J., Harvey, E., Higgins, T., Hoegler, J., Liu, J. Z., Lowe, J., Mamczak, C., Lawrence Marsh, J., Miller, A. N., Obremskey, W., Ransone, M., Ricci, W., … Shafiq, B. (2019). Clinical Practice Guidelines For Pain Management In Acute Musculoskeletal Injury. Journal of Orthopaedic Trauma, 33(5), E158–E182. https://doi.org/10.1097/BOT.0000000000 001430

Leemans, L., Elma, Ö., Nijs, J., Wideman, T. H., Siffain, C., den Bandt, H., Van Laere, S., & Beckwée, D. (2021). Transcutaneous Electrical Nerve Stimulation And Heat To Reduce Pain In A Chronic Low Back Pain Population: A Randomized Controlled Clinical Trial. Brazilian Journal of Physical Therapy, 25(1), 86–96. https://doi.org/10.1016/J.BJPT.2020.04.0 01

McGee, T. G., Cosgarea, A. J., McLaughlin, K., Tanaka, M., & Johnson, K. (2017). Rehabilitation After Medial Patellofemoral Ligament Reconstruction. www.sportsmedarthro.com

Rizkalla, J. M., Holderread, B., Botros, D., Orozco, E., Botros, A., Botros, A., Wilson, P., & Ellis, H. (2022). Patient perception of medial patellofemoral ligament reconstruction on Instagram. Baylor University Medical Center Proceedings, 35(4), 447–450. https://doi.org/10.1080/08998280.2022.2054302

Saper, M. G., Fantozzi, P., Bompadre, V., Racicot, M., & Schmale, G. A. (2019). Return-to-Sport Testing After Medial Patellofemoral Ligament Reconstruction in Adolescent Athletes. Orthopaedic Journal of Sports Medicine, 7(3). https://doi.org/10.1177/2325967119828953

Sos, C., Schmitt, A., & Berhouet, J. (2021). Percutaneous Reconstruction of the Medial Patello-Femoral Ligament Using Dynamic Gracilis Tendon Transfer. Orthopaedics and Traumatology: Surgery and Research, 107(4). https://doi.org/10.1016/j.otsr.2021.102910

Straume-Næsheim, T. M., Randsborg, P. H., Mikaelsen, J. R., & Årøen, A. (2022a). Medial patellofemoral ligament reconstruction is superior to active rehabilitation in protecting against further patella dislocations. Knee Surgery, Sports Traumatology, Arthroscopy, 30(10), 3428–3437. https://doi.org/10.1007/s00167-022-06934-3

Straume-Næsheim, T. M., Randsborg, P. H., Mikaelsen, J. R., & Årøen, A. (2022b). Medial patellofemoral ligament reconstruction is superior to active rehabilitation in protecting against further patella dislocations. Knee Surgery, Sports Traumatology, Arthroscopy, 30(10), 3428–3437. https://doi.org/10.1007/s00167-022-06934-3

Widodo, A., & Wijaya, D. Z. (2020). Rehabilitation Program Phase Reconstruction Acl : A Case Study. 133– 143.