PHYSIOTHERAPY MANAGEMENT IN A 2-MONTH POST-OPERATIVE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION (ACLR) CASE AT A3 PHYSIO CENTER YOGYAKARTA: A CASE REPORT
DOI:
https://doi.org/10.61677/jth.v4i1.852Keywords:
ACLR, Physiotherapy, Knee rehabilitation, Knee pain, IKDCAbstract
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.
References
Breedt, E., Tichenor, E., & Barlott, T. (2026). Diagnosing the body in physiotherapy: the passage from discipline to control. Physiotherapy Theory and Practice, 42(4), 609–633. https://doi.org/10.1080/09593985.2025.2585138
Casertano, L., Shen, Q., Kansara, V., Egawa, S., Velazquez, A., Carmona, J., Song, Y. L., Connolly, E. S., Bassile, C. C., Rao, A. K., & Claassen, J. (2026). Frequency of physical and occupational therapy in the ICU for patients with cognitive motor dissociation : a retrospective cohort study. Critical Care, 30(24), 1–10. https://doi.org/10.1186/s13054-025-05767-z
Chong, D. Y. K., Capio, C. M., Jones, A. Y. M., Tse, P. P. S., Chau, S. H. Y., & Eguia, K. F. (2026). Student attributes and behavioral examples used by physiotherapy clinical educators in Hong Kong: a qualitative data analysis. Physiotherapy Theory and Practice. https://doi.org/10.1080/09593985.2026.2656345
Choo, I., Tan, C., En, H., Wong, M., Qiao, F., Chong, W. M., Cheong, C., Soh, R., Ho, C. E., Chee, K., Cheong, P., Tat, L., Chen, J., Bong, P. A., Hian, I., Seet, N., Lim, X. W., & Ma, Q. Y. (2026). Effectiveness of tuina and physiotherapy to manage pain for patients with chronic low back pain : a pragmatic randomized clinical trial. BMC Complementary Medicine and Therapies, 26(47), 1–13. https://doi.org/10.1186/s12906-025-05234-w
Demont, A., Daudier, O., & Tourjansky, Y. (2026). Exploring goals, roles, and scopes of advanced practice physiotherapy in French primary and secondary specialized care settings: a qualitative multi-step study. Physiotherapy Theory and Practice, 42(5), 725–737. https://doi.org/10.1080/09593985.2025.2594577
Enang, E. O., Madu, E. O., Awan, M., & Tsokwa, A. W. (2026). Impact of Structured Physiotherapy on Post-Surgical Outcomes of Upper Limb Peripheral Nerve Injuries. Physiotherapy Research International, 31(1). https://doi.org/10.1002/pri.70161
Ferreira, J. C., Melo, M. M. C., Barros, R. D. J. P., & Sipaúba, L. R. de L. (2026). Effects of Aquatic Physiotherapy on Pain and Sleep Quality in Women With Fibromyalgia: A Pre-Post Study. Physiotherapy Research International, 31(1), 1–6. https://doi.org/10.1002/pri.70150
Fischer, M., Bui, E., Besombes, L., & François, M. (2026). Systematic review of direct access physiotherapy for musculoskeletal conditions in primary care : consequences for general practitioner workload , resource use , and organisation of care.
Forslund, L., Arntzen, C., Nikolaisen, M., Gramstad, A., Forslund, L., Arntzen, C., Nikolaisen, M., & Gramstad, A. (2026). Contextualised physiotherapy : connecting professional practice to the achievement of the person-centred goals of rehabilitation achievement of the person-centred goals of rehabilitation. European Journal of Physiotherapy, 28(1), 5–18. https://doi.org/10.1080/21679169.2025.2464680
Ingkapassakorn, Y., Vuttipongkul, S., Sitthinamsuwan, B., & Jirachaipitak, S. (2026). Clinical effectiveness of spinal cord stimulation in managing refractory. Neurosurgical Review, 49(237), 1–20. https://doi.org/10.1007/s10143-025-04123-7
Johnston, C., Newstead, C., & Macdonald-wicks, L. (2026). Navigating the complexities of supervising challenging students in clinical education : perspectives of physiotherapy educators and departmental managers. Physiotherapy Theory and Practice, 42(1), 158–171. https://doi.org/10.1080/09593985.2025.2546085
Jun, A., Yap, Y., Harris, J., & Clark, E. M. (2026). Management of older adults consulting in GP surgery practices with back pain in UK Clinical Practice Research Datalink Aurum : population based study.
Lovegrove, E., Glackin, O. F., & Hammond, J. (2026). What are newly qualified physiotherapists’ experiences of implementing supported self-management with patients in practice? An interpretative phenomenological analysis. European Journal of Physiotherapy, 28(2), 133–140. https://doi.org/10.1080/21679169.2025.2502386
Monteiro, L. H. F., Rêgo, I. N. de S., Conceição, A. B. S. da, Coroa, H. M. de S., Braz, B. R., & Suellen, A. S. de M. (2026). Physiotherapy in Spinocerebellar Ataxia Following COVID‐19: A Biomechanical and Biopsychosocial Case Report. Physiotherapy Research International, 31(e70122), 1–9. https://doi.org/10.1002/pri.70122
Ranganathan, H., Kumar, S., Sharma, S., & Singh, D. K. A. (2026). Impact of an online course designed using ASSURE model on non-specific low back pain among physiotherapy undergraduates: a one group quasi experimental study. European Journal of Physiotherapy. https://doi.org/10.1080/21679169.2025.2610454
Rongen, S. Van, Dallinga, J. M., Feleus, A., Rosbergen, I., Schut, A., Bik, M., Siemonsma, P., Vries, S. I. De, & Hesselink, A. E. (2026). Using context mapping for planning implementation of movement behavior change in physiotherapy.
Rose, C., Mazzoni, R., & Ruiz, M. T. (2026). Physiotherapeutic interventions in the immediate postpartum period after cesarean section for prevention and relief of pain : study protocol for a randomized clinical trial.
Sousa-Fraguas, M. C., Conejo, N. M., Lastra-Barreira, D., & Rodríguez-Fuentes, G. (2026). Physiotherapy treatment at home for patients with parkinsonian disorders, effects on disability, pain and gait: a cross-sectional study. European Journal of Physiotherapy, 28(1), 76–87. https://doi.org/10.1080/21679169.2025.2476457
Spooren, A. (2026). Appraisal of Clinical Practice Guideline: Australian and New Zealand clinical practice guideline for the physiotherapy management of people with spinal cord injuries. Journal of Physiotherapy, 72(1), 73. https://doi.org/10.1016/j.jphys.2025.11.007
Truter, P., Gaspar, J., Bongiascia, L., Finucane, E., Parkin, T., Melville, M., Ng, L., Starcevich, C., Cavalheri, V., Melville, M., Ng, L., Starcevich, C., Cavalheri, V., & Bulsara, C. (2026). Patients and hospital staff perceive diverting patients from the emergency department to physiotherapy outpatients as safe and effective : a qualitative descriptive study. Physiotherapy Theory and Practice, 42(1), 203–216. https://doi.org/10.1080/09593985.2025.2559905
Uludağ, V., Tekin, R. T., Bogan, M., Şengüldür, E., & Demir, M. C. (2026). Integrating physiotherapy into the emergency department for acute low back spasm: a retrospective comparative study. Physiotherapy Theory and Practice. https://doi.org/10.1080/09593985.2026.2624519
Vats, A. K., Mohamad, A., Bijllani, A., Rohiwal, R., Vats, S., & Kothari, S. (2026). Horizontal semicircular canalith jam mimicking acute vestibular syndrome: physiotherapy-guided diagnosis and treatment in three cases. Physiotherapy Theory and Practice, 42(2), 342–350. https://doi.org/10.1080/09593985.2025.2562910
Widyawati, A. T. E., Perdana, S. S., & Setiyawan, A. (2021). Physiotherapy Management of Ulcus Decubitus at RSU ‘Aisyiyah Ponorogo Hospital – A Case Study. Academic Physiotherapy Conference, 456–463.
Zakia, A. H., Herawati, I., & Lestari, A. D. (2025). Penatalaksanaan Proses Fisioterapi pada Kasus Pressure Ulcer e.c Morbus Hansen di RSUD Sumber Glagah Mojokerto : A Case Report. Jurnal Medika Nusantara, 3(2), 107–115. https://doi.org/10.59680/medika.v3i2.1817
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