Acta Scientific Women's Health (ASWH)

Case Report Volume 7 Issue 7

Physical Therapy and Rehabilitation After Anterior Cruciate Ligament Reconstruction - Case Report

Biljana Mitrevska*, Erieta Nikolik Dimitrova, Valentina Koevska, Cvetanka Gerakaroska Savevska, Marija Gocevska, Biljana Kalcovska and Maja Manoleva

University Clinic of Physical Medicine and Rehabilitation, Medical Faculty, Ss. Cyril and Methodius University, Republic of North Macedonia

*Corresponding Author: Biljana Mitrevska, University Clinic of Physical Medicine and Rehabilitation, Medical Faculty, Ss. Cyril and Methodius University, Republic of North Macedonia.

Received: June 29, 2023; Published: June 03, 2025

Abstract

Anterior cruciate ligament (ACL) injuries commonly occur during sports requiring jumping and pivoting. Despite continued advancements in surgical techniques and rehabilitation, outcomes following ACLR may be less than desirable, with only 33% of athletes returning to sports within 1 year after surgery and 37% never returning to their prior levels of sports participation.

The aim of this paper is to present the effect and role of physical therapy and rehabilitation in a patient after reconstruction of the anterior cruciate ligament.

Method: Patient with anterior cruciate ligament injury treated arthroscopically. Postoperative rehabilitation conducted in the Clinic for Physical Medicine and Rehabilitation with кinesiоtherapy, magnetic therapy, laser therapy, hydrokinesiotherapy. The evaluation of the results made with Womac score at the beginning and at the end of the rehabilitation, rang of motions in the knee were made at two time points, at the beginning and at the end. The patient had two rehabilitation treatments. At the end of the rehabilitation, the patient goes without orthopedic aids. Manual muscle test performed on m. quadriceps.

Results: Improved Womac score and knee movements.

Conclusion: Rehabilitation, kinesitherapy and physical modalities have an important role in rehabilitation after anterior cruciate ligament reconstruction.

Keywords: Rehabilitation; Anterior Cruciate Ligament; Laser Therapy

References

  1. Spindler KP and Wright RW. “Clinical practice: anterior cruciate ligament tear”. The New England Journal of Medicine 359 (2008): 2135-2142.
  2. Campbell’s. “Operative orthopaedics”. Elsevier, Mosby 2013-2133.
  3. Rick W Wright., et al. “Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines”. Sports Health3 (2025): 239-243.
  4. Wolfe F and Kong SX. “Rasch analysis of the Western Ontario MacMaster questionnaire (WOMAC) in 2205 patients with osteoarthritis, rheumatoid arthritis, and fibromyalgia”. Annals of the Rheumatic Diseases 9 (1999): 563-568.
  5. M Werstine., et al. “PHYSIOTHERAPY FOLLOWING ACL RECONSTRUCTION PROTOCOL”. Fowler Cannedy.com (2015).
  6. Shaw T., et al. “Do early quadriceps exercises affect the outcome of ACL reconstruction? A randomised controlled trial”. Australian Journal of Physiotherapy 51 (2005): 9-17.
  7. Rubinstein RA., et al. “Effect of knee stability if full hyperextension is restored immediately after autogeneous bone-patellar tendon-bone anterior cruciate ligament reconstruction”. The American Journal of Sports Medicine3 (1995): 365-368.
  8. ZHOU Mou-wang., et al. “Factors affecting proprioceptive recovery after anterior cruciate ligament reconstruction”. Chinese Medical Journal22 (2021): 2224-2228.
  9. Reider B., et al. “Proprioception of the knee before and after anterior cruciate ligament reconstruction”. Arthroscopy 19 (2003): 2-12.
  10. Bonfim TR., et al. “Proprioceptive and behavior impairments in individuals with anterior cruciate ligament reconstructed knees”. Archives of Physical Medicine and Rehabilitation 84 (2003): 1217-1223.
  11. Cooper RL., et al. “A systematic review of the effect of proprioceptive and balance exercises on people with an injured or reconstructed anterior cruciate ligament”. Research in Sports Medicine2 (2005): 163-178.
  12. Moisala AS., et al. “Muscle strength evaluations after ACL reconstruction”. International Journal of Sports Medicine 10 (2007): 868-872.
  13. Jordan A Bley., et al. “Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months”. Orthopaedic Journal of Sports Medicine 6 (2022): 23259671221098436.
  14. Ivan J Antosh., et al. “Change in KOOS and WOMAC Scores in a Young Athletic Population With and Without Anterior Cruciate Ligament Injury”. The American Journal of Sports Medicine 7 (2018): 1606-1616.
  15. L M Kruse., et al. “Rehabilitation after anterior cruciate ligament reconstruction: a systematic review”. (2015).
  16. Alban Fouasson-Chailloux., et al. “Therapeutic Patient Education after Anterior Cruciate Ligament Reconstruction: Evaluation of the Knowledge and Certitudes with a Self-Report Questionnaire”. Healthcare (Basel)5 (2022): 934.

Citation

Citation: Biljana Mitrevska., et al. “Physical Therapy and Rehabilitation After Anterior Cruciate Ligament Reconstruction - Case Report". Acta Scientific Women's Health 7.7 (2025): 01.

Copyright

Copyright: © 2025 Biljana Mitrevska., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.

Contact US