Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines.

Journal Article (Journal Article)

CONTEXT: Anterior cruciate ligament (ACL) reconstruction rehabilitation has evolved over the past 20 years. This evolution has been driven by a variety of level 1 and level 2 studies. EVIDENCE ACQUISITION: The MOON Group is a collection of orthopaedic surgeons who have developed a prospective longitudinal cohort of the ACL reconstruction patients. To standardize the management of these patients, we developed, in conjunction with our physical therapy committee, an evidence-based rehabilitation guideline. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 2. RESULTS: This review was based on 2 systematic reviews of level 1 and level 2 studies. Recently, the guideline was updated by a new review. Continuous passive motion did not improve ultimate motion. Early weightbearing decreases patellofemoral pain. Postoperative rehabilitative bracing did not improve swelling, pain range of motion, or safety. Open chain quadriceps activity can begin at 6 weeks. CONCLUSION: High-level evidence exists to determine appropriate ACL rehabilitation guidelines. Utilizing this protocol follows the best available evidence.

Full Text

Duke Authors

Cited Authors

  • Wright, RW; Haas, AK; Anderson, J; Calabrese, G; Cavanaugh, J; Hewett, TE; Lorring, D; McKenzie, C; Preston, E; Williams, G; MOON Group,

Published Date

  • May 2015

Published In

Volume / Issue

  • 7 / 3

Start / End Page

  • 239 - 243

PubMed ID

  • 26131301

Pubmed Central ID

  • PMC4482298

International Standard Serial Number (ISSN)

  • 1941-7381

Digital Object Identifier (DOI)

  • 10.1177/1941738113517855


  • eng

Conference Location

  • United States