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. 2015 May;7(3):239-43.
doi: 10.1177/1941738113517855.

Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines

Rick W Wright  1 , Amanda K Haas  1 , Joy Anderson  2 , Gary Calabrese  3 , John Cavanaugh  4 , Timothy E Hewett  5 , Dawn Lorring  3 , Christopher McKenzie  5 , Emily Preston  6 , Glenn Williams  7 ; MOON Group
Collaborators, Affiliations

Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines

Rick W Wright et al. Sports Health. 2015 May.

Abstract

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.

Keywords: ACL reconstruction; anterior cruciate ligament; rehabilitation.

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Conflict of interest statement

The following authors declared potential conflicts of interest: Right W. Wright, MD, received research grants from Smith & Nephew and the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health (NIH) and receives royalties from Wolters Kluwer and Lippincott Williams & Wilkins; and Timothy Hewett, PhD, is employed by The Ohio State University and received a grant from the NIH.

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