title: Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  METHODS
  Clinical review.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  High-level evidence exists to determine appropriate ACL rehabilitation guidelines. Utilizing this protocol follows the best available evidence.
authors.affiliation: Washington University in Saint Louis, St Louis, Missouri.
authors.forename: Rick W
authors.initials: RW
authors.lastname: Wright
authors.affiliation: Washington University in Saint Louis, St Louis, Missouri.
authors.forename: Amanda K
authors.initials: AK
authors.lastname: Haas
authors.affiliation: University of Colorado Denver, Denver, Colorado.
authors.forename: Joy
authors.initials: J
authors.lastname: Anderson
authors.affiliation: Cleveland Clinic, Cleveland, Ohio.
authors.forename: Gary
authors.initials: G
authors.lastname: Calabrese
authors.affiliation: Hospital for Special Surgery, New York, New York.
authors.forename: John
authors.initials: J
authors.lastname: Cavanaugh
authors.affiliation: The Ohio State University, Columbus, Ohio.
authors.forename: Timothy E
authors.initials: TE
authors.lastname: Hewett
authors.affiliation: Cleveland Clinic, Cleveland, Ohio.
authors.forename: Dawn
authors.initials: D
authors.lastname: Lorring
authors.affiliation: The Ohio State University, Columbus, Ohio.
authors.forename: Christopher
authors.initials: C
authors.lastname: McKenzie
authors.affiliation: Vanderbilt University, Nashville, Tennessee.
authors.forename: Emily
authors.initials: E
authors.lastname: Preston
authors.affiliation: University of Iowa, Iowa City, Iowa.
authors.forename: Glenn
authors.initials: G
authors.lastname: Williams
keywords: ACL reconstruction; anterior cruciate ligament; rehabilitation