Journal article
Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines
Sports health, Vol.7(3), pp.239-243
05/01/2015
DOI: 10.1177/1941738113517855
PMCID: PMC4482298
PMID: 26131301
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.
Details
- Title: Subtitle
- Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines
- Creators
- Rick W. Wright - Washington University in St. LouisAmanda K. Haas - Washington University in St. LouisJoy Anderson - University of Colorado DenverGary Calabrese - Cleveland ClinicJohn Cavanaugh - Hospital for Special SurgeryTimothy E. Hewett - The Ohio State UniversityDawn Lorring - Cleveland ClinicChristopher McKenzie - The Ohio State UniversityEmily Preston - Vanderbilt UniversityGlenn Williams - University of IowaMOON Group
- Contributors
- Brian R Wolf (Contributor) - University of Iowa, Orthopedics and Rehabilitation
- Resource Type
- Journal article
- Publication Details
- Sports health, Vol.7(3), pp.239-243
- Publisher
- Sage
- DOI
- 10.1177/1941738113517855
- PMID
- 26131301
- PMCID
- PMC4482298
- ISSN
- 1941-7381
- eISSN
- 1941-0921
- Number of pages
- 5
- Grant note
- National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS) K23AR060275 / NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS) NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Smith Nephew
- Language
- English
- Date published
- 05/01/2015
- Academic Unit
- Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984294953802771
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