The MOON Group is a group of orthopaedic surgeons who have developed a prospective longitudinal cohort of the ACL reconstruction patients. To standardize the management of these patients, an evidence-based rehabilitation guideline was developed in conjunction with the physical therapy committee,. 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.
High-level evidence exists to determine suitable ACL rehabilitation guidelines. Utilizing this protocol follows the best available evidence.