Preventing Osteoarthritis After an Anterior Cruciate Ligament Injury: An Osteoarthritis Action Alliance Consensus Statement

Author:

Driban Jeffrey B1,Vincent Heather K2,Trojian Thomas H3,Ambrose Kirsten R4,Baez Shelby5,Beresic Nicholas6,Berkoff David J7,Callahan Leigh F6,Cohen Bruce7,Franek Madison,Golightly Yvonne M,Harkey Matthew5,Kuenze Christopher M5,Minnig Mary Catherine8,Mobasheri Ali9101112,Naylor Adam1314,Newman Connie B15,Padua Darin A16,Pietrosimone Brian61617,Pinto Daniel18,Root Hayley19,Salzler Matthew20,Schmitt Laura C21,Snyder-Mackler Lynn22,Taylor Jeffrey B23,Thoma Louise M24,Vincent Kevin R2,Wellsandt Elizabeth25,Williams Monette26

Affiliation:

1. *Division of Rheumatology, Allergy, and Immunology, Tufts Medical Center, Boston, MA

2. †UF Health Sports Performance Center, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville

3. ‡College of Medicine, Drexel University, Philadelphia, PA

4. §Osteoarthritis Action Alliance, Thurston Arthritis Research Center, University of North Carolina, Chapel Hill

5. ‖Department of Kinesiology, Michigan State University, East Lansing

6. ¶Department of Orthopaedics, University of North Carolina, Chapel Hill

7. #Excusercise, LLC, Waltham, MA

8. ††Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill

9. ‡‡Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, Finland

10. §§Department of Regenerative Medicine, State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania

11. ‖‖Department of Joint Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

12. ¶¶World Health Organization Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Liège, Belgium

13. ##Telos SPC, Boston, MA

14. ***Deloitte US, Boston, MA

15. †††Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, School of Medicine, New York University

16. ‡‡‡Department of Exercise and Sport Science, University of North Carolina, Chapel Hill

17. §§§MOTION Science Institute, Department of Exercise and Sport Science, University of North Carolina, Chapel Hill

18. ‖‖‖Department of Physical Therapy, Marquette University, Milwaukee, WI

19. ¶¶¶Department of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff

20. ###Division of Sports Medicine, Department of Orthopaedic Surgery, School of Medicine, Tufts Medical Center, Boston, MA

21. ****Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus

22. ††††Department of Physical Therapy, University of Delaware, Newark

23. ‡‡‡‡Department of Physical Therapy, Congdon School of Health Sciences, High Point University, NC

24. §§§§Division of Physical Therapy, Department of Allied Health Sciences, University of North Carolina, Chapel Hill

25. ‖‖‖‖Division of Physical Therapy Education, University of Nebraska Medical Center, Omaha

26. ¶¶¶¶Triangle Multisport, Durham, NC

Abstract

After an anterior cruciate ligament (ACL) injury, people need secondary prevention strategies to identify osteoarthritis at its earliest stages so that interventions can be implemented to halt or slow the progression toward its long-term burden. The Osteoarthritis Action Alliance formed an interdisciplinary Secondary Prevention Task Group to develop a consensus on recommendations to provide clinicians with secondary prevention strategies that are intended to reduce the risk of osteoarthritis after a person has an ACL injury. The group achieved consensus on 15 out of 16 recommendations that address patient education, exercise and rehabilitation, psychological skills training, graded-exposure therapy, cognitive-behavioral counseling (lacked consensus), outcomes to monitor, secondary injury prevention, system-level social support, leveraging technology, and coordinated care models. We hope this statement raises awareness among clinicians and researchers on the importance of taking steps to mitigate the risk of osteoarthritis after an ACL injury.

Publisher

Journal of Athletic Training/NATA

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,General Medicine

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