Journal article
Evidence Review for Preventing Osteoarthritis After an Anterior Cruciate Ligament Injury: An Osteoarthritis Action Alliance Consensus Statement
Journal of athletic training, v 58(3), pp 198-219
01 Mar 2023
PMID: 37130279
Abstract
Context
The Osteoarthritis Action Alliance formed a secondary prevention task group to develop a consensus on secondary prevention recommendations to reduce the risk of osteoarthritis after a knee injury.
Objective
Our goal was to provide clinicians with secondary prevention recommendations that are intended to reduce the risk of osteoarthritis after a person has sustained an anterior cruciate ligament injury. Specifically, this manuscript describes our methods, literature reviews, and dissenting opinions to elaborate on the rationale for our recommendations and to identify critical gaps.
Design
Consensus process.
Setting
Virtual video conference calls and online voting.
Patients or Other Participants
The Secondary Prevention Task Group consisted of 29 members from various clinical backgrounds.
Main Outcome Measure(s)
The group initially convened online in August 2020 to discuss the target population, goals, and key topics. After a second call, the task group divided into 9 subgroups to draft the recommendations and supportive text for crucial content areas. Twenty-one members completed 2 rounds of voting and revising the recommendations and supportive text between February and April 2021. A virtual meeting was held to review the wording of the recommendations and obtain final votes. We defined consensus as >80% of voting members supporting a proposed recommendation.
Results
The group achieved consensus on 15 of 16 recommendations. The recommendations 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.
Conclusions
This consensus statement reflects information synthesized from an interdisciplinary group of experts based on the best available evidence from the literature or personal experience. We hope this document raises awareness among clinicians and researchers to take steps to mitigate the risk of osteoarthritis after an anterior cruciate ligament injury.
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Details
- Title
- Evidence Review for Preventing Osteoarthritis After an Anterior Cruciate Ligament Injury: An Osteoarthritis Action Alliance Consensus Statement
- Creators
- Jeffrey B. Driban - Tufts Medical CenterHeather K. Vincent - University of FloridaThomas H. Trojian - Drexel UniversityKirsten R. Ambrose - University of North Carolina at Chapel HillShelby Baez - Michigan State UniversityNicholas Beresic - University of North Carolina at Chapel HillDavid J. Berkoff - University of North Carolina at Chapel HillLeigh F. Callahan - University of North Carolina at Chapel HillBruce Cohen - Excusercise, LLC, Waltham, MA, United StatesMadison Franek - University of North Carolina at Chapel HillYvonne M. Golightly - University of North Carolina at Chapel HillMatthew Harkey - Michigan State UniversityChristopher M. Kuenze - Michigan State UniversityMary Catherine Minnig - University of North Carolina at Chapel HillAli Mobasheri - World Health Organization Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Liege, BelgiumAdam Naylor - Telos SPC, Boston, MA, United StatesConnie B. Newman - New York UniversityDarin A. Padua - University of North Carolina at Chapel HillBrian Pietrosimone - University of North Carolina at Chapel HillDaniel Pinto - Marquette UniversityHayley Root - Northern Arizona UniversityMatthew Salzler - Tufts Medical CenterLaura Schmitt - The Ohio State UniversityLynn Snyder-Mackler - University of DelawareJeffrey B. Taylor - High Point UniversityLouise M. Thoma - University of North Carolina at Chapel HillKevin R. Vincent - University of FloridaElizabeth Wellsandt - University of Nebraska Medical CenterMonette Williams - Triangle Multisport, Durham, NC, United States
- Publication Details
- Journal of athletic training, v 58(3), pp 198-219
- Publisher
- National Athletic Trainers' Association
- Number of pages
- 22
- Grant note
- 1 NU58 DP006980-01 / U.S. Department of Health and Human Services (100000016) Centers for Disease Control and Prevention (http://data.elsevier.com/vocabulary/SciValFunders/100000030) Government of the Republic of Kenya (100013987) Centers for Disease Control and Prevention (100000030) Government of South Australia (http://data.elsevier.com/vocabulary/SciValFunders/100015015) $250 000; 1 NU58 DP006980-01 / U.S. Department of Health and Human Services (http://data.elsevier.com/vocabulary/SciValFunders/100000016) U.S. Department of Health and Human Services (http://data.elsevier.com/vocabulary/SciValFunders/100000016)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000996675900002
- Scopus ID
- 2-s2.0-85158001158
- Other Identifier
- 991022207174904721