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

Autor:	Driban JB; Division of Rheumatology, Allergy, and Immunology, Tufts Medical Center, Boston, MA., Vincent HK; UF Health Sports Performance Center, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville., Trojian TH; College of Medicine, Drexel University, Philadelphia, PA., Ambrose KR; Osteoarthritis Action Alliance, Thurston Arthritis Research Center, University of North Carolina, Chapel Hill., Baez S; Department of Kinesiology, Michigan State University, East Lansing., Beresic N; Department of Orthopaedics, University of North Carolina, Chapel Hill., Berkoff DJ; Excusercise, LLC, Waltham, MA., Callahan LF; Department of Orthopaedics, University of North Carolina, Chapel Hill., Cohen B; Excusercise, LLC, Waltham, MA., Franek M, Golightly YM, Harkey M; Department of Kinesiology, Michigan State University, East Lansing., Kuenze CM; Department of Kinesiology, Michigan State University, East Lansing., Minnig MC; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill., Mobasheri A; Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, Finland.; Department of Regenerative Medicine, State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania.; Department of Joint Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.; World Health Organization Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Liège, Belgium., Naylor A; Telos SPC, Boston, MA.; Deloitte US, Boston, MA., Newman CB; Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, School of Medicine, New York University., Padua DA; Department of Exercise and Sport Science, University of North Carolina, Chapel Hill., Pietrosimone B; Department of Orthopaedics, University of North Carolina, Chapel Hill.; Department of Exercise and Sport Science, University of North Carolina, Chapel Hill.; MOTION Science Institute, Department of Exercise and Sport Science, University of North Carolina, Chapel Hill., Pinto D; Department of Physical Therapy, Marquette University, Milwaukee, WI., Root H; Department of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff., Salzler M; Division of Sports Medicine, Department of Orthopaedic Surgery, School of Medicine, Tufts Medical Center, Boston, MA., Schmitt LC; Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus., Snyder-Mackler L; Department of Physical Therapy, University of Delaware, Newark., Taylor JB; Department of Physical Therapy, Congdon School of Health Sciences, High Point University, NC., Thoma LM; Division of Physical Therapy, Department of Allied Health Sciences, University of North Carolina, Chapel Hill., Vincent KR; UF Health Sports Performance Center, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville., Wellsandt E; Division of Physical Therapy Education, University of Nebraska Medical Center, Omaha., Williams M; Triangle Multisport, Durham, NC.
Jazyk:	angličtina
Zdroj:	Journal of athletic training [J Athl Train] 2023 Mar 01; Vol. 58 (3), pp. 193-197.
DOI:	10.4085/1062-6050-0255.22
Abstrakt:	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. (© by the National Athletic Trainers' Association, Inc.)
Databáze:	MEDLINE
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