{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:44:37Z","timestamp":1790675077589,"version":"4.1.0"},"reference-count":25,"publisher":"National Athletic Trainers' Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.4085\/1062-6050-0255.22","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T18:21:07Z","timestamp":1683051667000},"page":"193-197","source":"Crossref","is-referenced-by-count":21,"title":["Preventing Osteoarthritis After an Anterior Cruciate Ligament Injury: An Osteoarthritis Action Alliance Consensus Statement"],"prefix":"10.4085","volume":"58","author":[{"given":"Jeffrey B","family":"Driban","sequence":"first","affiliation":[{"name":"*Division of Rheumatology, Allergy, and Immunology, Tufts Medical Center, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather K","family":"Vincent","sequence":"additional","affiliation":[{"name":"\u2020UF Health Sports Performance Center, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas H","family":"Trojian","sequence":"additional","affiliation":[{"name":"\u2021College of Medicine, Drexel University, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten R","family":"Ambrose","sequence":"additional","affiliation":[{"name":"\u00a7Osteoarthritis Action Alliance, Thurston Arthritis Research Center, University of North Carolina, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelby","family":"Baez","sequence":"additional","affiliation":[{"name":"\u2016Department of Kinesiology, Michigan State University, East Lansing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Beresic","sequence":"additional","affiliation":[{"name":"\u00b6Department of Orthopaedics, University of North Carolina, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J","family":"Berkoff","sequence":"additional","affiliation":[{"name":"#Excusercise, LLC, Waltham, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leigh F","family":"Callahan","sequence":"additional","affiliation":[{"name":"\u00b6Department of Orthopaedics, University of North Carolina, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Cohen","sequence":"additional","affiliation":[{"name":"#Excusercise, LLC, Waltham, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madison","family":"Franek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne M","family":"Golightly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Harkey","sequence":"additional","affiliation":[{"name":"\u2016Department of Kinesiology, Michigan State University, East Lansing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M","family":"Kuenze","sequence":"additional","affiliation":[{"name":"\u2016Department of Kinesiology, Michigan State University, East Lansing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Catherine","family":"Minnig","sequence":"additional","affiliation":[{"name":"\u2020\u2020Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Mobasheri","sequence":"additional","affiliation":[{"name":"\u2021\u2021Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, Finland"},{"name":"\u00a7\u00a7Department of Regenerative Medicine, State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania"},{"name":"\u2016\u2016Department of Joint Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China"},{"name":"\u00b6\u00b6World Health Organization Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Li\u00e8ge, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Naylor","sequence":"additional","affiliation":[{"name":"##Telos SPC, Boston, MA"},{"name":"***Deloitte US, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie B","family":"Newman","sequence":"additional","affiliation":[{"name":"\u2020\u2020\u2020Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, School of Medicine, New York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darin A","family":"Padua","sequence":"additional","affiliation":[{"name":"\u2021\u2021\u2021Department of Exercise and Sport Science, University of North Carolina, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Pietrosimone","sequence":"additional","affiliation":[{"name":"\u00b6Department of Orthopaedics, University of North Carolina, Chapel Hill"},{"name":"\u2021\u2021\u2021Department of Exercise and Sport Science, University of North Carolina, Chapel Hill"},{"name":"\u00a7\u00a7\u00a7MOTION Science Institute, Department of Exercise and Sport Science, University of North Carolina, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Pinto","sequence":"additional","affiliation":[{"name":"\u2016\u2016\u2016Department of Physical Therapy, Marquette University, Milwaukee, WI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley","family":"Root","sequence":"additional","affiliation":[{"name":"\u00b6\u00b6\u00b6Department of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Salzler","sequence":"additional","affiliation":[{"name":"###Division of Sports Medicine, Department of Orthopaedic Surgery, School of Medicine, Tufts Medical Center, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura C","family":"Schmitt","sequence":"additional","affiliation":[{"name":"****Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Snyder-Mackler","sequence":"additional","affiliation":[{"name":"\u2020\u2020\u2020\u2020Department of Physical Therapy, University of Delaware, Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey B","family":"Taylor","sequence":"additional","affiliation":[{"name":"\u2021\u2021\u2021\u2021Department of Physical Therapy, Congdon School of Health Sciences, High Point University, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise M","family":"Thoma","sequence":"additional","affiliation":[{"name":"\u00a7\u00a7\u00a7\u00a7Division of Physical Therapy, Department of Allied Health Sciences, University of North Carolina, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin R","family":"Vincent","sequence":"additional","affiliation":[{"name":"\u2020UF Health Sports Performance Center, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Wellsandt","sequence":"additional","affiliation":[{"name":"\u2016\u2016\u2016\u2016Division of Physical Therapy Education, University of Nebraska Medical Center, Omaha"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monette","family":"Williams","sequence":"additional","affiliation":[{"name":"\u00b6\u00b6\u00b6\u00b6Triangle 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departments.\n\t\t\t\t\tJ Athl Train.\n\t\t\t\t\t2015;50(11):1190\u20131198.\n\t\t\t\t\tdoi:10.4085\/1062-6050-50.11.06","DOI":"10.4085\/1062-6050-50.11.06"},{"key":"2023050218023120900_i1062-6050-58-3-193-b03","doi-asserted-by":"crossref","unstructured":"Herzog\n              MM\n            ,\n\t\t\t\t\t\tMarshallSW,\n\t\t\t\t\t\tLundJL,\n\t\t\t\t\t\tPateV,\n\t\t\t\t\t\tMackCD,\n\t\t\t\t\t\tSpangJT.\n\t\t\t\t\t\n          Incidence of anterior cruciate ligament reconstruction among adolescent females in the United States, 2002 through 2014.\n\t\t\t\t\tJAMA Pediatr.\n\t\t\t\t\t2017;171(8):808\u2013810.\n\t\t\t\t\tdoi:10.1001\/jamapediatrics.2017.0740","DOI":"10.1001\/jamapediatrics.2017.0740"},{"key":"2023050218023120900_i1062-6050-58-3-193-b04","doi-asserted-by":"crossref","unstructured":"Mall\n              NA\n            ,\n\t\t\t\t\t\tChalmersPN,\n\t\t\t\t\t\tMoricM,\n\t\t\t\t\t\tet al.\n\t\t\t\t\t\n          Incidence and trends of anterior cruciate ligament reconstruction in the United States.\n\t\t\t\t\tAm J Sports Med.\n\t\t\t\t\t2014;42(10):2363\u20132370.\n\t\t\t\t\tdoi:10.1177\/0363546514542796","DOI":"10.1177\/0363546514542796"},{"key":"2023050218023120900_i1062-6050-58-3-193-b05","unstructured":"Hootman\n              JM\n            ,\n\t\t\t\t\t\tDickR,\n\t\t\t\t\t\tAgelJ.\n          Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives.\n\t\t\t\t\tJ Athl Train.\n\t\t\t\t\t2007;42(2):311\u2013319."},{"key":"2023050218023120900_i1062-6050-58-3-193-b06","doi-asserted-by":"crossref","unstructured":"Joseph\n              AM\n            ,\n\t\t\t\t\t\tCollinsCL,\n\t\t\t\t\t\tHenkeNM,\n\t\t\t\t\t\tYardEE,\n\t\t\t\t\t\tFieldsSK,\n\t\t\t\t\t\tComstockRD.\n\t\t\t\t\t\n          A multisport epidemiologic comparison of anterior cruciate ligament injuries in high school athletics.\n\t\t\t\t\tJ Athl 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associated KOOS values at 6 to 24 months after anterior cruciate ligament reconstruction: a study from the Norwegian Knee Ligament Registry.\n\t\t\t\t\tAm J Sports Med.\n\t\t\t\t\t2015;43(8):1902\u20131907.\n\t\t\t\t\tdoi:10.1177\/0363546515584041","DOI":"10.1177\/0363546515584041"},{"key":"2023050218023120900_i1062-6050-58-3-193-b13","doi-asserted-by":"crossref","unstructured":"Roos\n              EM\n            ,\n\t\t\t\t\t\tBoyleE,\n\t\t\t\t\t\tFrobellRB,\n\t\t\t\t\t\tLohmanderLS,\n\t\t\t\t\t\tIngelsrudLH.\n\t\t\t\t\t\n          It is good to feel better, but better to feel good: whether a patient finds treatment \u2018successful' or not depends on the questions researchers ask.\n\t\t\t\t\tBr J Sports Med.\n\t\t\t\t\t2019;53(23):1474\u20131478.\n\t\t\t\t\tdoi:10.1136\/bjsports-2018-100260","DOI":"10.1136\/bjsports-2018-100260"},{"key":"2023050218023120900_i1062-6050-58-3-193-b14","doi-asserted-by":"crossref","unstructured":"Ardern\n              CL\n            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