Frontiers in public health · 2026
Construction elements and preliminary framework of a sport-medicine-education collaborative intervention model for patellar tendinopathy.
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Liu Wei, Jiang Fugao, Han Chunli, Yu Gongchang, Shi Bin, Sun Jinhai
Аннотация
INTRODUCTION: This study aims to construct and optimize a collaborative intervention model for patellar tendinopathy by integrating three dimensions: sports, medical care, and patient education.
METHODS: The study adopted a hybrid methodology, integrating a systematic literature review (36 high-quality studies from 2013 to 2024; the exclusion of pre-2013 seminal studies is acknowledged as a limitation), text analysis of national health integration policies, and comparative case studies of representative practical models.
RESULTS: The study found that progressive resistance training significantly increased the Victorian Institute of Sport Assessment-Patella (VISA-P) score by 16.4 points (95% CI: 14.2-18.6) within 12 weeks, while multidisciplinary collaboration reduced the 24-week recurrence rate from 28.4% to 9.7% compared with a single treatment method. Policy evolution analysis shows that the number of health education-related provisions has increased by 1,700% from 2013 to 2024, highlighting the growing recognition of the importance of patient empowerment. The research proposes the "Three-dimensional Six Elements" (3D-6E) framework, encompassing three dimensions: sports (Exercise Prescription: FITT-based progressive loading protocols; Exercise Monitoring: pain-guided load management), medicine (Evidence-based Diagnosis: standardized clinical and imaging assessment; Early Detection: high-risk population screening and referral), and education (Patient Empowerment: structured health literacy curricula; Evaluation Feedback: MCID-oriented multidimensional outcome tracking).
DISCUSSION: This model provides evidence-based guidance for the management of load-induced musculoskeletal tendinopathies, but it still requires multi-center prospective validation and health economics assessment to achieve wider application.
METHODS: The study adopted a hybrid methodology, integrating a systematic literature review (36 high-quality studies from 2013 to 2024; the exclusion of pre-2013 seminal studies is acknowledged as a limitation), text analysis of national health integration policies, and comparative case studies of representative practical models.
RESULTS: The study found that progressive resistance training significantly increased the Victorian Institute of Sport Assessment-Patella (VISA-P) score by 16.4 points (95% CI: 14.2-18.6) within 12 weeks, while multidisciplinary collaboration reduced the 24-week recurrence rate from 28.4% to 9.7% compared with a single treatment method. Policy evolution analysis shows that the number of health education-related provisions has increased by 1,700% from 2013 to 2024, highlighting the growing recognition of the importance of patient empowerment. The research proposes the "Three-dimensional Six Elements" (3D-6E) framework, encompassing three dimensions: sports (Exercise Prescription: FITT-based progressive loading protocols; Exercise Monitoring: pain-guided load management), medicine (Evidence-based Diagnosis: standardized clinical and imaging assessment; Early Detection: high-risk population screening and referral), and education (Patient Empowerment: structured health literacy curricula; Evaluation Feedback: MCID-oriented multidimensional outcome tracking).
DISCUSSION: This model provides evidence-based guidance for the management of load-induced musculoskeletal tendinopathies, but it still requires multi-center prospective validation and health economics assessment to achieve wider application.