Construction elements and preliminary framework of a sport-medicine-education collaborative intervention model for patellar tendinopathy.

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.