{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T17:31:48Z","timestamp":1773768708785,"version":"3.50.1"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aims to construct and optimize a collaborative intervention model for patellar tendinopathy by integrating three dimensions: sports, medical care, and patient education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u201318.6) 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 \u201cThree-dimensional Six Elements\u201d (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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1729240","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T14:31:37Z","timestamp":1773757897000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Construction elements and preliminary framework of a sport-medicine-education collaborative intervention model for patellar tendinopathy"],"prefix":"10.3389","volume":"14","author":[{"given":"Wei","family":"Liu","sequence":"first","affiliation":[{"name":"School of Sport Science, Qufu Normal University","place":["Jining, China"]},{"name":"Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fugao","family":"Jiang","sequence":"additional","affiliation":[{"name":"School of Sport Science, Qufu Normal University","place":["Jining, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunli","family":"Han","sequence":"additional","affiliation":[{"name":"School of Sport Science, Qufu Normal University","place":["Jining, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gongchang","family":"Yu","sequence":"additional","affiliation":[{"name":"Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Shi","sequence":"additional","affiliation":[{"name":"Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinhai","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Sport, Shandong University","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"6695","DOI":"10.1007\/s00402-023-04998-5","article-title":"Patellar tendinopathy: an overview of prevalence, risk factors, screening, diagnosis, treatment and prevention","volume":"143","author":"Theodorou","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"23259671231173659","DOI":"10.1177\/23259671231173659","article-title":"Epidemiology of patellar tendinopathy in athletes and the general population: a systematic review and meta-analysis","volume":"11","author":"Nutarelli","year":"2023","journal-title":"Orthop J Sports Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1097\/01.jsm.0000168073.82121.20","article-title":"No effect of eccentric training on jumper's knee in volleyball players during the competitive season: a randomized clinical trial","volume":"15","author":"Visnes","year":"2005","journal-title":"Clin J Sport Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1016\/j.jsams.2015.11.006","article-title":"Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? 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