Authors: Mikayla Kimball, Noah Bezzant, Ashley Allan, Josh Sponbeck
Mentors: Brent Feland
Insitution: Brigham Young University
Ultrasonic analysis of patellar tendon thickness in active older athletes
BACKGROUND: Recent research has suggested that patellar tendon loading through exercise and resistance training can help maintain and increase patellar tendon thickness in older adults. Limited research exists that identifies the average thickness of patellar tendons in younger athletes, however, it is unknown if this thickness remains or is maintained in older adult athletes who have maintained a very active lifestyle.
PURPOSE: This study aimed to determine how gender correlates to patellar tendon thickness in the proximal and middle patellar tendon of active older athletes participating in sporting events at the Huntsman World Senior Games.
METHODS: Data was collected from 59 volunteers (participants in the Huntsman World
Senior Games) in St. George, Utah, 2022. All subjects (34 females: mean age = 61.09 ± 7.00 yrs, Ht = 162.41 ± 25.73 cm, Wt= 66.29 ±11.38 kg; 25 males: mean age = 68.68 ± 7.03 yrs, Ht = 178.21 ± 8.63 cm, Wt= 84.42±10.90 kg) signed an approved consent form and then sat on a treatment table with their legs relaxed and dangling off. The probe was placed vertically below the kneecap and an ultrasonic image was taken. Each image showed a small section of the patellar for reference. Each ultrasonic measurement showed the middle and proximal thickness of the patellar tendon.
ANALYSIS: All data were analyzed using JMP ver16.2 with a stepwise multiple regression analysis to determine the effect of age, height, wt and gender on patellar tendon thickness. A sex*location mixed model was used to determine differences in middle and proximal thickness between gender. Data were normally distributed, not requiring transformation.
RESULTS & CONCLUSIONS: Proximal tendon measurements were thicker than middle tendon measurements on both sides (p=0.0001). There was no significant difference either proximal tendon thickness (p=0.9323) or middle tendon thickness (p= 0.3993) between left and right sides. No significant difference between male and female tendon thickness at either location (p=0.7700). Proximal tendon thickness was greater and this has been found to be greater in younger athletes with a history of patellar tendinopathy. Aging athletes may also have a history of knee pain episodes that could have contributed to this finding. The lack of gender differences in thickness measures was surprising, but may be a result of the level of activity of senior athletes. In the future studies should look to compare active vs non-active aging athletes, more specific age range differences, and how knee replacements and other injuries affect patellar tendon thickness.