Progressive Achilles Loading Via Clinician E-support

Part of paid clinical trials in Iowa City, Iowa.

Sponsor
Ruth Chimenti
Study ID
NCT06736795
Status
Recruiting

Conditions

  • Achilles Tendinopathy
  • Achilles Tendon Pain

Eligibility Criteria

Sex
ALL
Age
18 Years - 60 Years
Healthy Volunteers
Not accepted

Interventions

  • Exercise — OTHER
    All participants will be instructed in a progressive Achilles tendon loading exercise program.
  • Education — OTHER
    All participants will receive education on Achilles tendinopathy terminology, common symptoms, diagnosis, expected recovery timeline, importance of physical activity, self-management strategies, multiple factors influencing pain, alternative and adjunct treatment options.

Study Details

This is a randomized controlled trial with individuals who have Achilles tendon pain. This study is designed to identify an effective rehabilitation program for Achilles tendon pain that expands access to care for military personnel and to predict treatment response. Limited or delayed access to healthcare can exacerbate the severity of pain and duration of disability due to AT. This is particularly relevant for individuals deployed to battlefield settings or are being seen in busy military treatment facilities. Therefore, it is crucial to identify efficient and effective treatment pathways that maximize healthcare access and facilitate a rapid and pain-free return to full duty.

Key Dates

Start date
Aug 20, 2025
Status verified
Oct 2025
Primary completion
Jun 30, 2028
Completion
Jul 31, 2028

Study Design

Enrollment
160 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Single-visit, Physical Therapist Initiated and Self-Pace Rehabilitation
    Participants will complete 6 online modules, which will take 10 to 20 minutes each. The modules can be completed at their own pace over 8 weeks and include: 1. Exercise participation: Participants will receive instruction on how to progress a home exercise program. Participants will also need to complete a home exercise log. 2. Education: Participants will be given homework to do at home in between online module sessions. Online quizzes will help review the educational material.
  • Active Comparator: Multi-visit, Physical Therapist Guided Rehabilitation
    Participants will attend 6 to 7 telehealth sessions over 8 weeks, which will last 30 to 45 minutes each and include: 1. Exercise participation: Instruction from a physical therapist will be provided on how to complete a home exercise program between treatment sessions. Participants will also need to complete a home exercise log. 2. Education: Participants will be given homework and online quizzes to do at home in between treatment sessions. The physical therapist will review the educational material at each visit.

Primary Outcome Measure

Tendon Pain [ Time Frame: From enrollment to 4 weeks ]

Central Contacts

Locations (2)

FacilityCityStateZIPSite coordinators
University of Iowa Health Care - Gait Analysis LaboratoryIowa CityIowa52242
Jessica Danielson, DDS
319-335-9791
Jessica F Danielson, DDS
319-356-1722
Ruth L Chimenti, PT, PhD (PRINCIPAL_INVESTIGATOR)
Carl R. Darnall Army Medical Center (CRDAMC)Fort CavazosTexas76544
Matthew Frazier, PT, DPT, MS, ATC
254-286-7898
Jessica Danielson, DDS
319-356-1722
Matthew Frazier, PT, DPT, MS, ATC (PRINCIPAL_INVESTIGATOR)

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