RECRUITING

Progressive Achilles Loading Via Clinician E-support

Description

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.

Conditions

Achilles Tendon PainAchilles Tendinopathy
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Related Conditions:

Achilles Tendon PainAchilles Tendinopathy

Study Overview

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Study Details

Study overview

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.

Progressive Achilles Loading Via Clinician E-support (PACE)

Progressive Achilles Loading Via Clinician E-support

Condition
Achilles Tendon Pain
Intervention / Treatment

-

Contacts and Locations

Iowa City

University of Iowa Health Care - Gait Analysis Laboratory, Iowa City, Iowa, United States, 52242

Fort Cavazos

Carl R. Darnall Army Medical Center (CRDAMC), Fort Cavazos, Texas, United States, 76544

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Pain localized to the Achilles tendon (insertion or midportion)
  • * AT pain greater than or equal to 3/10 with tendon-loading exercise
  • * Younger than 18 years of age or older than 60 years of age
  • * BMI \> 45 kg/m2
  • * Pain primarily due to a differential diagnosis, including paratendonitis, bursitis (retrocalcaneal or subcutaneous), posterior ankle impingement or os trigonum, irritation or neuropathy of the sural nerve, plantaris tendon involvement)
  • * Presence of a partial Achilles tendon tear or rupture on imaging or a history of Achilles tendon rupture that was verified by surgical or conservative management
  • * Attended physical therapy for AT in the past 3 months
  • * History of steroid injection to lower extremity tendons/fascia, ESWT or any injection to the Achilles tendon region in the past 3 months
  • * History of taking fluoroquinolones in the past 6 months
  • * History of surgery or invasive procedure for AT on side enrolling for treatment
  • * Diagnosed systemic inflammatory conditions (e.g., rheumatoid arthritis, ankylosing spondylitis), endocrine disorder with complications (e.g., uncontrolled Type I or II diabetes, diabetic peripheral neuropathy), connective tissue disorder (e.g., Marfan's syndrome, Ehlers Danlos), or pregnancy
  • * At high risk for falls (four step square test \>15 seconds)
  • * Refusal of randomization or unable or uninterested in completing virtual visits with a webcam or smart phone or completing quizzes and surveys

Ages Eligible for Study

18 Years to 60 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Ruth Chimenti,

Ruth L Chimenti, PT, PhD, PRINCIPAL_INVESTIGATOR, University of Iowa

Matthew Frazier, PT, DPT, MS, ATC, STUDY_DIRECTOR, Carl R. Darnall Army Medical Center (CRDAMC), Fort Cavazos

Study Record Dates

2028-07