Progressive Achilles Loading Via Clinician E-support (PACE)

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 60
Healthy Volunteers: f
View:

• Pain localized to the Achilles tendon (insertion or midportion)

• AT pain greater than or equal to 3/10 with tendon-loading exercise

Locations
United States
Iowa
University of Iowa Health Care - Gait Analysis Laboratory
RECRUITING
Iowa City
Texas
Carl R. Darnall Army Medical Center (CRDAMC)
NOT_YET_RECRUITING
Fort Cavazos
Contact Information
Primary
Jessica Danielson, DDS
chimenti-lab@uiowa.edu
319-356-1722
Backup
Jessica F Danielson, DDS
Jessica-danielson@uiowa.edu
319-356-1722
Time Frame
Start Date: 2025-08-20
Estimated Completion Date: 2028-07
Participants
Target number of participants: 160
Treatments
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.
Related Therapeutic Areas
Sponsors
Collaborators: United States Department of Defense, C.R.Darnall Army Medical Center
Leads: Ruth Chimenti

This content was sourced from clinicaltrials.gov