Actively Recruiting
Progressive Achilles Loading Via Clinician E-support
Led by Ruth Chimenti · Updated on 2025-10-07
160
Participants Needed
2
Research Sites
149 weeks
Total Duration
On this page
Sponsors
R
Ruth Chimenti
Lead Sponsor
C
C.R.Darnall Army Medical Center
Collaborating Sponsor
AI-Summary
What this Trial Is About
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
Official Title
Progressive Achilles Loading Via Clinician E-support
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Pain localized to the Achilles tendon (insertion or midportion)
- Achilles tendon pain of 3/10 or higher with tendon-loading exercise
- Aged 18 to 60 years
You will not qualify if you...
- Younger than 18 years or older than 60 years
- Body mass index greater than 45 kg/m2
- Pain mainly due to other conditions like paratendonitis, bursitis, posterior ankle impingement, sural nerve irritation, or plantaris tendon involvement
- Partial Achilles tendon tear or rupture on imaging or history of Achilles tendon rupture treated surgically or conservatively
- Received physical therapy for Achilles tendon pain within the past 3 months
- History of steroid injection, ESWT, or any injection to the Achilles tendon area in the past 3 months
- Taken fluoroquinolone antibiotics in the past 6 months
- Previous surgery or invasive procedure for Achilles tendon pain on the side being treated
- Diagnosed systemic conditions affecting foot and ankle (e.g., rheumatoid arthritis, ankylosing spondylitis), endocrine disorders with complications (e.g., uncontrolled diabetes, diabetic neuropathy), connective tissue disorders (e.g., Marfan's syndrome, Ehlers Danlos), or pregnancy
- High risk for falls (four step square test longer than 15 seconds)
- Refusal of randomization or inability/unwillingness to complete virtual visits or online quizzes and surveys
AI-Screening
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Trial Site Locations
Total: 2 locations
1
University of Iowa Health Care - Gait Analysis Laboratory
Iowa City, Iowa, United States, 52242
Actively Recruiting
2
Carl R. Darnall Army Medical Center (CRDAMC)
Fort Cavazos, Texas, United States, 76544
Not Yet Recruiting
Research Team
J
Jessica Danielson, DDS
CONTACT
J
Jessica F Danielson, DDS
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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