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Related Experiment Video

Updated: Apr 9, 2026

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Progressive Achilles Loading via Clinician e-Support (PACE): Protocol for a Dual-Site Randomized Controlled Trial.

Micah A K M Wong1, Mathew Frazier2, Ryan Jensen2

  • 1Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 500 Newton Rd., Iowa City, IA, United States, 1 3193359802.

JMIR Research Protocols
|April 7, 2026
PubMed
Summary
This summary is machine-generated.

This study compares single-visit versus telehealth physical therapist (PT) rehabilitation for Achilles tendinopathy (AT). It aims to find effective treatments and predict patient responses to exercise and education for this common condition.

Keywords:
delivery of health careexercise therapymilitary medicinetelemedicinetendinopathy

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Area of Science:

  • Sports Medicine
  • Rehabilitation Science
  • Orthopedics

Background:

  • Achilles tendinopathy (AT) is a prevalent condition affecting both athletic and sedentary individuals.
  • Current exercise and education treatments for AT lack defined intervention durations and identified prognostic factors for noninvasive treatment response.
  • Further research is needed to optimize rehabilitation strategies and predict outcomes for Achilles tendinopathy.

Purpose of the Study:

  • To determine the efficacy of a single-visit, physical therapist (PT)-initiated rehabilitation program compared to a multivisit, PT-guided telehealth program for Achilles tendinopathy (AT).
  • To identify early prognostic factors associated with the greatest improvement in pain and disability within four weeks for individuals with AT.
  • To expand access to effective AT rehabilitation through innovative delivery models.

Main Methods:

  • A noninferiority randomized controlled trial involving 160 individuals diagnosed with Achilles tendinopathy.
  • Participants will be randomly assigned to either a single-visit PT-initiated program or a multivisit, PT-guided telehealth program.
  • Primary outcomes include pain (numeric rating scale) and disability (Victorian Institute of Sport Assessment-Achilles), with secondary measures of tendon health, psychosocial factors, and military readiness.

Main Results:

  • Participant enrollment for the PACE trial began in August 2025 and is ongoing, with 15 participants enrolled as of January 2026.
  • The study is projected to conclude in 2028, with recruitment meeting initial goals.
  • Preliminary data on treatment efficacy and prognostic factors are not yet available.

Conclusions:

  • The PACE trial aims to identify an optimal rehabilitation program for Achilles tendinopathy (AT) utilizing education and exercise.
  • The study will provide insights into factors that predict patient response to these noninvasive interventions.
  • Findings are expected to enhance the accessibility and effectiveness of AT treatment.