Home Exercises vs Physical Therapy for Achilles Tendinopathy
What You Need to Know Before You Apply
What is the purpose of this trial?
The goal of this prospective randomized controlled trial is to compare the effectiveness of a home-based exercise protocol to formal physical therapy in patients who have been diagnosed with Achilles tendinopathy. The null hypothesis is that there will be no difference in the treatment outcomes between patients with Achilles tendinopathy who participate in a home-based program versus patients with Achilles tendinopathy who undergo formal physical therapy. Participants will be randomized to a 12-week home-based or formal physical therapy protocol and asked to complete brief outcomes surveys at their initial visit, and at 6 weeks, 12 weeks, 6 months, and 1 year after their initial visit.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. However, if you are taking fluoroquinolone antibiotics, you may not be eligible to participate.
Is it safe to use home exercises or physical therapy for Achilles tendinopathy?
How does the treatment of home exercises vs physical therapy for Achilles tendinopathy differ from other treatments?
This treatment is unique because it compares the effectiveness of home-based exercises with formal physical therapy, focusing on progressive loading exercises that can be adjusted to fit individual needs. Unlike some other treatments, it emphasizes patient empowerment through home exercises, potentially offering more flexibility and convenience.16789
What data supports the effectiveness of the treatment for Achilles tendinopathy?
Research shows that heavy eccentric calf training, which involves slowly lowering the heel below the level of a step, can improve pain and function in people with Achilles tendinopathy. This suggests that structured exercise programs, whether at home or with a physical therapist, may be effective in managing this condition.1451011
Who Is on the Research Team?
Christopher P Chiodo, MD
Principal Investigator
Brigham and Women's Hospital
Are You a Good Fit for This Trial?
This trial is for individuals with new onset non-insertional Achilles tendinopathy. Participants will be randomly assigned to either a home-based exercise program or formal physical therapy for 12 weeks and will complete surveys about their progress.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants are randomized to a 12-week home-based or formal physical therapy protocol
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Formal Physical Therapy
- Home-based Exercise Protocol
Find a Clinic Near You
Who Is Running the Clinical Trial?
Brigham and Women's Hospital
Lead Sponsor