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Chronic Low Back PainNCT07906431

Radiofrequency and Pelvic Floor-Core Exercise for Chronic Low Back Pain in Women With Pelvic Floor Dysfunction

A study testing Capacitive-resistive radiofrequency and Lumbopelvic-pelvic floor therapeutic exercise in people with Chronic Low Back Pain and Urinary Incontinence, run by SERGIO MONTERO NAVARRO at 1 site in Spain.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn whether capacitive-resistive radiofrequency, a supervised core and pelvic floor exercise programme, or both together reduce low back pain in premenopausal women with chronic non-specific low back pain and pelvic floor dysfunction. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Capacitive-resistive radiofrequency and Lumbopelvic-pelvic floor therapeutic exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteSpain
Study dates
30 Oct 2026to 1 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women aged 18 years or older.
  • Non-specific low back pain located between T12 and the iliac crest, with or without referred pain to the lower limb.
  • Pain duration of more than 12 consecutive weeks.
  • Pain intensity of 3/10 or higher on a 0-10 visual analogue scale at screening.
  • Pelvic floor dysfunction, defined as a score above 0 on the Pelvic Floor Distress Inventory-20 (PFDI-20) or the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF).

Who cannot join

  • Perimenopause or menopause.
  • Chronic pain in regions other than the lumbar and pelvic areas.
  • Current pregnancy or breastfeeding.
  • Physiotherapist-supervised pelvic floor muscle training in the previous 12 months.
  • Pharmacological treatment for any pelvic floor disorder.
  • Radiofrequency applied to the pelvic floor muscles in the previous 12 months.
Show all 12Show fewer
  • Inability to understand study information (cognitive impairment).
  • Cardiac, metabolic or autoimmune disease.
  • Peripheral or central neurological disorder.
  • Previous abdominal, lumbar or pelvic surgery.
  • Skin disease or open wounds in the treatment area.
  • Active urinary tract or vaginal infection.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Spain1 site
  • Cardenal Herrera - Ceu

    Elche, Spain / Valencia, 46113

    SERGIO MONTERO-NAVARRO, PhD, +34 965426486 ext. 67604, sergio.montero@uchceu.es

    MARIE RIQUIER, MsC

Other trials in Spain

About this study

Official title: Effectiveness of Capacitive-Resistive Radiofrequency and Lumbopelvic-Pelvic Floor Exercise, Alone or Combined, for Chronic Low Back Pain in Premenopausal Women With Pelvic Floor Dysfunction: a Three-Arm Randomised Controlled Trial.

The goal of this clinical trial is to learn whether capacitive-resistive radiofrequency, a supervised core and pelvic floor exercise programme, or both together reduce low back pain in premenopausal women with chronic non-specific low back pain and pelvic floor dysfunction. The main question it aims to answer is: do the three treatments differ in lumbar pain intensity (0-10 visual analogue scale) 1 week after the treatment ends? Researchers will also compare pain quality, low back disability, pelvic floor symptoms, urinary incontinence, pelvic floor muscle function and lumbar mobility up to 3 months after treatment.

Sixty women will be randomly assigned to one of three groups:

  • Radiofrequency: nine weekly 20-minute sessions applied to the lower back and, through a vaginal electrode, to the pelvic floor.
  • Exercise: a 12-week programme of supervised group sessions (three 30-minute sessions per week) for the core and pelvic floor muscles.
  • Combined: both treatments at the same time. Participants will complete questionnaires and a physical examination before treatment and 1 week, 1 month and 3 months after treatment ends.
Read the detailed description

Background. Non-specific chronic low back pain (CLBP) is a leading cause of disability and is more prevalent in women than in men. Pelvic floor muscle (PFM) dysfunction frequently coexists with CLBP, and PFM training can reduce lumbar pain intensity. Capacitive-resistive radiofrequency (RF) improves pain and function when applied to the lumbar region and can reduce pelvic floor symptoms when applied vaginally. However, no randomised trial has tested pelvic-floor RF for CLBP or compared RF, lumbopelvic-PFM exercise and their combination.

Design. Single-centre, three-arm, parallel-group, assessor-blinded randomised controlled trial with 1:1:1 allocation, conducted at Centre Osmose Saint-Loup (Marseille, France). There is no untreated control arm; the trial compares three active conservative strategies. The protocol follows the SPIRIT 2025 statement.

Randomisation and blinding. After the baseline assessment, an independent investigator will generate the allocation sequence with SAS 9.4. Treatment codes will be stored in a restricted database accessible only to the clinician delivering the intervention. Outcome assessors and the trial statistician will be blinded to allocation. Participants and treating physiotherapists cannot be blinded.

Interventions. RF will be delivered with a Capenergy C500 Urogyne capacitive-resistive device in nine weekly sessions. Each session includes a lumbar application (prone; pulsed emission, 840 kHz, 30 V; dynamic application over active myofascial trigger points of quadratus lumborum, multifidus and iliocostalis; 20 minutes). It also includes a simultaneous intravaginal application with a covered, lubricated electrode, sweeping the vaginal walls by clock-face quadrants for 20 minutes at a high but non-burning thermal sensation. The exercise programme consists of 36 supervised 30-minute group sessions (maximum five participants) over 12 weeks. It progresses from isolated PFM and transversus abdominis activation to combined core, gluteal and synergistic work in static and dynamic positions, with load increases after weeks 4 and 8. The combined arm receives both interventions concurrently.

Outcomes. The primary outcome is lumbar pain intensity (10-cm VAS) 1 week after the last session of the assigned intervention. Secondary outcomes are the McGill Pain Questionnaire, Oswestry Disability Index, PFDI-20, ICIQ-SF, PFM function (PERFECT scheme, modified Oxford scale, intravaginal manometry) and lumbar mobility. All are assessed at baseline and at 1 week, 1 month and 3 months after the end of the intervention.

Sample size. The sample size was calculated in G*Power for a one-way ANOVA with a large effect (Cohen's f = 0.50), two-sided α = 0.05 and 15% attrition, giving 60 participants (20 per arm).

Statistical analysis. Intention-to-treat analysis with repeated-measures ANOVA, or a linear mixed model if imbalance or missingness requires it (group × time). A pre-specified sensitivity analysis compares VAS among groups 13 weeks after randomisation. Multiple imputation will be used where appropriate, with complete-case sensitivity analyses.

Ethics and funding. Approved by the Biomedical Research Ethics Committee of Universidad CEU Cardenal Herrera (CEEI25/763, 19 January 2026). The trial has no specific funding. Capenergy Medical (Barcelona, Spain) loans the RF device in kind and has no role in design, data collection, analysis, interpretation or publication.

Being tested
Capacitive-resistive radiofrequency, Lumbopelvic-pelvic floor therapeutic exercise
Keywords
Capacitive-resistive electric transfer, Radiofrequency, TECAR therapy, Pelvic floor muscle training, Core stabilization exercise, Physiotherapy, Premenopausal women
Medical subject headings
Urinary Incontinence, Pelvic Floor Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Capacitive-resistive radiofrequencyDevice

    Also called CRET, TECAR therapy, Monopolar capacitive-resistive diathermy

    Capenergy C500 Urogyne device (Capenergy Medical, Barcelona, Spain). Lumbar application: participant prone; pulsed emission at 840 kHz and 30 V, applied dynamically over active myofascial trigger points of quadratus lumborum, multifidus and iliocostalis; active plate on the lumbar region and return plate on the abdomen; 20 minutes. Simultaneous pelvic application: covered, lubricated intravaginal electrode with return plate on the lumbar region, sweeping the vaginal walls by clock-face quadrants (0-3, 3-6, 6-9, 9-12) for 20 minutes at a high but non-burning thermal sensation. Nine sessions at 7-day intervals. Delivered energy (kJ) and temperature are recorded each session.

  • Lumbopelvic-pelvic floor therapeutic exerciseBehavioural

    Also called Core stabilization exercise, Pelvic floor muscle training

    36 supervised 30-minute group sessions (maximum five participants) over 12 weeks, led by physiotherapists experienced in pelvic floor rehabilitation. Week 1 begins with an individual session on anatomy, breathing and technique, with digital checking of PFM contraction. Sessions progress from isolated PFM and transversus abdominis activation to combined core, gluteal and synergistic work in static and dynamic positions, including resisted expiration and brief apnoea. Load increases after weeks 4 and 8. Stretching and relaxation are included. Typical dose: 3 sets of 10 repetitions, adjusted to the baseline PERFECT profile. Attendance is logged.

Study groups in NCT07906431
Study groupRoleWhat they receive
RadiofrequencyExperimentalNine weekly sessions of capacitive-resistive radiofrequency applied simultaneously to the lumbar region (20 min) and intravaginally to the pelvic floor (20 min).
Receives: Device: Capacitive-resistive radiofrequency
Therapeutic exerciseActive comparatorSupervised lumbopelvic core and pelvic floor muscle exercise programme: three 30-minute group sessions per week for 12 weeks (36 sessions).
Receives: Behavioral: Lumbopelvic-pelvic floor therapeutic exercise
Radiofrequency + therapeutic exerciseExperimentalBoth interventions delivered concurrently, with the same dose, progression and recording forms as the single-modality arms.
Receives: Device: Capacitive-resistive radiofrequency; Behavioral: Lumbopelvic-pelvic floor therapeutic exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Lumbar pain intensity (Visual Analogue Scale)

    Lumbar pain intensity on a 10-cm visual analogue scale (0 = no pain, 10 = worst imaginable pain). Higher scores indicate worse pain.

    Measured: Baseline and 1 week after the end of the assigned intervention (week 10 in the radiofrequency arm; week 13 in the exercise and combined arms)

Secondary outcomes (14)
  1. Lumbar pain intensity during follow-up (Visual Analogue Scale)

    0-10 cm VAS as for the primary outcome, assessed during follow-up. Higher scores indicate worse pain.

    Measured: 1 month and 3 months after the end of the assigned intervention

  2. Lumbar pain intensity at a common calendar time point (VAS)

    Pre-specified sensitivity analysis: 0-10 cm VAS compared among groups when all participants have completed their assigned programme.

    Measured: 13 weeks after randomisation

  3. Pain quality (McGill Pain Questionnaire)

    McGill Pain Questionnaire scored from descriptors selected across the sensory and affective subclasses. Higher scores indicate greater pain.

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  4. Low back disability (Oswestry Disability Index)

    ODI, 0-100%. Higher scores indicate greater disability; a change of about 10 points is considered clinically important.

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  5. Pelvic floor symptom distress (PFDI-20)

    Pelvic Floor Distress Inventory-20 total score (0-300). Higher scores indicate greater symptom distress.

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  6. Urinary incontinence (ICIQ-UI SF)

    ICIQ Urinary Incontinence Short Form total score (0-21), covering frequency, amount and impact on quality of life. Higher scores indicate greater severity.

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  7. Pelvic floor muscle function (PERFECT scheme)

    Digital vaginal assessment in lithotomy after voiding and 3 minutes of seated rest: power, endurance (s), repetitions and fast contractions (number per 10 s).

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  8. Pelvic floor muscle strength (Modified Oxford Scale)

    Best of three maximal voluntary contractions on digital palpation, graded 0 (no contraction) to 5 (strong). Higher grades indicate greater strength.

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  9. Intravaginal pressure (manometry)

    Phenix Liberty manometer with an air-filled vaginal probe: resting tone and mean of three maximal 10-second contractions (cmH2O/mmHg).

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  10. Lumbar flexion mobility (Modified Schober test)

    Lumbar flexion mobility measured with the modified Schober test (cm).

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  11. Lumbar extension

    Passive lumbar extension test (positive/negative)

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  12. Kinesiophobia (Tampa Scale for Kinesiophobia, TSK-17)

    TSK-17 total score (17 items; range 17-68). Higher scores indicate greater fear of movement or re-injury.

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  13. Pain catastrophising (Pain Catastrophizing Scale, PCS)

    PCS total score (13 items; range 0-52). Higher scores indicate greater pain catastrophising.

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

  14. lateral flexion

    bilateral side-bending fingertip-to-thigh distance (cm; difference below 10 cm classified as restricted).

    Measured: Baseline, and 1 week, 1 month and 3 months after the end of the assigned intervention.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2026
  2. Study start30 Oct 2026 (estimated)
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion1 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Three-arm, parallel-group randomised controlled trial with 1:1:1 allocation comparing radiofrequency, supervised lumbopelvic-pelvic floor exercise, and their combination.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07906431
Sponsor's protocol ID
CEEI25/763
Status last verified
Oct 2026
First submitted
18 Oct 2026
Last updated
30 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: After publication of the primary results, a de-identified participant-level dataset and the statistical analysis code may be shared with qualified researchers on reasonable request to the principal investigator, subject to a data-use agreement and to ethics and data-protection review.

Questions about this trial

What is this clinical trial studying?

A study testing Capacitive-resistive radiofrequency and Lumbopelvic-pelvic floor therapeutic exercise in people with Chronic Low Back Pain and Urinary Incontinence, run by SERGIO MONTERO NAVARRO at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact SERGIO MONTERO-NAVARRO, PhD (+34 965 42 64 86 ext. 67604, sergio.montero@uchceu.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Lumbar pain intensity (Visual Analogue Scale) (time frame: Baseline and 1 week after the end of the assigned intervention (week 10 in the radiofrequency arm; week 13 in the exercise and combined arms)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2026.

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