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CompletedNCT05478265Updated Jun 8, 2025

Patient Observational Pain and Activity Survey (POPAS) Study Using RS-4i Sequential Stimulator With Intersperse Technology in Axial Spine and Peripheral Joint Pain

An observational study in Osteoarthritis, sponsored by University of California, Irvine. Completed at 1 site in United States. Open to participants aged 18 Years to 89 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-08.

Sponsored by University of California, Irvine · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
69
Ages
18 Years to 89 Years
Sex
All
01

Study summary

Spine pain and joint pain are among the most common worldwide ailments and directly contributes to disability as well as increased duration of care. Spine and joint pain affect work sick leave, production and increased financial costs to healthcare. Non-invasive treatments for spine and joint pain can vary widely from lifestyle changes, physical therapy, oral medication, and select medical devices, that can improve pain level and help improve the quality of life of individuals. Thus, the general population suffers from an ailment that has multiple conservative treatment options with variable outcomes.

Transcutaneous Electrical Neuromuscular Stimulation (TENS) has been show to decrease pain and restore function. Interferential therapy (INF) is a specific signal type that is effective for reducing musculoskeletal pain. Neuromuscular Electrical Stimulation (NMES) uses a specific signal type to cause muscles to contract and therefore provide functional improvement. The RS-4i Plus is an FDA-regulated prescription TENS medical device that outputs an INF signal and a NMES signal, and a unique Intersperse signal, which combines NMES and INF into a single treatment. Therefore, the goal of this study is to determine if use of the prescribed RS-4i Plus in patients presenting with pain, axial or peripheral joint, can be efficacious in decreasing the patient's pain and improving their activity measured at one month, three months, and six months of use.

02

Conditions studied

  • Osteoarthritis

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03

In context

Arthralgia

273 studies on the registry are indexed under Arthralgia; 41 are open to participants now.

This study's enrollment of 69 is below the median of 120 across 44 observational studies indexed under Arthralgia.

Browse Arthralgia studies →

Lead sponsor

University of California, Irvine is the lead sponsor of 466 studies on the registry; 96 are open to participants now.

Of its 41 completed or terminated interventional studies of FDA-regulated products, 30 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Subjects will be current adult patients of the UCI PM\&R or Orthopedic Department

Inclusion criteria

  1. chronic and persistent MSK lumbar back pain for greater than 12 weeks as documented in patient records
  2. Age 18 to 89
  3. Willingness to comply with study protocol
  4. Signed Patient Consent on file
  5. Verified patient usage collected from RS-4i Plus via patient data adapter

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy
  2. Any contraindications, as indicated in the RS-4i Plus prescribing information
  3. Substantial allergy to adhesives
  4. Skin infection or irritation of skin where electrodes are to be placed
  5. Pacemaker/ICD
  6. Abnormal skin sensation
  7. Serious psychological disorder
  8. End-stage cardiac, peripheral arterial or pulmonary disease
  9. h/o recent vertebral fracture
  10. Severe degenerative or traumatic neuromuscular disease
  11. Non-English speaking
  12. Uncontrolled diabetes meelitus (Hb A1c> 8.5%)
  13. ESRD or ESHD
  14. Active cancer
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
69 participants (actual)
Patient registry
No

Groups and cohorts

  • Axial Spine only, Age 65+

    Device: RS-4i Plus

  • Axial Spine only, Age 18-64

    Device: RS-4i Plus

  • Peripheral Joint only, Age 65+

    Device: RS-4i Plus

  • Peripheral Joint only, Age 18-64

    Device: RS-4i Plus

  • Axial + Peripheral Joint, Age 65+

    Device: RS-4i Plus

  • Axial + Peripheral Joint, Age 18-64

    Device: RS-4i Plus

Interventions

  • DeviceRS-4i Plus

    RS-4i Plus in an FDA-regulated prescription TENS medical device that outputs and INF signal and a NMES signal and Intersperse signal, which combines INF and NMES into a single treatment.

06

What researchers measure

Primary outcomes

  1. Level of Pain / Function using NRS

    Outcome with be rated on a scale of 0-10, in which 10 is the most severe pain / worst function and 0 is the least pain / best function. The time frame will include assessment at 1 month interval to determine if the intervention is showing a change / long term improvement in the pain / function

    Time frame: 1 month

  2. Level of Pain / Function using NRS

    Outcome with be rated on a scale of 0-10, in which 10 is the most severe pain / worst function and 0 is the least pain / best function. The time frame will include assessment at 3 month interval to determine if the intervention is showing a change / long term improvement in the pain / function

    Time frame: 3 month

  3. Level of Pain / Function using NRS

    Outcome with be rated on a scale of 0-10, in which 10 is the most severe pain / worst function and 0 is the least pain / best function. The time frame will include assessment at 6 month interval to determine if the intervention is showing a change or long term improvement in the pain / function

    Time frame: 6 months

07

Study locations

1 site
  • University of California at Irvine Medical Center
    Orange, California 92868, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05478265
Lead sponsor
University of California, Irvine
Responsible party
David Majors (Principal Investigator, University of California, Irvine) — Principal investigator
First posted
Jul 28, 2022
Start date
Jan 9, 2023
Primary completion
Jun 30, 2024
Completion
Jun 30, 2024
Last update
Jun 8, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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