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Not yet recruitingNCT07903142Updated Oct 29, 2026

Comparison of High-Intensity and Conventional Physical Therapy in Musculoskeletal Disorders

An interventional study of Repetitive Peripheral Magnetic Stimulation (rPMS) and High-Intensity Laser Therapy (HIL) in Low Back Pain, Radicular Syndrome and Sacroiliac Joint Dysfunction, sponsored by BTL Industries Ltd.. Not yet recruiting at 1 site in Czechia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by BTL Industries Ltd. · Not applicable, Interventional, and Treatment

Updated Oct 29, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This pilot randomized controlled trial aims to compare the clinical effectiveness of advanced high-intensity physical therapy modalities with conventional physical therapy in patients suffering from musculoskeletal disorders. The study focuses on three anatomical areas: lower back, shoulder, and knee. Participants will be randomized into two arms and will undergo 5 therapeutic sessions.

Read the detailed description

Patients will be randomly assigned to either the Experimental Arm (high-intensity therapy) or the Active Comparator Arm (conventional therapy).

The Experimental Arm includes Repetitive Peripheral Magnetic Stimulation (rPMS), High Intensity Laser (HIL), and Shockwave Therapy (SWT) applied using BTL devices. The Active Comparator Arm includes standard Pulsed Electromagnetic Field (PEMF) therapy, therapeutic ultrasound, and electrotherapy.

The intervention consists of 5 sessions. Clinical outcomes, including pain intensity, functional status, and range of motion, will be evaluated at the baseline (1st session) and at the end of the intervention (5th session). Pain intensity will also be monitored during each session.

02

Conditions studied

  • Low Back Pain
  • Radicular Syndrome
  • Sacroiliac Joint Dysfunction
  • Shoulder Impingement Syndrome
  • Rotator Cuff Tendinopathy
  • Shoulder Osteoarthritis
  • Acromioclavicular Joint Osteoarthritis
  • Knee Osteoarthritis
  • Patellofemoral Pain Syndrom

Keywords

  • Physical Therapy Modalities
  • High-Intensity Laser Therapy
  • Repetitive Peripheral Magnetic Stimulation
  • Extracorporeal Shockwave Therapy
  • Magnetotherapy
  • Pulsed Electromagnetic Field
  • Ultrasound Therapy
  • Electrotherapy
  • Musculoskeletal Pain
  • Musculoskeletal Disorders
  • Joint Pain
  • Rehabilitation
  • Pain Management
  • Physical Medicine and Rehabilitation
03

In context

Low Back Pain

2,884 studies on the registry are indexed under Low Back Pain; 483 are open to participants now.

This study's planned enrollment of 60 is close to the median of 60 across 2,324 interventional studies indexed under Low Back Pain.

Browse Low Back Pain studies →

Lead sponsor

BTL Industries Ltd. is the lead sponsor of 77 studies on the registry; 5 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Signed informed consent.
  • Clinical diagnosis of one of the following conditions targeted at specific anatomical areas:
  • Knee: Patellofemoral pain syndrome, Knee osteoarthritis (grade I-III).
  • Shoulder: Impingement syndrome, Rotator cuff syndrome (supraspinatus tendinopathy), Shoulder joint osteoarthritis, Acromioclavicular joint osteoarthritis.
  • Lumbar Spine: Non-specific low back pain, Sacroiliac joint pain, Radicular syndrome (without motor deficit).

Exclusion criteria

Exclusion Criteria:

  • Contraindications to physical therapy depending on the specific medical device used in the assigned arm.
  • Presence of motor deficit (for patients with lumbar spine conditions).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    High-Intensity Physical Therapy

    Patients will receive 5 sessions of combined high-intensity physical therapy including rPMS, HIL, and SWT targeted at the affected area (knee, shoulder, or lower back).

    Device: Repetitive Peripheral Magnetic Stimulation (rPMS) · Device: High-Intensity Laser Therapy (HIL) · Device: Extracorporeal Shockwave Therapy (ESWT)

  • Active comparator
    Conventional Physical Therapy

    Patients will receive 5 sessions of combined standard physical therapy including PEMF, therapeutic ultrasound, and electrotherapy targeted at the affected area.

    Device: Pulsed Electromagnetic Field Therapy (PEMF) · Device: Therapeutic Ultrasound (USN) · Device: Electrotherapy (Medium-Frequency Currents)

Interventions

  • DeviceRepetitive Peripheral Magnetic Stimulation (rPMS)

    Application of high-intensity repetitive peripheral magnetic stimulation using the Super Inductive System (SIS) device. The parameters (frequency, intensity) are tailored to the treated anatomical area (knee, shoulder, or lumbar spine) aiming for a motor-threshold intensity (for conditions like gonalgia, impingement syndrome, and chronic lumbosacral syndrome). The therapy is applied over 5 sessions.

    Also known as: Super Inductive System

  • DeviceHigh-Intensity Laser Therapy (HIL)

    Application of a high-intensity laser device. The treatment parameters are set for analgesia, specifically tailored to the anatomical region. The therapy is applied over 5 sessions.

  • DeviceExtracorporeal Shockwave Therapy (ESWT)

    Application of radial extracorporeal shockwave therapy to the affected tissue. Parameters (pressure, frequency, no. of shocks) are region-specific. The therapy is applied over 5 sessions.

  • DevicePulsed Electromagnetic Field Therapy (PEMF)

    Application of conventional low-induction pulsed electromagnetic field therapy using a solenoid applicator. The treatment duration is set to 30 minutes per session, with programs specific to the anatomical region (e.g., gonalgia, periarthritis humeroscapularis, lumbosacral syndrome). The therapy is applied over 5 sessions.

  • DeviceTherapeutic Ultrasound (USN)

    Application of therapeutic ultrasound to the target muscles or tissues. Parameters vary by region (frequency, duty factor, intensity), always applied for 7 minutes per session. The therapy is applied over 5 sessions.

  • DeviceElectrotherapy (Medium-Frequency Currents)

    Application of medium-frequency electrotherapy using a tetrapolar setup with an isoplanar vector field. The treatment duration is 20 minutes per session, targeting the affected anatomical region. The therapy is applied over 5 sessions.

06

What researchers measure

Primary outcomes

  1. Change in Pain Intensity (VAS)

    Pain intensity assessed using the Visual Analogue Scale (0 = no pain, 10 = worst possible pain).

    Time frame: Immediately before each treatment session (Sessions 1 through 5) and immediately following the 5th (final) treatment session (over a period of up to approximately 3 weeks)

Secondary outcomes

  1. Change in Patient-Specific Functional Scale (PSFS)

    Self-reported patient-specific functional status, 5 self-reported activities (0 = unable to perform, 10 = no limitation).

    Time frame: Baseline (Day 1) and at the completion of 5 treatment sessions (up to approximately 3 weeks).

  2. Change in Range of Motion (ROM)

    Objective measurement of joint mobility using a goniometer.

    Time frame: Baseline (Day 1) and at the completion of 5 treatment sessions (up to approximately 3 weeks).

  3. Change in Oswestry Disability Index (ODI)

    Specific functional evaluation for patients with Low Back Pain, 10 questions (0 = no limitations, 5 = unable to perform).

    Time frame: Baseline (Day 1) and at the completion of 5 treatment sessions (up to approximately 3 weeks).

  4. Change in Shoulder Pain and Disability Index (SPADI)

    Specific functional evaluation for patients with shoulder disorders, 5 questions for pain assessment (0 = no pain, 10 = worst possible pain), 8 questions for activities (0 = no limitation, 10 = unable to perform).

    Time frame: Baseline (Day 1) and at the completion of 5 treatment sessions (up to approximately 3 weeks).

  5. Change in Lower Extremity Functional Scale (LEFS)

    Specific functional evaluation for patients with knee disorders, 20 activities (0 = unable to perform, 4 = no limitation).

    Time frame: Baseline (Day 1) and at the completion of 5 treatment sessions (up to approximately 3 weeks).

07

Study locations

1 site
  • Faculty of Physical Education and Sport, Charles University
    Prague, Prague 162 52, Czechia
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08

References and documents

Individual participant data

Plan to share: Yes — Anonymized IPDs will be shared upon a reasonable request.

Supporting information: Study protocol, Informed consent form, Clinical study report

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Jun 2027, 8 months later.

Of 60 industry-sponsored interventional studies with no phase under Low Back Pain, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 40. This study's planned 8 months is below that.

Counting every sponsor, half of 1,256 studies reached it within 11 months; a quarter within 5 and three quarters within 26.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 14, 2026
First posted
Oct 29, 2026
StartEst.
Oct 15, 2026
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
Oct 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07903142
Responsible party
Sponsor
First posted
Oct 29, 2026
Start date
Oct 15, 2026 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Oct 29, 2026

Study contacts

Jan Dobiáš, MD
Contact
dobias@upsl.cz
+420725234439

Oversight

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

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