ClinicalTrials.gg
RecruitingNCT07933094Updated Nov 12, 2026

Combined TECAR/EMS Therapy vs. Standard Manual Therapy for Endometriosis Pelvic Pain

An interventional study of Winback BACK4 - hands-on TECAR+EMS and Winback BACK4 - hands-free Pelvic+ in Endometriosis and Pelvic Pain, sponsored by SWIMS America Corp.. Recruiting at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by SWIMS America Corp. · Not applicable, Interventional, and Treatment

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 169 studies in Endometriosis with a site in United States — 38 open to participants now, 48 under way, 5 of them phase 3. Endometriosis · United States.

Planned enrollment
56th of 131
72 · median 60
Started
2026
with 14 others
No phase
39 of 169
12 open now
Primary completion
2027-03
later than 16 of 47 live
Registered
169th of 169
by date

Among the 169 studies in Endometriosis with a site in United States, this one is the 56th largest by planned enrollment of the 131 interventional ones that give a count, is one of 15 that started in 2026, is one of 39 with no phase, reaches primary completion later than 16 of the 47 other live ones, and was the 169th registered.

Endometriosis

921 studies on the registry are indexed under Endometriosis; 267 are open to participants now.

Browse Endometriosis studies →

Open to participants now

38 of the 169 studies in Endometriosis with a site in United States are open now. Recruiting first, the newest first:

32 more — sign in →

All 38 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 178 Endometriosis studies recruiting now, 52 (29%) set no upper age limit and 124 (70%) stop at 75 or younger; 18 take children under 18; 39 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 169 studies in Endometriosis with a site in United States, or all of them as a file.
02

Study summary

This study compares two ways of delivering a combined radiofrequency (RET), muscle stimulation (Hi-EMS), and pulsed radiofrequency (Hi-TENS) therapy, hands-on by a physical therapist or hands-free using adhesive pads, and compares the combined therapy to hands-on manual therapy alone for pelvic pain in women with endometriosis. Participants attend 8 sessions over 6 weeks.

Read the detailed description

Prospective, randomized, controlled, three-arm, parallel-group, open-label study using a hierarchical (fixed-sequence) analysis. The primary comparison tests whether hands-free delivery (Arm B) is non-inferior to hands-on delivery (Arm A) for change in pelvic pain VAS, using a pre-specified non-inferiority margin. The key secondary comparison tests whether adding the combined modality to hands-on manual therapy (Arm A) reduces pelvic pain more than hands-on manual therapy alone (Arm C). Clinician contact time is matched across arms.

03

Conditions studied

  • Endometriosis
  • Pelvic Pain

Keywords

  • TECAR
  • radiofrequency
  • electrical muscle stimulation
  • manual therapy
  • pelvic floor physical therapy
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
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

  • Women age 18 or older with a diagnosis of endometriosis (surgical/histologic or imaging-based)
  • Pelvic pain attributable to endometriosis
  • Able to attend the 8-session outpatient schedule
  • Able to provide written

Exclusion criteria

Exclusion Criteria:

  • Clinical concern for or diagnosis of May-Thurner syndrome with associated risk of deep vein thrombosis (DVT)
  • Presence of a cardiac pacemaker, implantable cardioverter-defibrillator, or other active implanted electronic device
  • Active or suspected deep vein thrombosis or other uncontrolled clotting disorder
  • Open wound, active infection, or compromised skin integrity at planned electrode sites (suprapubic/lower abdominal region and sacral/gluteal region)
  • Known in the region to be treated
  • Current pregnancy
  • Inability to tolerate electrical stimulation per participant report during device calibration
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

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

Study arms

  • Experimental
    Arm A: Hands-On TECAR+EMS

    Winback BACK4 combined RET/Hi-EMS/Hi-TENS delivered hands-on by the treating clinician (conductive electrode technique) with manual therapy; patient education and home exercise program; 8 sessions over 6 weeks.

    Device: Winback BACK4 - hands-on TECAR+EMS

  • Experimental
    Arm B: Hands-Free Pelvic+

    Winback BACK4 combined RET/Hi-EMS/Hi-TENS delivered via adhesive electrode pads; clinician present for matched session time; patient education and home exercise program; 8 sessions over 6 weeks.

    Device: Winback BACK4 - hands-free Pelvic+

  • Active comparator
    Arm C: Standard of Care

    Hands-on manual pelvic floor physical therapy without the device; matched session time; patient education and home exercise program; 8 sessions over 6 weeks.

    Other: Hands-on manual pelvic floor physical therapy

Interventions

  • DeviceWinback BACK4 - hands-on TECAR+EMS

    Winback BACK4 combined RET/Hi-EMS/Hi-TENS delivered hands-on by the treating clinician (conductive electrode technique) together with manual therapy. 8 sessions over 6 weeks.

  • DeviceWinback BACK4 - hands-free Pelvic+

    Winback BACK4 combined RET/Hi-EMS/Hi-TENS delivered hands-free via adhesive electrode pads, with the clinician present for matched session time. 8 sessions over 6 weeks.

  • OtherHands-on manual pelvic floor physical therapy

    Standard-of-care hands-on manual pelvic floor physical therapy without the device, with matched session time. 8 sessions over 6 weeks.

06

What researchers measure

Primary outcomes

  1. Change in pelvic pain, 0-10 Visual Analog Scale (VAS)

    Change in self-reported pelvic pain intensity on a 0-10 Visual Analog Scale (0 = no pain, 10 = worst pain). Primary comparison: Arm B (hands-free) non-inferior to Arm A (hands-on) with a 2.0-point margin.

    Time frame: Baseline to study exit (6 weeks)

Secondary outcomes

  1. EndoPain4D total and subscale scores

    Endometriosis-specific pain questionnaire; total and subscale scores.

    Time frame: Baseline and 6 weeks

  2. Endometriosis Health Profile-5 (EHP-5)

    Short-form endometriosis-specific quality of life questionnaire.

    Time frame: Baseline and 6 weeks

  3. Central Sensitization Inventory (CSI)

    Validated 25-item self-report questionnaire of symptoms associated with central sensitization.

    Time frame: Baseline and 6 weeks

  4. Fatigue Severity Scale (FSS)

    Self-report scale of fatigue severity.

    Time frame: Baseline and 6 weeks

  5. Working Alliance Inventory-Short Form (WAI-SF)

    Participant-rated therapeutic alliance with the treating clinician.

    Time frame: 6 weeks

  6. Number of participants with adverse events

    Adverse events assessed and documented at every session.

    Time frame: Through 6 weeks

07

Study locations

1 of 1 sites recruiting
  • Inspira Physical Therapy
    Brooklyn, New York 11215, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

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 Nov 2026; primary completion for Mar 2027, 4 months later.

Of 213 interventional studies with no phase under Endometriosis, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 44. This study's planned 4 months is below that.

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

Registered
Nov 5, 2026
First posted
Nov 12, 2026
StartEst.
Nov 2026
Primary completionEst.
Mar 2027
CompletionEst.
Mar 2027
Last update
Nov 12, 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
Nov 12, 2026
Show all 1 update
  1. Nov 12, 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
NCT07933094
Lead sponsor
SWIMS America Corp.
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Nov 2026 (estimated)
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Nov 12, 2026

Study contacts

Melanie Carminati, PT, DPT, GTS, NCPT
Contact
melanie@inspirapt.com
929-295-6566
Melanie Carminati, PT, DPT, GTS, NCPT
principal investigator · Inspira Physical Therapy

Oversight

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

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