Trial Outcomes & Findings for Effect of VR on Pain and Patient Satisfaction in Adults Receiving GNRFA (NCT NCT05468398)

NCT ID: NCT05468398

Last Updated: 2026-05-22

Results Overview

Peak pain intensity experienced by participants during the genicular RFA procedure was assessed using a Visual Analog Scale (VAS) from 0 (no pain) to 100 (worst imaginable pain). Higher scores indicate greater pain intensity (worse outcome).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

20 minutes

Results posted on

2026-05-22

Participant Flow

Participants were recruited at University of California, Irvine Health's Gottschalk Medical Plaza between December 2020 and September 2024. Due to study scope and completion of planned enrollment, the study closed with 40 enrolled participants.

Of the 40 participants who consented, all were randomized.

Participant milestones

Participant milestones
Measure
Control
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
20
20
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Total
n=40 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=20 Participants
1 Participants
n=20 Participants
4 Participants
n=40 Participants
Age, Categorical
>=65 years
17 Participants
n=20 Participants
19 Participants
n=20 Participants
36 Participants
n=40 Participants
Age, Continuous
73.2 years
STANDARD_DEVIATION 5.2 • n=20 Participants
70.6 years
STANDARD_DEVIATION 8.5 • n=20 Participants
71.9 years
STANDARD_DEVIATION 7.1 • n=40 Participants
Sex: Female, Male
Female
14 Participants
n=20 Participants
11 Participants
n=20 Participants
25 Participants
n=40 Participants
Sex: Female, Male
Male
6 Participants
n=20 Participants
9 Participants
n=20 Participants
15 Participants
n=40 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
20 Participants
n=20 Participants
20 Participants
n=20 Participants
40 Participants
n=40 Participants
Baseline pain intensity was measured using the Visual Analog Scale (VAS)
71.8 units on a scale
STANDARD_DEVIATION 23.04 • n=20 Participants
64.4 units on a scale
STANDARD_DEVIATION 23.5 • n=20 Participants
67.7 units on a scale
STANDARD_DEVIATION 22.5 • n=40 Participants

PRIMARY outcome

Timeframe: 20 minutes

Population: All randomized participants who reported peak pain intensity during the genicular RFA procedure were included in this analysis (n=40). Each participant contributed one measurement of peak procedural pain intensity.

Peak pain intensity experienced by participants during the genicular RFA procedure was assessed using a Visual Analog Scale (VAS) from 0 (no pain) to 100 (worst imaginable pain). Higher scores indicate greater pain intensity (worse outcome).

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Peak Pain Intensity During Genicular RFA Procedure
75.8 units on a scale
Standard Deviation 21.9
70.6 units on a scale
Standard Deviation 22

PRIMARY outcome

Timeframe: Immediately post-genicular RFA procedure (approximately 20 minutes after procedure initiation)

Population: This outcome was assessed only among participants randomized to the VR intervention group, as satisfaction with the VR device was not applicable to control participants. All 20 VR participants provided one post-procedure satisfaction rating and were included in the analysis.

Patient satisfaction with the Virtual Reality (VR) device during the genicular radiofrequency ablation (RFA) procedure was assessed using a Visual Analog Scale (VAS). Participants rated their overall satisfaction immediately following the procedure on a continuous scale ranging from 0 (not satisfied at all) to 100 (extremely satisfied). Higher scores indicate greater satisfaction, representing a better outcome.

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Patient Satisfaction With VR Device
93.4 units on a scale
Standard Deviation 11.5

SECONDARY outcome

Timeframe: During the genicular RFA procedure (approximately 20 minutes)

Population: All 40 participants (20 in the VR group, 20 in the control group) completed the anxiety question during the procedure and were included in this analysis. Anxiety was measured using a 0-100 Visual Analog Scale (VAS), with higher scores indicating greater anxiety.

Patient anxiety during the genicular radiofrequency ablation (RFA) procedure was assessed using a 0-100 VAS. Patients rated their anxiety level during the procedure only, from 0 ("not anxious at all") to 100 ("extremely anxious"). Higher scores indicate a worse outcome (greater anxiety).

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Patient Anxiety During Genicular RFA Procedure
67.5 units on a scale
Standard Deviation 26.6
55 units on a scale
Standard Deviation 24.1

SECONDARY outcome

Timeframe: Immediately post-genicular RFA procedure (approximately 20 minutes after procedure initiation)

Population: Practitioners rated their satisfaction with the procedure using a 0-100 Graphic Rating Scale. Higher scores indicate greater satisfaction. Surveys were completed after each procedure based on the provider's experience with patient behavior and ease of the procedure.

Practitioners' satisfaction with the Virtual Reality (VR) device during the genicular radiofrequency ablation (RFA) procedure was assessed using a 0-100 satisfaction VAS. Providers rated their overall satisfaction immediately following completion of the procedure, from 0 ("not satisfied at all") to 100 ("extremely satisfied"). Higher scores indicate greater satisfaction, representing a better outcome.

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Provider Satisfaction During Procedure
60.8 units on a scale
Standard Deviation 23.16
91.7 units on a scale
Standard Deviation 23.7

SECONDARY outcome

Timeframe: During the genicular RFA procedure (approximately 20 minutes)

The need for additional local anesthetic administration during the genicular radiofrequency ablation (RFA) procedure was assessed as a binary outcome (Yes/No). Providers recorded whether additional local anesthetic was administered beyond the standard initial dose during the procedure.

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Use of Additional Local Anesthetic During Genicular RFA Procedure
Additional local anesthetic required
5 Participants
3 Participants
Use of Additional Local Anesthetic During Genicular RFA Procedure
No additional local anesthetic required
15 Participants
17 Participants

SECONDARY outcome

Timeframe: During the genicular RFA procedure (approximately 20 minutes)

Population: Ratings were based on provider observation and recorded using a 0-100 Graphic rating Scale, where higher scores indicate greater perceived patient pain.

Provider's perception of the patient's pain during the genicular RFA procedure was assessed using a 0-100 VAS. Providers rated their perception of patient pain from 0 ("no perceived pain") to 100 ("extremely severe pain"). Higher scores indicate a worse outcome (higher perceived patient pain).

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Provider Perception of Patient's Pain During Genicular RFA Procedure
70.8 units on a scale
Standard Deviation 25.9
36.9 units on a scale
Standard Deviation 25.2

SECONDARY outcome

Timeframe: Assessed at baseline (participant history of knee RFA within the past 2 years)

Population: All participants included in this analysis are the same as those reported in the Participant Flow.

Participants were asked if they had undergone a previous knee radiofrequency ablation (RFA) procedure prior to the study intervention. Responses were recorded as binary outcomes (Yes/No).

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Prior Knee Radiofrequency Ablation
Prior knee radiofrequency ablation
0 Participants
0 Participants
Prior Knee Radiofrequency Ablation
No Prior knee radiofrequency ablation
20 Participants
20 Participants

SECONDARY outcome

Timeframe: Assessed at baseline (participant history of VR use within the past 2 years)

Population: All participants included in this analysis are the same as those reported in the Participant Flow.

Participants reported if they had previously used Virtual Reality (VR) technology for any reason (e.g., gaming, therapy) before participation in the study. Responses were recorded as binary outcomes (Yes/No).

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Prior Experience With Virtual Reality (VR)
Prior experience with virtual reality
5 Participants
5 Participants
Prior Experience With Virtual Reality (VR)
No prior experience with virtual reality
15 Participants
15 Participants

SECONDARY outcome

Timeframe: Immediately post-procedure (approximately 20 minutes after procedure initiation)

Population: All participants included in this analysis are the same as those reported in the Participant Flow. No participants were excluded from the analysis of VR-related side effects.

Participants were asked immediately after the procedure if they experienced any side effects related to the use of Virtual Reality (VR), such as headache, dizziness, nausea, or palpitations. Responses were recorded as binary outcomes (Yes/No).

Outcome measures

Outcome measures
Measure
Control
n=20 Participants
The control group will receive a genicular RFA with local anesthetic as per the standard-of-care
VR Intervention
n=20 Participants
The VR Intervention group will receive a genicular RFA with local anesthetic as per the standard-of-care and the use of the Soothe VR device. Soothe VR: The Soothe VR system is manufactured by Applied VR. It is a HIPAA-compliant platform and has been validated by randomized control trials. It has not yet been reviewed by the FDA.
Side Effects Associated With Virtual Reality During Genicular RFA Procedure
Experienced VR-related side effects (Yes)
0 Participants
0 Participants
Side Effects Associated With Virtual Reality During Genicular RFA Procedure
No VR-related side effects (No)
20 Participants
20 Participants

SECONDARY outcome

Timeframe: During genicular RFA procedure (intra-procedural)

Population: This outcome was included in the pre-specified study protocol; however, it was not incorporated into the final data collection instruments used during study implementation. Therefore, no data were collected or analyzed for this outcome.

This outcome was pre-specified in the study protocol but was not collected during the study due to an omission in data collection implementation. As a result, no data are available for this outcome, and it was not analyzed.

Outcome measures

Outcome data not reported

Adverse Events

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

VR Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Navid Alem, MD / Principal Investigator

University of California, Irvine

Phone: (949) 413-4950

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place