Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Exploring Integrative Medicine for Back and Neck Pain - A Pragmatic Randomized Clinical Pilot Trial
Brief Summary: Research over the last years have reported an increased popularity of complementary therapies (CTs) and an integration of CTs into mainstream medical settings, health care organizations and insurance plans. These trends may present both new challenges and new opportunities for health care provision. In Sweden and elsewhere, major challenges include the great variety and quality of CT provision within health care and a lack of national and international recommendations of how integrations of CTs with conventional care should be modelled, i.e. lack of conceptual models for delivering integrative medicine (IM). This may partly be a result of a scarce evidence base in support of IM provision within public health care services, e.g. lack of IM compared to usual care in randomised clinical trials. It remains largely unknown whether comprehensive models of IM are clinically or cost effectively different from conventional care provision.

Back and neck pain are costly, conventionally managed in primary care and two of the most common conditions treated by CTs. We have developed a comprehensive collaborative consensus model for IM adapted to Swedish primary care. The aim of this pilot study was to explore the feasibility of a pragmatic randomised clinical trial to investigate the effectiveness of the IM model versus conventional primary care in the management of patients with non-specific back/neck pain.


Options:
A: Arm Label: Deep dry needling; Type: ACTIVE_COMPARATOR; Interventions: Other: Group 1. Deep dry needling | Arm Label: muscle stretch; Type: OTHER; Interventions: Other: Group 1. Deep dry needling, Other: group 2. Passive analitical stretch (performed in both groups) | Intervention Type: OTHER; Name: Group 1. Deep dry needling; Assigned to Arm(s): Deep dry needling, muscle stretch | Intervention Type: OTHER; Name: group 2. Passive analitical stretch (performed in both groups); Assigned to Arm(s): muscle stretch
B: Arm Label: Usual care; Type: ACTIVE_COMPARATOR; Interventions: Procedure: Usual care | Arm Label: Integrative care; Type: ACTIVE_COMPARATOR; Interventions: Procedure: Integrative care | Intervention Type: PROCEDURE; Name: Integrative care; Assigned to Arm(s): Integrative care | Intervention Type: PROCEDURE; Name: Usual care; Assigned to Arm(s): Usual care
C: Arm Label: Standard ED management alone; Type: ACTIVE_COMPARATOR; Interventions: Procedure: Standard ED management alone | Arm Label: Acupuncture plus standard ED management; Type: EXPERIMENTAL; Interventions: Procedure: Acupuncture plus standard ED management | Intervention Type: PROCEDURE; Name: Acupuncture plus standard ED management; Assigned to Arm(s): Acupuncture plus standard ED management | Intervention Type: PROCEDURE; Name: Standard ED management alone; Assigned to Arm(s): Standard ED management alone
D: Arm Label: Dry needling (deep); Type: EXPERIMENTAL; Interventions: Procedure: Dry needling | Arm Label: Dry needling (superficial); Type: ACTIVE_COMPARATOR; Interventions: Procedure: Dry needling | Intervention Type: PROCEDURE; Name: Dry needling; Assigned to Arm(s): Dry needling (deep), Dry needling (superficial)

Answer: B