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Table 1 Acupuncture treatment protocol based on the Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) [29]

From: Efficacy, safety, and cost-effectiveness analysis of adjuvant herbal medicine treatment, Palmijihwang-hwan, for chronic low back pain: a study protocol for randomized, controlled, assessor-blinded, multicenter clinical trial

1. Acupuncture rationale

1a) Acupuncture technique

Traditional Korean medicine theory

1b) Reasoning for treatment provided (based on historical context, literature sources, and/or consensus methods), with where appropriate

Textbook of acupuncture and moxibustion and related articles

1c) Extent of treatment variations

EX-B2 of lesion or upper and lower levels

2. Details of needling

2a) Number of needle insertions per subject per session

Acupuncture points: 15

2b) Names of points used

Local acupuncture points: GV3, EX-B5/bilateral BL23, BL24, BL25, BL26 (total 11 points)

Distal acupuncture points: bilateral BL40, BL60 (total 4 points)

2c) Depth of insertion based on a specified unit of measurement

20–40 mm

2d) Response sought

De-qi (penetrating, sharp, aching and painful sensations)

2e) Needle stimulation

Rotation of the acupuncture needle 3–5 times

2f) Needle retention time

20 min

2 g) Needle type

Sterilized stainless steel needle with 0.25 mm width and 40 mm length (DB108C; Dongbang Medical Co., Boryung-si, South Korea)

3. Treatment regimen

3a) Number of treatment sessions

12 sessions

3b) Frequency and duration of treatment sessions

Twice a week for six weeks

(Total 12 times)

4. Other components of treatment

4a) Details of other interventions used for the treatment group

Lifestyle advice about chronic low back pain

4b) Setting and context of treatment, including instructions to practitioners and information and explanations for patients

Practitioners are instructed to prevent talking with participants

5. Practitioner background

5) Description of participating acupuncturists

Korean medical doctors who are specialist in acupuncture and moxibustion at least three years of experience, or under supervision by a specialist

6. Control interventions

6a) Rationale for the control or comparator in the context of the research question with sources that justify this choice

Textbook of acupuncture and moxibustion and related articles

6b) Precise description of the control or comparator

Same acupuncture treatment in two groups: not applicable

If sham acupuncture or any other type of acupuncture-like control is used, provide details as for items 1–3.

Same acupuncture treatment in two groups