Clinical Observation On The Treatment Of Thoracic Facet Joint Disorder By Holding Head And Pressing Chest Manipulation

Objective: To observe the treatment effect of thoracic facet joint disorder by holding head and pressing chest manipulation,and to compare the efficacy with the treatment of thoracic facet joint disorder by pressing occiput and expanding chest manipulation,in order to provide clinical evidence for the treatment of thoracic facet joint disorder.Methods: 60 patients with thoracic facet joint disorder who diagnosed in Department One of Orthopedics,Xiamen Hospital of T.C.M from January 2018 to December 2018 were selected and randomly divided into control group(30 cases)and experimental group(30 cases).Patients in the experimental group were treated with massage combined with holding head and pressing chest manipulation,while patients in the control group were treated with massage combined with pressing occiput manipulation and expanding chest manipulation.Patients in both groups were treated once a day,and the maximum treatment for 1 week.NRS score,the degree of spinal skewness,the degree of flexion and extension of cervical were compared between the two groups before and after treatment.The data obtained using SPSS 24.0 software for statistical analysis.Results:1.Baseline comparison: there were no statistically significant differences in gender,age,and course of disease between the two groups(P>0.05).Factors above did not affect the experimental results2.Numeric rating scales(NRS): there were statistical differences before and after the treatment of NRS scores in both groups(P<0.05).And the improvement in experimental group was better than control group(P<0.05);3.Thoracic vertebra deviation: there were statistical differences before and after the treatment of spinal deviation in both groups(P<0.05).And the improvement in experimental group was better than control group(P<0.05);4.Cervical flexion and extension activity: Compared flexion degree of cervical,extension degree of cervical and sum of degree and extension degree of experimental group and control group.There were both statistically different before and after treatment in both groups(P<0.05).And all improvement in experimental group was better than control group after the treatment(P<0.05);5.There were statistical differences between the course of treatment between experimental group and control group(P<0.05).Conclusion: Holding head and pressing chest manipulation and pressing occiput expanding chest manipulation are both effective in the treatment of thoracic facet joint disorder of the thoracic spine in terms of pain improvement,the deviation of the thoracic vertebra and the range of motion of the cervical vertebra.Holding head pressing chest manipulation is better than pressing occiput expanding chest manipulation in all aspects of efficacy,and course of treatment of holding head pressing chest manipulation is shorter than pressing occiput expanding chest manipulation.