Spinal Fixed-point Rotating Reduction for Treatment of Facet Joint Disorders

Context center dot Facet joint disorder is a series of clinical syndromes that lumbar trauma or degenerative disease can cause, and it can result in lumbar pain and restricted movement. Despite use of conventional Western and traditional Chinese treatments, patients can still experience many clinical symptoms, with no effective improvements in lumbar-spine movement or quality of life. Objective center dot The study intended to investigate the effects of spinal, fixed-point, rotating reduction on the pain levels and daily living abilities of patients with facet joint disorders. Design center dot The research team performed a prospective, randomized controlled study. Setting center dot The study took place at Wuhan Central Hospital, Affiliated to Tongji Medical College, at Huazhong University of Science and Technology in Wuhan, China. Participants center dot Participants were 88 patients with facet joint disorders who had been admitted to the hospital between June 2021 and August 2022. Intervention center dot The research team randomly divided participants into two groups, with 44 participants in each group, using the numerical table method: (1) the intervention group, who received treatment using the spinal, fixed-point, rotating reduction method, and (2) the control group, treated who received treatment using conventional tui-na, acupuncture, and traction. Outcome Measures center dot The research team measured changes: (1) in pain, (2) in lumbar mobility, (3) in lumbarspine function, and (4) in daily living abilities. Results center dot In the comparisons between the groups at baseline, no significant differences existed: (1) in pain levels (P =.656); (2) in forward flexion (P =.982), extension (P =.887), lateral flexion (P =.408), or rotation (P =.888); (3) in the scores for clinical symptoms (P =.982), subjective symptoms (P =.887), or limitations in daily activities (P =.408); or (4) in the scores for daily living abilities (P =.427). In the comparisons between the groups at two weeks postintervention, the intervention group's: (1) pain levels were significantly lower than those of the control group (P <.001); (2) forward flexion, extension, lateral flexion, and rotation were significantly higher than those of the control group (all P<.001); (3) scores for clinical symptoms, subjective symptoms, and limitations in daily activities were significantly better than those of the control group (all P <.001); and (4) scores for daily living abilities were subjective higher than those of the control group (P <.001). Conclusion center dot Spinal, fixed-point, rotating reduction can significantly relieve the pain of patients with facet joint disorders restore their lumbar spine mobility, improve their lumbar spine function, increase their ADL abilities, and facilitate patients' recovery. Practitioners can promote it in clinical practice.