Impact of fixed-point rotational reduction of the spine on pain scores and lower limb motor function in patients with lumbar facet joint disorder.

Objective: This study explores the relieving effect of spinal fixed-point rotation reduction method on pain scores of patients with lumbar facet joint disorder, and analyzes its impact on lower limb motor function.

Methods: Ninety patients diagnosed with lumbar facet joint disorder and admitted to our hospital between February 2022 and February 2024 were selected for this study. Patients were randomly divided into two groups: the intervention group and the control group, each comprising 45 individuals. Patients in the intervention group received treatment involving spinal column fixed-point and rotary reduction. Meanwhile, patients in the control group underwent conventional massage, acupuncture, and traction. The pain score, lumbar Japanese Orthopaedic Association scores (JOA) score, balance ability, 10-meter walk test score, stand walk timing test (TUGT), holder walking function grading, and daily living ability score (ADL) were compared before and after treatment.

Results: Compared to pre-treatment values, both groups showed a significant decrease in VAS values at the beginning and 2 weeks after treatment (P < 0.05). Additionally, the treatment group had significantly lower VAS values than the control group at these time points (P < 0.05). Furthermore, during the two-week follow-up period, both groups exhibited a significant increase in lumbar JOA score, balance ability, 10-meter walking test score, TUGT performance time duration, holder walking function grade, and ADL scores compared to pre-treatment values (P < 0.05). At the two-week follow-up assessment, the fixed point rotation reduction group demonstrated significantly higher JOA scores, balance ability, scores on 10-meter walking tests, TUGT performance times, daily living abilities, and holder walking function grades compared to those in the control group(P < 0.05).

Conclusion: The application of fixed-point rotational reduction of the spine has shown remarkable efficacy in alleviating pain among patients diagnosed with lumbar facet joint disorder. It also facilitates restoration of lumbar mobility, functional improvement, balance enhancement, and patient rehabilitation. These findings highlight its clinical relevance and potential for therapeutic intervention.