[Manipulation treatment for the thoracic postjoint disorder accompanied by symptoms of coronary artery disease]

To evaluate the curative effect of the Feng's manipulation on patient with thoracic postjoint disorder accompanied by symptoms of coronary artery disease.

A total of 180 cases with thoracic postjoint disorder accompanied by symptoms of coronary artery disease were retrospective analyzed from Jan. 2005 to June 2008, included 86 males and 94 females, aged from 18 to 82 years with and average of 43.7 years. The disease course was from 1 d to 40 years with the average of 20.6 months. These patients were divided into 2 groups according to the method of manipulation (group A, n=90) and hot herb (group B, n=90). The patients of group A were treated by manipulation for 1 to 2 times per week. The other group was treated by hot herb for 2 times (20 minutes each time) per day for a month. The symptom and signs (chest distress, precordium pain, cardiopalmus, nape pain, spinous tenderness, tuberculum dolorosum) were compared before and after treatment.

All 180 cases were followed up for from 4 to 36 months with an average of 12.7 months. After 1 months of treatment, the chi2 test showed that there was a significant differences between the manipulation therapy group and the hot herb therapy group, including chest distress (chi2 = 8.9322, P = 0.0028 < 0.05); precordium pain (chi2 = 20.6527, P < 0.0001); cardiopalmus (chi2 = 24.2804, P < 0.0001); nape pain (chi2 = 23.5917, P < 0.0001); spinous tenderness (chi2 = 12.2062, P = 0.0005 < 0.01) and tuberculum dolorosum (chi2 = 4.0261, P = 0.0440 < 0.05).

Manipulation is an effective treatment method for the thoracic post joint disorders.