飞行人员中常有胸椎小关节紊乱,表现为胸闷、憋气、背部酸痛,椎旁压痛,胸透及心电图正常,胸椎正位片可显示棘突偏歪、小关节不整,也有部分显示正常。治疗方法:患者端坐,两手指交叉相扣,置于脑后。术者立于患者背后。双手握患者两肘,并用一膝顶住患者后背。嘱患者自行扩胸。术者快速将其双肘向后扳动,同时用膝向前顶推,完成扳动牵引 Frequent pilots are thoracic facet joint disorders, manifested as chest tightness, suffocation, back pain, paravertebral tenderness, chest and electrocardiogram normal, anteroposterior thoracic spine can show partial deviation, small joints, and some showed normal. Treatment: Patient sitting, two fingers interlocking, placed in the back of the head. The surgeon stood behind the patient. Hold the patient’s elbows with both hands and with one knee against the patient’s back. Zhu Huanzhe own chest expansion. The surgeon quickly pull the elbows to the back, while pushing forward with the knees forward to complete pulling traction