PTOtherJournal of physical therapy science2024

Optimization of Tuina rolling manipulation parameters to promote blood circulation using a circulatory orthogonal experiment.

Yuan Yuan, Huisheng Ma, Shuangyue Li and 6 others

PMID 38694003

WHAT IT FOUND

Rolling Tuina at 4 kg, 120 repetitions/min for 10 min increased blood flow behind the knee immediately, and the effect was gone by 20 min.

It did not measure pain or function.

Key findings

01A rolling manipulation pressure of 4 kg, frequency of 120 repetitions/min, and duration of 10 min was the best combination for increasing popliteal artery blood flow.

02Popliteal artery blood flow increased after rolling manipulation, peaked at 5 minutes, and returned to the pre-treatment level by 20 minutes.

03The healthy group and the coronary heart disease group showed similar blood flow responses after rolling manipulation.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only men were studied, so the optimal settings may not apply to women. The second experiment used only 20 men with coronary heart disease and 20 healthy men. The rolling manipulation could not be double-blind, which may have introduced bias. The study measured popliteal artery blood flow, not pain, function, or recovery. The blood flow effect lasted only 20 minutes after one session.

Declared interests

The study was supported by the National Natural Science Foundation of China, and the authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that rolling Tuina treats coronary heart disease or musculoskeletal symptoms. The study only measured a short-term popliteal artery blood flow increase, and that increase returned to baseline by 20 minutes.

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