Tuina Final Review

Front 1

Tuina Indication

Back 1

any disease disease prevention, anything therapy needle can do, some things needle can’t do (e.g., adjustments), no side effects unlike Western modalities (e.g., pharmaceutical drugs, surgery, steroid shots, etc.), good result for solving problem, not just treating the symptom

Front 2

Tuina Contraindications

Back 2

1)open soft tissue injuries, wounds, bleeding
2)early stage fractures (e.g., fracture is not stabilized, manipulations may move fracture), 6-9 weeks from day of injury
3)local area injured by dermatosis (e.g., autoimmune disease)
4)diseases with hemorrhagic tendency (e.g., hemophilia, splenic rupture)
5)acute infectious diseases (e.g., virus hepatitis, pulmonary TB, bacillary dysentery, late stage AIDS)
6)critical disease of the heart, brain, liver, kidney & other viscera (e.g., shock, myocardial infarction – call 911 don’t touch the patient! Stimulation may cause sudden death)
7)menstruating or pregnant women (scrubbing okay on dysmenorrheal patient) – do not do manipulations that strongly stimulate
8)UB 67, GB 21, LI 4, SP 6 – do not use these points for pregnancy

Front 3

Tuina Cautions

Back 3

1)trimmed fingernails, clean hands, warm hands, no rings
2)observe reaction of patient
3)dizzy or light-headed, have patient lay face up and head lower to promote blood flow; stimulate DU 26, also PC 6 for nausea
4)chronic every other day, acute daily treatment, adapt manipulations, insurance may only cover once a week

Front 4

how many cervical vertebrae?

Back 4

7

Front 5

how many cervical nerve pairs?

Back 5

8

Front 6

Sciatica

Back 6

Straight Leg for sciatica, Bragard’s to check if it’s nerve root, great toe extension (aka dorsiflexion, L4-L5) & plantarflex test (L5-S1)

Front 7

name for test for sciatica?

Back 7

Extension of Great Toe Test (between discs L4-L5, compression of L5 nerve; Flexion of Great Toe Test (between discs L5-S1, compression of S1 nerve)

Front 8

Heel Walking Test

Back 8

Positive between L4-L5 discs, compression of L5

Front 9

Toe Walking Test

Back 9

Positive between L5-S1 discs, compression of S1

Front 10

Frequency of rolling and one-finger meditation?

Back 10

120-160

Front 11

Upward force manipulations?

Back 11

pinching and grasping

Front 12

Patient with DDD radiating to thumb?

Back 12

C6 (between C5 & C6)

Front 13

Index & Middle?

Back 13

C7 (between C6 & C7)

Front 14

Ring & Pinky?

Back 14

C8 (between C8 & T1)

Front 15

Sprained ankle with swelling and inflammation?

Back 15

RICE (rest, ice, compression, elevation)

Front 16

Manipulations with swinging of joints?

Back 16

Kneading, one-finger, rolling

Front 17

Left toothache?

Back 17

Manipulate on Right LI 4

Front 18

What does foraminal distraction test mean – tests for cervical

Back 18

MORE pain indicates muscle spasm pain (no nerve damage) but LESS pain is a positive test, indicating cervical root compression (compression tests are positive result when there is MORE pain) –

Front 19

A positive foraminal distraction test means

Back 19

a lessening in pain and indicates compression of cervical nail compression

Front 20

Positive SLR and Bragard Test indicates

Back 20

sciatic nerve root compression

Front 21

If people with shoulder pain injury experience pain 60 – 120 degrees, this indicates?

Back 21

This indicates damage or tendonitis of supraspinatus tendon

Front 22

If you want to treat children’s indigestion, what is the manipulation?

Back 22

Spinal pinching*, abdominal rubbing

Front 23

What kind of manipulation uses downward force?

Back 23

Acupressure, palm pressure

Front 24

What kind of manipulation moves in only level?

Back 24

Scrubbing, rubbing, pushing

Front 25

Carpal tunnel syndrome

Back 25

use Phalen’s & Tinel’s

Front 26

Dequervain’s syndrome

Back 26

Finkelstein’s test

Front 27

If patient is positive for Lindner’s Sign?

Back 27

Positive sign indicates compression of lumbar nerve roots

Front 28

Positive Ely’s sign indicates what?

Back 28

Irritation of Lumbar Nerve Root: Hip Lesions or Irritation of the Ilopsoas muscle or sheath will make this test impossible

Front 29

Positive Mill’s Test indicates what?

Back 29

1)Tennis elbow, aka lateral epicondylitis
2)Positive Patrick’s Test indicates what? SI Joint Sprain/Strain

Front 30

1)Positive Gaenslen’s Test indicates what?

Back 30

a.Under 90 degrees – Hip Joint Sprain/Strain
b.90 – 120 degrees – SI Sprain/Strain
c.Over 120 degrees – L5/S1 Sprain/Strain

Front 31

Positive Bedside Test indicates what?

Back 31

SI Sprain/Strain

Front 32

Positive Yeoman’s Test indicates what?

Back 32

SI Sprain/Strain