The movement should be quick, smooth, and nimble, without intermission or interruption Quick movement is the important requirement for this method, otherwise a slow movement is the kneading maneuver with opposite pads of fingers rather than the twisting maneuver.

The manipulation should not be superficial even though it is applied gently; and it should not be sluggish, even if applied forcibly.

Indications: The twisting maneuver is usually applied to fingers, toes, and small joints for treating chronic diseases and local discomfort, and also used to maintain health. It is often in combination with the pinching and pushing maneuvers.