Chapter 6 REVIEW: Indications and Contraindications
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If a client has unusual edema surrounding one ankle that is a contraindication for massage, it means that the massage therapist

  • cannot perform massage on the client.
  • must avoid massaging only the client’s ankle.
  • may massage the client’s ankle area but with caution and perhaps supervision.
  • Any of the above could be true. (correct)
  • A client is receiving therapeutic massage as part of his or her healing process. Should he or she continue with massage after healing is complete to maintain health, the massage will be considered

  • condition management
  • palliative care
  • therapeutic change
  • restorative care (correct)
  • How does the body tend to perform under normal conditions?

  • It generally varies widely from person to person.
  • The body tends to operate at optimal levels of performance.
  • Preference is to operate at peak levels of performance.
  • Physiological mechanisms inhibit the body from functioning at its limits. (correct)
  • Collectively, fatigue, sever pain in the abdomen and arms, and skin eruptions that look like shingles are classified as

    <p>A syndrome</p> Signup and view all the answers

    Hannah is a new mother whose baby has been crying almost nonstop. However, knowing that her mom is coming to help in a few days, Hannah keeps going. By the time her mother arrive, Hannah is lying on the couch exhausted. Which reaction of the general adaptation syndrome does Hannah experience when her mother arrives to help?

    <p>All of the above are true</p> Signup and view all the answers

    Why does Maggie's doctor recommend massage for her prolonged inflammation?

    <p>Massage may facilitate dilution of the irritant by increasing lymphatic flow.</p> Signup and view all the answers

    What type of pain is a client experiencing if massage provides temporary relief for a whiplash injury but the pain returns?

    <p>Chronic</p> Signup and view all the answers

    Which situation causes chronic pain that radiates and follows a specific path?

    <p>Impingement</p> Signup and view all the answers

    What type of pain is described as obscure onset, recurring for indefinite periods, and diffuse and poorly localized?

    <p>Chronic</p> Signup and view all the answers

    Which term describes the use of massage to support clients who wish to function as effectively as possible under given circumstances?

    <p>Condition management</p> Signup and view all the answers

    Which term means any condition that renders a particular treatment harmful?

    <p>&quot;Contraindication&quot;</p> Signup and view all the answers

    "Cutaneous distribution of spinal nerve sensations" is defined as:

    <p>&quot;Dermatome&quot;</p> Signup and view all the answers

    What term describes a state between "not healthy" and "not sick"?

    <p>Dysfunction</p> Signup and view all the answers

    Increased pain response or pain being more painful than it should be is called:

    <p>Hyperalgesia</p> Signup and view all the answers

    Which condition does NOT constitute a medical emergency?

    <p>Diabetes</p> Signup and view all the answers

    In the scope of practice of massage, which approach is the most applicable when pathology is present?

    <p>Referral of the client to his physician may be necessary.</p> Signup and view all the answers

    A client seems a bit pale and fatigued. What question would the massage practitioner be concerned with in applying massage?

    <p>Is illness present.</p> Signup and view all the answers

    Which risk factor for disease does massage influence most strongly?

    <p>Stress</p> Signup and view all the answers

    During assessment, the massage practitioner notices that the client’s left knee is swollen and warm. What cautions does this condition present?

    <p>Inflammatory response</p> Signup and view all the answers

    A client has indications of inflammation with localized pricking and throbbing pain. What condition is most likely?

    <p>Deep skin wound</p> Signup and view all the answers

    Which statement can a massage therapist most accurately say regarding cancer and massage?

    <p>Cancer presents caution, adaptation, and possible supervision.</p> Signup and view all the answers

    A massage therapist notices that a client has a mole on his shoulder that has changed in appearance. Which way is the best for the massage therapist to describe this to the client?

    <p>&quot;The mole on your shoulder has looked somewhat different for the last couple of weeks. I suggest you see your doctor for evaluation.&quot;</p> Signup and view all the answers

    What does the term 'contraindications to massage' refer to?

    <p>Any condition that could render massage harmful</p> Signup and view all the answers

    Which situation is NOT necessarily a reason for referral?

    <p>Being overweight</p> Signup and view all the answers

    What category of care does a client with a long-term condition that causes chronic pain need if they report improved sleep with weekly massages?

    <p>Condition management</p> Signup and view all the answers

    What is the point where a stimulus is perceived as painful known as?

    <p>Threshold</p> Signup and view all the answers

    Which of the following areas of the body are considered endangerment sites?

    <p>Joints</p> Signup and view all the answers

    What event is required for implementing therapeutic change?

    <p>Maintenance of the current condition, with less suffering</p> Signup and view all the answers

    How is the body/mind link best understood?

    <p>Associating with the autonomic nervous system</p> Signup and view all the answers

    Which concept quantifies the benefits of massage?

    <p>Objective criteria</p> Signup and view all the answers

    Which approach should be kept in mind about pathology?

    <p>Massage professionals must be well informed about it to refer or adapt massage</p> Signup and view all the answers

    What is a description of endangerment sites?

    <p>Include the axillary and umbilicus areas</p> Signup and view all the answers

    How can the massage professional assist a client in implementing therapeutic change?

    <p>All of the above</p> Signup and view all the answers

    Which approach is the most healthy if pathology is not present?

    <p>Prevention</p> Signup and view all the answers

    What event is required for implementing therapeutic change?

    <p>Expenditure of energy and resources</p> Signup and view all the answers

    Maggie's doctor recommends massage for her prolonged inflammation. the best reason for this is

    <p>All of the above</p> Signup and view all the answers

    Pain resulting from pressing an area inferior to the ear is most likely a sign of

    <p>pressure to an endangerment sire</p> Signup and view all the answers

    For which pathology would stress be best managed by massage?

    <p>Fibromyalgia</p> Signup and view all the answers

    A client has psoriasis that is being treated by various medications, all of which suppress the immune system somewhat. What cautions are necessary for this client?

    <p>There are general cautions concerning systemic and local infection.</p> Signup and view all the answers

    What is the term for pain on the right side of the neck and right rib cage, front to back?

    <p>Referred pain from the gallbladder and the client should be referred to a physician.</p> Signup and view all the answers

    Which term means any condition that renders a particular treatment harmful?

    <p>Contraindication</p> Signup and view all the answers

    What is the condition characterized by mood disturbances involving exaggerated emptiness, hopelessness, melancholy, or unbridled high energy with no purpose or outcome?

    <p>Depression</p> Signup and view all the answers

    What is the term for cutaneous distribution of spinal nerve sensations, or nerve map?

    <p>Dermatome</p> Signup and view all the answers

    What is an area of the body where nerves and blood vessels are not well protected by muscle and connective tissues called?

    <p>An endangerment site</p> Signup and view all the answers

    Which situation is not necessarily a reason for referral?

    <p>Being overweight</p> Signup and view all the answers

    Study Notes

    Massage Contraindications and Techniques

    • Unusual edema around an ankle contraindicates massage therapy, indicating potential underlying issues.
    • Continuing massage after healing is complete is considered maintenance therapy for health.
    • Chronic fatigue, severe abdominal and arm pain, along with skin eruptions akin to shingles, represent a collective symptomatology.
    • Hannah experiences exhaustion as a result of prolonged stress before receiving assistance, reflecting the body's stress adaptation.

    Pain and Inflammation Insights

    • Prolonged inflammation often warrants massage as a therapeutic approach for relief and recovery.
    • Pain that subsides temporarily with massage but recurs relates to chronic pain conditions.
    • Radiating chronic pain typically follows a specific nerve pathway, indicating possible nerve involvement.
    • Diffuse and poorly localized pain with obscure onset is categorized as chronic pain.

    Massage and Health Support Terms

    • Supportive massage refers to practices that help clients function optimally given their health conditions.
    • Contraindications to massage refer to conditions that make specific treatments harmful to the client.

    Health States and Response

    • A state between “not healthy” and “not sick” is recognized as a health continuum.
    • Heightened pain responses indicate hyperalgesia, where discomfort is amplified beyond normal levels.

    Clinical Practice and Assessment

    • An unwell client may require questions about fatigue levels and overall health before proceeding with massage.
    • Swollen and warm joints convey significant caution for potential inflammation or injury.
    • Localized pricking and throbbing pain likely indicates inflammation or infection in the affected area.

    Massage for Special Conditions

    • Cancer patients can benefit from massage, but care must be taken regarding their specific condition.
    • Observing a changing mole, a massage therapist should delicately encourage the client to consult a healthcare provider.

    Therapeutic Changes and Pain Responses

    • Pain perceived at the threshold known as nociceptive pain indicates injury or dysfunction.
    • Endangerment sites are anatomical areas where nerves and blood vessels are less protected, requiring cautious handling.
    • Therapeutic change necessitates an event or decision point that promotes or facilitates healing or improvement.

    Health Approaches and Implications

    • A healthy approach in the absence of pathology emphasizes preventive care and wellness strategies.
    • Pain from direct pressure below the ear can signify underlying health issues, such as lymphatic or neurological conditions.

    Mental Health and Pain Management

    • Conditions with exaggerated mood fluctuations, like bipolar disorders, characterize mood disturbances related to energy extremes.
    • Stress-related pathologies often respond positively to massage, enhancing overall well-being.

    Notes on Client Conditions

    • Immune-suppressing medications in cases such as psoriasis necessitate caution when considering massage therapy.
    • Right-sided pain in the neck and rib cage could indicate referred pain or specific organ involvement.

    Referral Guidelines

    • Not all client symptoms or situations warrant mandatory referrals; an assessment of severity is necessary.

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    Test your knowledge of indications and contraindications for massage therapy with this multiple-choice quiz. Identify the best choices for different client scenarios.

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