Contraindications and Special Populations Flashcards
7 cards from real AMTA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Contraindications and Special Populations flashcards as text
Massage is contraindicated in the acute phase of which condition?
Answer: Acute muscle strain within the first 48–72 hours
During the acute inflammatory phase of muscle strain, massage can worsen tissue damage and increase swelling; rest and ice are preferred initially.
A client with a history of rheumatoid arthritis presents with warm, swollen, and painful joints. The appropriate response is to:
Answer: Avoid the inflamed joints and work on non-affected areas
Inflamed, swollen joints in active rheumatoid arthritis flare are a local contraindication; massage over them can increase pain and joint damage.
Which cardiovascular condition requires physician clearance and modified massage with no stimulating techniques?
Answer: Recent myocardial infarction (within 4 weeks)
A recent heart attack means the myocardium is healing and cannot tolerate the increased circulatory demands associated with stimulating massage techniques.
When working with a client who has fibromyalgia, the most appropriate adjustment is:
Answer: Use very light pressure and shorter sessions, monitoring client feedback carefully
Fibromyalgia clients are hypersensitive to pressure; lighter techniques and shorter sessions reduce the risk of post-massage flare-ups.
Which of the following skin conditions is NOT a contraindication for massage?
Answer: Well-managed, non-inflamed psoriasis
Well-managed, non-inflamed psoriasis is not contagious and non-acute, so massage over stable plaques is generally acceptable with client permission.
A client undergoing active radiation therapy for cancer mentions their skin is red and tender in the treated area. What should the therapist do?
Answer: Avoid the radiation field entirely and work around it
Irradiated skin is fragile, sensitive, and prone to breakdown; direct massage in the treatment field can cause further skin damage or irritation.
When a client has uncontrolled high blood pressure (hypertension), which massage approach is most appropriate pending physician clearance?
Answer: Gentle, relaxation-focused massage avoiding stimulating techniques
Gentle, parasympathetic-promoting massage can be beneficial for hypertensive clients, but stimulating techniques should be avoided until blood pressure is well managed.