AMTA Contraindications and Special Populations 3

Question 1

Massage is contraindicated in the acute phase of which condition?

Accepted Answer

Acute muscle strain within the first 48–72 hours

Answer

During the acute inflammatory phase of muscle strain, massage can worsen tissue damage and increase swelling; rest and ice are preferred initially.

Question 2

A client with a history of rheumatoid arthritis presents with warm, swollen, and painful joints. The appropriate response is to:

Accepted Answer

Avoid the inflamed joints and work on non-affected areas

Answer

Inflamed, swollen joints in active rheumatoid arthritis flare are a local contraindication; massage over them can increase pain and joint damage.

Question 3

Which cardiovascular condition requires physician clearance and modified massage with no stimulating techniques?

Accepted Answer

Recent myocardial infarction (within 4 weeks)

Answer

A recent heart attack means the myocardium is healing and cannot tolerate the increased circulatory demands associated with stimulating massage techniques.

Question 4

When working with a client who has fibromyalgia, the most appropriate adjustment is:

Accepted Answer

Use very light pressure and shorter sessions, monitoring client feedback carefully

Answer

Fibromyalgia clients are hypersensitive to pressure; lighter techniques and shorter sessions reduce the risk of post-massage flare-ups.

Question 5

Which of the following skin conditions is NOT a contraindication for massage?

Accepted Answer

Well-managed, non-inflamed psoriasis

Answer

Well-managed, non-inflamed psoriasis is not contagious and non-acute, so massage over stable plaques is generally acceptable with client permission.

AMTA - American Massage Therapy Association Practice Test

AMTA - American Massage Therapy Association Practice Test

AMTA Contraindications and Special Populations 3