Pathology & Contraindications Flashcards
7 cards from real LMT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pathology & Contraindications flashcards as text
Which of the following conditions typically allows massage with modifications rather than complete avoidance?
Answer: Well-controlled Type 2 diabetes
Well-controlled Type 2 diabetes is a relative contraindication; massage can be performed safely with attention to positioning, pressure levels, and monitoring of the client's response.
A client with severe osteoporosis requires which primary modification during massage therapy?
Answer: Use of very light pressure to minimize the risk of fracture
Severe osteoporosis dramatically increases bone fragility and fracture risk, requiring very light massage pressure especially over bony prominences and the spine.
When massaging a client with diabetes, which is the most critical special consideration?
Answer: Checking for areas of decreased sensation, as clients may not accurately report pain
Diabetic peripheral neuropathy can cause decreased or absent sensation, meaning clients may be unable to accurately report pain or discomfort, requiring the therapist to monitor pressure carefully.
The primary concern when considering massage for a client who has cancer is:
Answer: The theoretical risk of promoting metastasis through increased lymphatic and vascular circulation
The central concern in oncology massage is the theoretical risk that increased circulatory and lymphatic flow, particularly near tumor sites, could facilitate the spread of cancer cells.
Multiple sclerosis (MS) is generally classified as what type of contraindication for massage therapy?
Answer: Relative contraindication — massage requires modifications and ideally physician input
MS is a relative contraindication; massage can provide benefit but requires modifications such as avoiding overheating, using gentle pressure, and ideally obtaining physician clearance.
Rheumatoid arthritis (RA) during an acute flare is best classified as:
Answer: A local contraindication — avoid direct massage over inflamed joints; gentle work on unaffected areas may be appropriate
During an RA flare, acutely inflamed joints are locally contraindicated for massage; however, gentle massage may still be appropriate for unaffected areas of the body with therapist discretion.
A client is taking prescription anticoagulant medication (blood thinners). Which massage modification is most appropriate?
Answer: Use light to moderate pressure throughout to reduce the risk of bruising or internal bleeding
Anticoagulants impair normal clotting, significantly increasing bruising risk; massage should use lighter pressure to prevent tissue trauma, bruising, or potential internal bleeding.