Special Populations and Treatment Adaptations Flashcards
7 cards from real NCBTMB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Special Populations and Treatment Adaptations flashcards as text
What is the recommended positioning for a pregnant client in the second or third trimester during massage?
Answer: Side-lying with pillow support
Side-lying positioning avoids compression of the inferior vena cava and is the safest position for second and third trimester clients.
When working with an elderly client who has osteoporosis, which adjustment is most important?
Answer: Use light pressure and avoid high-force techniques
Osteoporosis significantly weakens bone structure, making the client vulnerable to fractures with excessive force or aggressive techniques.
A client with Type 1 diabetes arrives for a massage with a recent insulin injection in the left thigh. What is the most important precaution?
Answer: Avoid massaging the site of the recent insulin injection
Massage increases local circulation and can accelerate insulin absorption from the injection site, potentially causing dangerous hypoglycemia.
Which situation represents a local contraindication for massage in a client undergoing cancer treatment?
Answer: An area currently receiving radiation therapy
Radiation treatment damages and sensitizes tissue in the treatment area, making massage locally contraindicated to avoid further irritation.
Before providing massage to a 14-year-old client, what is the most critical legal requirement?
Answer: Obtain written consent from a parent or legal guardian
Minors lack the legal capacity to provide informed consent, so a parent or legal guardian must consent on their behalf before treatment begins.
A client with fibromyalgia reports extreme sensitivity to touch throughout their body. What is the best initial treatment approach?
Answer: Use very light pressure and check in frequently about client comfort
Fibromyalgia is characterized by central sensitization and widespread hypersensitivity, requiring the therapist to start extremely lightly and adjust based on the client's response.
What type of massage is most appropriate immediately following an athletic competition?
Answer: Post-event sports massage using light, flushing techniques
Post-event sports massage uses light, circulatory techniques to help clear metabolic waste and reduce delayed onset muscle soreness without overworking fatigued muscles.