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
A client with osteoporosis presents for massage. Which technique is most contraindicated for this population?
Answer: Deep percussion over the spine
Deep percussion over the spine is contraindicated in osteoporosis due to the risk of vertebral fractures.
When working with a client who has lymphedema in the right arm, the therapist should:
Answer: Begin proximal and work toward the hand
Manual lymphatic drainage begins proximally to clear lymph nodes before moving distally, facilitating fluid movement toward the trunk.
A pregnant client in her third trimester reports shortness of breath when lying supine. The best position for massage is:
Answer: Semi-reclined at 45 degrees on her left side
Left-lateral semi-reclined positioning reduces aortocaval compression and relieves shortness of breath in late pregnancy.
A client receiving chemotherapy for breast cancer asks for a massage. Which consideration is MOST important before proceeding?
Answer: Obtain oncologist clearance and assess current blood counts
Oncology clearance and knowledge of current blood counts guide safe pressure and technique selection for clients undergoing chemotherapy.
When massaging an infant, the therapist should adjust technique by:
Answer: Using very light pressure and slow, gentle strokes
Infant massage requires very light pressure and gentle strokes because neonatal skin and musculoskeletal structures are delicate.
A geriatric client reports taking warfarin. The massage therapist should:
Answer: Use lighter pressure to reduce bruising risk
Warfarin increases bleeding and bruising risk, so lighter pressure helps prevent subcutaneous hemorrhage.
A client with Type 1 diabetes arrives for massage and mentions they skipped their last meal. The therapist's FIRST action should be:
Answer: Ask the client to eat a snack and recheck before starting
A missed meal in a Type 1 diabetic raises hypoglycemia risk, and ensuring the client has eaten is a safety priority before massage.