NCBTMB Special Populations and Treatment Adaptations 3

Question 1

A client with rheumatoid arthritis presents with actively inflamed joints during a flare-up. What is the appropriate course of action?

Accepted Answer

Avoid work on inflamed areas and consider rescheduling if the flare is widespread

Answer

Perform deep tissue massage to address the underlying inflammatory cause

Answer

Apply friction techniques directly on the joints to restore mobility

Answer

Use aggressive passive stretching to maintain range of motion

Question 2

What special precaution applies when massaging a client with chronic kidney disease?

Accepted Answer

Use gentle pressure and monitor for signs of bruising or fluid retention

Answer

Apply extra pressure to stimulate kidney filtration function

Answer

Limit all massage sessions to 5 minutes maximum

Answer

Avoid any touch on the lower back region entirely

Question 3

Which trauma-informed care principle is most critical when massaging a client with PTSD?

Accepted Answer

Ensuring the client has control and agency throughout the session

Answer

Maintaining strict standardized protocols without modifications

Answer

Avoiding all physical contact to prevent triggering traumatic memories

Answer

Using vigorous techniques to help the client process traumatic responses physically

Question 4

Deep vein thrombosis (DVT) is considered an absolute contraindication for massage primarily because:

Accepted Answer

Massage could dislodge the clot, potentially causing fatal pulmonary embolism

Answer

Massage has no therapeutic benefit for any circulatory conditions

Answer

The client would experience unacceptable pain during treatment

Answer

Cold application is the only safe intervention for DVT

Question 5

A client who is 32 weeks pregnant requests a full Swedish massage. Which acupressure points should be avoided?

Accepted Answer

GB21 at the shoulder and SP6 at the medial ankle

Answer

LI10 at the forearm and ST36 at the lower leg

Answer

BL23 at the lower back and PC6 at the wrist

Answer

GV14 at the base of the neck and HT7 at the wrist

Question 6

How does aging affect skin integrity, and how should massage technique be adapted?

Accepted Answer

Aging reduces skin elasticity and collagen content, requiring lighter, gentler techniques

Answer

Aging increases skin collagen production, requiring deeper pressure for effectiveness

Answer

Older skin remains resilient; no technique adaptations are typically needed

Answer

Aging skin is thicker and more protective, allowing more vigorous work

Question 7

A client taking warfarin (a blood thinner) requests a deep tissue massage. What is the primary concern?

Accepted Answer

Anticoagulant therapy significantly increases the risk of bruising and hematoma from excessive pressure

Answer

Warfarin interacts chemically with massage lubricants and must be disclosed to the client

Answer

Deep pressure increases warfarin's effectiveness to dangerous levels

Answer

Massage is absolutely contraindicated for any client on anticoagulant medications