NCBTMB Massage Application and Techniques Questions and Answers

Question 1

Which of the following massage strokes is a rhythmic lifting, squeezing, and kneading of the tissue, primarily intended to 'milk' metabolic wastes from the muscle and increase local circulation?

Accepted Answer

Petrissage

Answer

Petrissage, derived from the French word for 'to knead,' involves lifting, wringing, and squeezing motions that mechanically pump fluid through tissues. This action is effective for reducing muscle tonicity, increasing circulation, and flushing out metabolic waste products.

Question 2

A client complains of a referral pain pattern consistent with a trigger point in the infraspinatus muscle. Which technique would be most appropriate to directly address the localized nodule of contracted muscle fibers?

Accepted Answer

Ischemic compression applied directly to the tender point

Answer

Ischemic compression involves applying sustained, direct pressure to a trigger point until the tenderness dissipates. This technique is a hallmark of trigger point therapy, designed to temporarily restrict and then restore blood flow, which helps to deactivate the point and resolve the associated referral pattern.

Question 3

Which of the following best describes the primary principle of secure and ethical draping during a massage session?

Accepted Answer

Creating a secure boundary that only exposes the specific area being worked on at any given time

Answer

The core purpose of draping is to ensure client modesty, safety, and warmth while professionally exposing only the part of the body being treated. This creates a clear and secure physical and psychological boundary, fostering trust and relaxation.

Question 4

A client in her third trimester of pregnancy requests a full-body massage to address lower back pain and hip discomfort. Which position is most appropriate and safe for this client?

Accepted Answer

Side-lying, with pillows for support between the knees and under the head and abdomen

Answer

The side-lying position is widely considered the safest and most comfortable for clients in the later stages of pregnancy. It avoids pressure on the abdomen (as in prone) and prevents potential compression of the vena cava, which can occur in the supine position. Proper bolstering with pillows provides support and maintains spinal alignment.

Question 5

A therapist is treating a client with chronic tendinosis. What is the primary therapeutic goal of applying cross-fiber friction to the affected tendon?

Accepted Answer

To create a controlled, therapeutic inflammation and break down restrictive adhesions

Answer

Cross-fiber (or transverse) friction is applied perpendicular to the tissue fibers to break down scar tissue and adhesions. The goal is to create a small, controlled inflammatory response that stimulates fibroblast activity, promoting the formation of strong, mobile collagen fibers and restoring tissue integrity.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Massage Application and Techniques Questions and Answers