Contraindications and Special Populations Flashcards

Which of the following is considered an absolute contraindication for massage therapy?

Answer: Active deep vein thrombosis (DVT)

Active DVT is an absolute contraindication because massage can dislodge the clot and cause a life-threatening pulmonary embolism.

A client arrives with a fever of 102°F. What is the appropriate action for the massage therapist?

Answer: Reschedule the appointment until the fever resolves

Fever indicates systemic infection, and massage can spread pathogens and further stress an already-taxed immune and cardiovascular system.

What is a LOCAL contraindication for massage therapy?

Answer: Open wound on the forearm

An open wound is a local contraindication, meaning massage must avoid that specific area but can be performed on the rest of the body.

Massage over varicose veins is considered:

Answer: A local contraindication requiring avoidance of the area

Varicose veins are fragile and prone to damage; direct pressure can cause injury, pain, or bruising, making the area a local contraindication.

Which skin condition requires the massage therapist to use universal precautions and potentially avoid contact?

Answer: Herpes zoster (active shingles)

Active shingles involves contagious viral lesions; direct contact can spread the virus to the therapist or other body areas of the client.

A client discloses they are taking blood thinners (anticoagulants). Which massage modification is most appropriate?

Answer: Use lighter pressure to reduce bruising risk

Anticoagulants impair clotting, making clients prone to bruising and hematoma formation; lighter pressure reduces this risk while still providing therapeutic benefit.

Which of the following is a systemic contraindication for massage therapy?

Answer: Uncontrolled congestive heart failure

Uncontrolled congestive heart failure is a systemic contraindication because increasing circulation can overload a failing heart.