LMT Pathology & Contraindications 3

Question 1

Which of the following conditions typically allows massage with modifications rather than complete avoidance?

Accepted Answer

Well-controlled Type 2 diabetes

Answer

Active tuberculosis (TB)

Answer

Septicemia (blood poisoning)

Answer

Acute viral hepatitis

Question 2

A client with severe osteoporosis requires which primary modification during massage therapy?

Accepted Answer

Use of very light pressure to minimize the risk of fracture

Answer

Complete avoidance of all massage therapy

Answer

Exclusive use of deep tissue techniques to strengthen bony tissue

Answer

Focusing all massage exclusively on the spinal column

Question 3

When massaging a client with diabetes, which is the most critical special consideration?

Accepted Answer

Checking for areas of decreased sensation, as clients may not accurately report pain

Answer

Avoiding all massage to the lower extremities entirely

Answer

Using only cold hydrotherapy techniques throughout the session

Answer

Avoiding massage to the hands and wrists exclusively

Question 4

The primary concern when considering massage for a client who has cancer is:

Accepted Answer

The theoretical risk of promoting metastasis through increased lymphatic and vascular circulation

Answer

The massage will be mechanically ineffective due to tissue changes

Answer

The client will be too fatigued to tolerate any treatment

Answer

Massage oils may interact negatively with chemotherapy medications

Question 5

Multiple sclerosis (MS) is generally classified as what type of contraindication for massage therapy?

Accepted Answer

Relative contraindication — massage requires modifications and ideally physician input

Answer

Absolute contraindication — massage is never appropriate for MS clients

Answer

No contraindication — massage is fully appropriate without any modification

Answer

Local contraindication — only the spinal region should be avoided

Question 6

Rheumatoid arthritis (RA) during an acute flare is best classified as:

Accepted Answer

A local contraindication — avoid direct massage over inflamed joints; gentle work on unaffected areas may be appropriate

Answer

An absolute contraindication requiring no massage to the entire body

Answer

Not a contraindication if the client provides informed consent

Answer

A contraindication only for the spine and large joints

Question 7

A client is taking prescription anticoagulant medication (blood thinners). Which massage modification is most appropriate?

Accepted Answer

Use light to moderate pressure throughout to reduce the risk of bruising or internal bleeding

Answer

Apply deep tissue massage techniques to improve venous circulation

Answer

Avoid all massage therapy as anticoagulants are an absolute contraindication

Answer

Perform only percussion and tapotement techniques to the extremities