CAM Flashcards

1
Q

After checking to make sure you are not in danger, you approach a car accident, which victim do you help first? a) An infant crying in their car seat b) A female passenger that appears unconscious c) A female yelling at the bleeding adult d) A young adult that is sitting on the side of the road with a cut on his arm

A

A female passenger that appears unconscious Rationale: After assigning someone (when available) to call 911. Always check the unconscious victim for signs of breathing. Next, move onto the young adult with a cut arm, being aware of the female and the infant getting them to a calm status, instructing them to stay and wait for the paramedics to check them more fully.

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2
Q

Berry is 45 years old and has been skiing all his life. When he was 10, he had a bad crash that slammed his back against a tree trunk. No bones where broken and he could move around just fine and recovered quickly. He knows that the trauma that occured with that accident is the main reason he experiences lower back pain now. What treatment modality addresses emotional well-being and works directly with the relational trauma stored in his nervous system? a) Acupressure b) Active Isolated Stretching c) Attunement Therapy d) Alexander Technique

A

Attunement Therapy Rationale: Attunement Therapy, or Mind-Body Attunement Therapy, creates emotional well-being through working with physiological elements of relational trauma that are stored in the nervous system. Attunement deeply accesses anger, fear, and sadness to gently discharge the energy and replace it with a sense of calm, giving your client the ability to pay close attention to the sensory changes within their body. There are two levels of training. First, a certificate for 90+ hours of training in; identifying & working with disruptive somatic patterns, disturbed cognitive emotional processing, and fragmented sense of self that many traumatized individuals experience. Second, the Diploma addresses complex attachment traumas such as personality disorders, dissociation, and counter transference arising from loss, neglect, abuse, and shame. Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Acupressure: TCM finger or knuckle pressure working along the meridians. Resources: http://www.mind-bodyattunement.com/index.html

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3
Q

You graduated from massage school four years ago. Part of your Massage Theory and Practice class each day was to go through a series of instructor-led movements to warm your body tissues and help keep your body mechanics in proper alignment while you massage. Through the years of your practice you have slowly forgotten all about your self-treatment and are experiencing wrist and shoulder pain. You know it is your posture positions during massage. What Continuing Education class would give you the knowledge to release these detrimental patterns and create pain free movement in your bodywork? a) Aston-Patterning b) Aromatherapy c) Attunement Therapy d Equine Massage

A

Aston-Patterning Rationale: Aston-Patterning is a treatment system that can transform the quality of life for you and your client. The program includes five steps to specializing a session for your client’s unique patterns, specific goals, needs, and interests. Sessions may include massage, movement education, fitness training, postural evaluation, and environmental modifications (i.e. workstations). The five-steps: History, pretesting (walking, standing, sitting, bending, lifting, and reaching), movement education, bodywork (massage, Myo-kinetics, and Artho-kinetics), and ergonomics. Attunement Therapy: Works with physiological elements of relational trauma which are stored in the nervous system. Equine Massage: Horse Massage. Aromatherapy: The science of utilizing highly concentrated extractions from plants to balance, harmonize, and promote the health of the body, mind, and spirit. Resources: http://www.astonkinetics.com/index.php?page=aston-patterning-2

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4
Q

What are Essential Oils? a) Chemical messengers b) Insect deterrent c) Immune system of the plant d) All of the above

A

All of the above Rationale: Essential Oils are the chemical messenger (molecules which serve as a signal) in the plant, an insect deterrent (its own insecticide) and attractant (pheromones). It is also the Immune system of the plant and a plant deterrent- poison to other plants.

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5
Q

. A client comes to you suffering from lower back pain. The client was bending over to take their toddler out of the car seat, and the pain stopped him from moving. He is able to rotate very slowly now without having his back feel like it is not willing to turn anymore. This happened last week and Advil (taken last night) is the only thing he has taken along with 2 trips to the Chiropractor to gain relief. What modality would you add to your therapeutic treatment that will help relieve the client’s pain and induce the body’s natural ability to heal and recover? a) Acupressure b) Aston-Patterning c) Alexander Technique d) Active Isolated Stretching

A

Acupressure Rationale: Acupressure is a complementary alternative medicine that utilizes fingers or knuckles to press meridian points on the surface of the skin to stimulate the body’s natural healing abilities. There are four points that are helpful in Lower back pain; Bladder 60, Spleen 6, Stomach 36, and Kidney 1. Massaging along the channel in the direction of the channel flow is especially effective. Pressure is lightly exerted by the finger or knuckle on the front or side of the neck, over nerves, and around sensory organs. Pressure is held for 30-60 seconds on the local point and 1-2 minutes on the distal points. Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications

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6
Q

A client has been training for the Ironman triathlon which is a month and a half away. She has been swimming her whole life so the 2.4 mile swim is in the bag. The goal to reach the 112 mile bike ride and 26.2 mile run was almost obtained until she was running six mornings ago and felt something painful start to pull on her left Achilles tendon area. She new if she kept going she could ruin her chances of competing. She walked home and iced the area right away. She can walk with low pain and swim just fine, but if she cycles or runs she can feel that painful pull. Of the following treatments, which would be the best application to achieve greater flexibility and range of motion to relieve your client’s painful pull? a) Alexander Technique b) Aston-Patterning c) Acupressure d) Active Isolated Stretching

A

Active Isolated Stretching Rationale: Active Isolated Stretching (AIS), also known as the Mattes Method, is a modality used to provide effective stretching of major muscle groups. A type of athletic stretching method used to lengthen muscles and release the fascia, it restores physiological traits by increasing the function of the superficial and deep fascial layers. To avoid reflexive contractions by the antagonistic muscle group the stretch is repeated no more then 8-10 times, the stretch past the client’s endfield is no longer then 2.0 seconds with no more then one pound of pressure, and the muscle must return to full relaxation or neutral after each stretch. MFR or Myofascial Release techniques include; Direct: Trigger Point (TP), Rolfing, Structural integration. Indirect: Active Isolated Stretching. Acupressure: A TCM working with meridian points. Alexander Technique: Postural Education. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications.

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7
Q

Choose from the following modalities the one that is based off of Chinese medicine and utilizes pressure to specific reflex areas on the feet, ears, and hands that correspond to other parts of the body? a) Shiatsu b) Reiki c) Reflexology d) Ashiatsu

A

Reflexology Rationale: Reflexology is similar to acupressure, it works with the body’s energy flow to stimulate self-healing and maintain balance in physical function. Practitioners use this technique to increase relaxation and stimulate circulation of blood and lymphatic fluids. It is also helpful in cases where local contraindications are implied.

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8
Q

A new client comes to you complaining about pain and range of motion issues in their lower back. They fell down icy stairs 2 years previous and incurred a stress fracture on L4. They have just moved from another state and the previous massage therapist used MFR to obtain pain relief and increase range of motion with success, they would like to continue these treatments. The client can now run five miles three times a week, and would like to get back to their previous 10-15 miles 4-5 times per week with your help. Of the following techniques available to you, which is an example of MFR? a) Alexander Technique b) Active Isolated Stretching c) Acupressure d) Aston-Patterning

A

Active Isolated Stretching Rationale: Active Isolated Stretching (AIS), also known as the Mattes Method, is a modality used to provide effective stretching of major muscle groups. A type of athletic stretching method used to lengthen muscles and release the fascia, it restores physiological traits by increasing the function of the superficial and deep fascial layers. To avoid reflexive contractions by the antagonistic muscle group the stretch is repeated no more then 8-10 times, the stretch past the client’s endfield is no longer then 2.0 seconds with no more then one pound of pressure, and the muscle must return to full relaxation or neutral after each stretch. MFR or Myofascial Release techniques include; Direct: Trigger Point (TP), Rolfing, Structural integration. Indirect: Active Isolated Stretching. Acupressure: A TCM working with meridian points. Alexander Technique: Postural Education. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications.

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9
Q

Why would a patient receiving CPR get gastric distention? a) They ate a spicy meal before the emergency b) Too much air volume during ventilation c) The cricoid cartilage is aligned with the trachea d) The airway is open

A

Too much air volume during ventilation Rationale: Too much air volume as well as an occluded or partially occluded airway may contribute to distention of the abdomen.

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10
Q

When giving CPR the compression and breath cycle is: a) 15 compressions and 2 breaths b) 18 compressions and 3 breaths c) 30 compressions and 4 breaths d) 30 compressions and 2 breaths

A

30 compressions and 2 breaths Rationale: The CPR cycle and rate are 30 compressions and 2 breaths with 30 compressions in about 18 seconds, about 100 compressions per minute. The old compression rate was 15/2 but now across the board for laymen it is 30/2 for adult, youth and infant. Here is a link for more information: http://www.americanheart.org/downloadable/heart/1132621842912Winter2005.pdf

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11
Q

. In a ninth century temple carving in India, who can be found getting a massage? a) Ambroise Pare b) Buddha c) Galen of Rome d) Yellow Emperor

A

Buddha Rationale: Buddha is depicted in a ninth century temple carving in India getting a massage. The Hindi term champna means to press or massage and is highly thought to be the origin of the word shampooing, a word used by English writers to describe a wash, rub, or lathering of the hair.

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12
Q

With first aid guidelines, an adult is one who is: a) 12 years of age or older b) 18 years of age or older c) 20 years of age or older d) 16 years of age or older

A

12 years of age or older Rationale: For first aid purposes, an adult is defined as a person who is about 12 years of age or older. For first aid purposes, a child is defined as a person who is between the ages of about 1-12 years of age. For first aid purposes, an infant is defined as a person who is less than 1 year of age

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13
Q

How long does a rescue breath last? a) 3 seconds b) 1 second c) 2 seconds d) 4 seconds

A

1 second Rationale: If longer then 1 second, you may cause air to be forced into the stomach of the victim if you breathe too long, too hard, or don’t open the airway far enough. Air in the stomach can cause the person to vomit and make it hard for the diaphragm to move.

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14
Q

When there is a choking or breathing emergency and the person is conscious and unable to cough, speak or breath, you will need to: a) Perform a foreign object look/removal b) Give four rescue breaths c) Wait 10 seconds to check for signs of breathing d) Give back blows and abdominal thrusts

A

Give back blows and abdominal thrusts Rationale: If a person is conscious and cannot cough, speak or breath it is safe to assume their airway is blocked. Give back blows and abdominal thrusts to open the airway.

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15
Q

What is the term for massage in the islands of Tonga? a) Lomi-lomi b) Fota and toogi-toogi c) Tafua d) Fai-Fai

A

Fota and toogi-toogi Rationale: Fota and toogi-toogi are the terms used to describe massage in Tonga. Hawaiian massage is Lomi-lomi.

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16
Q

Which of the modalities is translated to mean “sacred life force” and is a 20th century treatment originating from Japan? a) Shiatsu b) Reiki c) Reflexology d) Ashiatsu

A

Reiki Rationale: Reiki Healing or Usui system was developed in Japan by Mikao Usui. This modality utilizes 12 positions on the body where the practitioner’s hands are placed on or just above to activate the healing energy. The Ki or life force (Qi in Chinese medicine) in each of the 12 positions is strengthened to harmonize the flow throughout the body.

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17
Q

The American Association of Masseurs and Masseuses was formed in what year? a) 1920 b) 1943 c) 1894 d) 1900

A

1943 Rationale: The American Association of Masseurs and Masseuses was formed in 1943. It is now known as the AMTA American Massage Therapy Association.

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18
Q

When performing a rescue breath, the breath you give should last how long for an adult? a) 1 second b) 2 seconds c) 4 seconds d) 3 seconds

A

1 second Rationale: You may cause air to be forced into the stomach of the victim if you breathe too long, too hard or don’t open the airway far enough. Air in the stomach can cause the person to vomit and make it hard for the diaphragm to move.

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19
Q

Your client was recently diagnosed by his Family Physician to have Plantar Fasciitis. His monthly massages have always focused on his lower back pain, he never mentioned his foot pain because he thought it was unrelated and that massage wouldn’t be able to help. He has been given a prescription for orthotics and his appointment is in two months. The pain is so bad he is now wondering if there is anything you can do or if there is homework that can be done to receive relief. What technique would be the best application to improve full flexibility and structure alignment of your client’s feet and ankles? a) Active Isolated Stretching b) Aston-Patterning c) Acupressure d) Alexander Technique

A

Active Isolated Stretching Rationale: Active Isolated Stretching (AIS), also known as the Mattes Method, is a modality used to provide effective stretching of major muscle groups. A type of athletic stretching method used to lengthen muscles and release the fascia, it restores physiological traits by increasing the function of the superficial and deep fascial layers. To avoid reflexive contractions by the antagonistic muscle group the stretch is repeated no more then 8-10 times, the stretch past the client’s endfield is no longer then 2.0 seconds with no more then one pound of pressure, and the muscle must return to full relaxation or neutral after each stretch. MFR or Myofascial Release techniques include; Direct: Trigger Point (TP), Rolfing, Structural integration. Indirect: Active Isolated Stretching. Acupressure: A TCM working with meridian points. Alexander Technique: Postural Education. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications.

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20
Q

Emma’s stress levels have been extreme for the past three months. Life is beginning to return to normal. However she can’t seem to focus on her work and there is a rash forming on her posterior proximal arms. She would like to be rid of the feeling of imbalance in her life. What modality would you recommend that can decrease or eliminate the influence of these stressors to prevent illness and promote wellness? a) Active Isolated Stretching b) Orthopedic Massage c) Body Rolling d) Ayurvedic Bodywork

A

Ayurvedic Bodywork Rationale: Ayurvedic= ayus meaning “life” or “life principle,” and the word veda, which refers to a system of “knowledge” or “study,” roughly translates to the “knowledge of life.” Treatment assessment includes Ayurvedic Doshas (Vata, Pitta, and Kapha) and Ayurvedic Five elements (Ether, Air, Fire, Water, and Earth). Treatments include diet, herbs, exercises (various forms of yoga), and hands-on techniques. Eastern approaches are geared toward prevention and treatment of root causes. The Western approach is to suppress the symptoms. Ayurvedic medicine stresses self-care and finding your individual approach to well-being. Ayurvedic recognizes psychological, physiological, and emotional causes of disease. Health is the result of balancing harmony between mind, body, and soul (the body cannot be cured without obtaining a healthy mind and soul). Stresses can be balanced within the Five Elements and harmony between one’s lifestyle and archetype. It is good to recognize when you need to refer your client out to another practitioner. Resources: “Zumr, Zdenek LAc. Introduction to Oriental Medicine through Charts and Graphs. The Missing Charts Manual (2nd Edition). Oregon Lithoprint Inc., 2005.”

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21
Q

Dianne fell two days ago. She went to the hospital and was diagnosed with a small wrist sprain. They gave her an ace bandage and told her to ice it. Her wrist has been extremely swollen and she can’t seem to get relief from just applying ice to it. What treatment modality is useful in anti-inflammation? a) Aromatherapy b) Aston-Patterning c) Attunement Therapy d) Equine Massage

A

Aromatherapy Rationale: When essential oils are inhaled the olfactory receptor cells are stimulated which sends messages to the emotional center (limbic system). Aromatherapy is the science of utilizing the highly concentrated extractions from plants. The National Association of Holistic Aromatherapy (NAHA) defined aromatherapy as the art and science of utilizing naturally extracted aromatic essences from plants to balance, harmonize, and promote the health of the body, mind, and spirit. The American Heritage Dictionary’s definition of Aromatherapy is the use of selected fragrant substances in lotions and inhalants in an effort to affect mood and promote health. Only 400 of the 300,000 documented plant species in the world can be used in Therapeutic Aromatherapy. 5,000 of plant species contain the chemical compound terpenes. Terpenes are a large and varied class of hydrocarbon, an organic compound consisting entirely of hydrogen and carbon. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications. Attunement Therapy: Works with physiological elements of relational trauma which are stored in the nervous system. Equine Massage: Horse Massage. Resources: http://www.essentialoils.co.za/components.htm

22
Q

Marissa, a full time Juilliard Vocal student loves her monthly therapeutic massage. She has been coming for a whole year so you know her tissues fairly well. Just recently she suffered from a bad bronchitis infection and can not seem to come close to working her voice to its full potential. Of the following treatment techniques, which one could give Marissa the most benefits along with knowledge and understanding of regaining and improving upon her talents? a) Alexander Technique b) Amma c) Active Isolated Stretching d) Acupressure

A

Alexander Technique Rationale: The Alexander Technique promotes education in movement to improve posture and adjust conditioned patterns of movement. An Australian actor named F. M. Alexander in the 1800s developed this technique. He discovered that misuse of the neuromuscular activity of the head, neck, and spine caused maladaptive functioning and found that this could be corrected. Amma: TCM Deep Massage working with meridians. Acupressure: TCM finger or knuckle pressure working along the meridians. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia.

23
Q

What are the ABC’s of checking an unconscious person in first aid/CPR? a) Airway, Breathing and Circulation b) Airway, Breathing and Cardiac c) Airway, Bleediing and Circulation d) Airway, Binding and Check

A

Airway, Breathing and Circulation Rationale: The ABC’s stand for Airway: open the airway. Breath: check for movement and Circulations. Circulation: check for signs of life.

24
Q

Moving a seriously injured person is only allowed if: a) You are faced with immediate danger b) You need to get to another more seriously injured person c) You need movement to provide proper care d) All of the above

A

All of the above Rationale: Moving a seriously injured person is only allowed if you are faced with immediate danger, or you need to get to another more seriously injured person, or you need movement to provide proper care.

25
Q

When checking a conscious adult for the purposes of first aid, what must you do first? a) Check the scene then identify yourself and your qualifications asking for permission to touch them to assess their condition while they remain as still as possible b) Feel the person’s forehead with the back of your bare hand for temperature and moisture c) Have them rest comfortably until EMS personnel arrive d) Ask them what happened and if they have any allergies

A

Check the scene then identify yourself and your qualifications asking for permission to touch them to assess their condition while they remain as still as possible Rationale: When checking an ill or injured adult (12 years or older) that is conscious, the first thing is to make sure the scene is safe. If it is, you must identify yourself and ask permission to help. If the condition is life-threatening call 9-1-1.

26
Q

Who would you help first when injuries at a construction site occurred? a) An adult who has broken his arm and is bleeding b) A male stumbling from the scene c) A person asking for ice to put on his ankle and help up d) A female calmly holding her head and breathing

A

A male stumbling from the scene Rationale: Check the scene, assigning some one (when available) to call 911 and care for the victims. The person who is stumbling away may be in shock and the most hurt. Bring him close to the other victims to check for major injuries. Then perform first aid on the broken/ bleeding arm then check the others.

27
Q

Pat is experiencing an increase in lower back pain. He can not pinpoint any specific injury or posture, it is just painful. While in the treatment, he mentions that there is a particular gentleman at work that gives him added stress with his non-compliance to office procedures. This gentlemen is supposed to finish documents that will support Pat’s work and complete the paperwork process. You ask if he might think there is a correlation between his unexplained lower back pain and his long work history with his co-worker. His initial response was no, but five minutes later he confirms that with each bout of increased lower back pain, it happens right when he is waiting on his co-worker to finish the paperwork. Now that you know there is some emotional trauma inducing symptoms, what treatment modality would effectively disrupt Pat’s somatic patterning?

a) Attunement Therapy
b) Acupressure
c) Alexander Technique
d) Active Isolated Stretching

A

Attunement Therapy

Rationale: Attunement Therapy, or Mind-Body Attunement Therapy, creates emotional well-being through working with physiological elements of relational trauma that are stored in the nervous system. Attunement deeply accesses anger, fear, and sadness to gently discharge the energy and replace it with a sense of calm, giving your client the ability to pay close attention to the sensory changes within their body. There are two levels of training. First, a certificate for 90+ hours of training in; identifying & working with disruptive somatic patterns, disturbed cognitive emotional processing, and fragmented sense of self that many traumatized individuals experience. Second, the Diploma addresses complex attachment traumas such as personality disorders, dissociation, and counter transference arising from loss, neglect, abuse, and shame. Alexander Technique: Postural education. Active Isolated Stretching:Athletic stretching method used to lengthen muscles and release the fascia. Acupressure: TCM finger or knuckle pressure working along the meridians.

Resources: http://www.mind-bodyattunement.com/index.html

28
Q

Bill has been forgetting small but important things lately. He feels a little anxious and restless and can’t pinpoint a reason why. His digestion is also leaving him bloated and gassy. He would like to get his energy and proper thinking back. He would also like to learn how to balance his stress, diet, and exercise on his own. What treatment modality will help give Bill the knowledge he seeks? a) Orthopedic Massage b) Active Isolated Stretching c) Body Rolling d) Ayurvedic Bodywork

A

Ayurvedic Bodywork Rationale: Ayurvedic= ayus meaning “life” or “life principle,” and the word veda, which refers to a system of “knowledge” or “study,” roughly translates to the “knowledge of life.” Treatment assessment includes Ayurvedic Doshas (Vata, Pitta, and Kapha) and Ayurvedic Five elements (Ether, Air, Fire, Water, and Earth). Treatments include diet, herbs, exercises (various forms of yoga), and hands-on techniques. Eastern approaches are geared toward prevention and treatment of root causes. The Western approach is to suppress the symptoms. Ayurvedic medicine stresses self-care and finding your individual approach to well-being. Ayurvedic recognizes psychological, physiological, and emotional causes of disease. Health is the result of balancing harmony between mind, body, and soul (the body cannot be cured without obtaining a healthy mind and soul). Stresses can be balanced within the Five Elements and harmony between ones lifestyle and archetype. It is good to recognize when you need to refer your client out to another practitioner. Resources: “Zumr, Zdenek LAc. Introduction to Oriental Medicine through Charts and Graphs. The Missing Charts Manual (2nd Edition). Oregon Lithoprint Inc., 2005.”

29
Q

Alayna fell off a two story balcony when she was a baby. She had no visible trauma or broken bones. Her parents believe she may have hit her head but no one saw the impact. Thirty-two years later that is the only trauma that could be related to her lower back pain. If she does not exercise at least 3-5 times a week, her back has the tendency to lock up on her making it difficult to perform her daily tasks. What modality can you refer her to that can address emotional well-being and also works directly with the relational trauma stored in her nervous system? a) Alexander Technique b) Attunement Therapy c) Active Isolated Stretching d) Acupressure

A

Attunement Therapy Rationale: Attunement Therapy, or Mind-Body Attunement Therapy, creates emotional well-being through working with physiological elements of relational trauma that are stored in the nervous system. Attunement deeply accesses anger, fear, and sadness to gently discharge the energy and replace it with a sense of calm, giving your client the ability to pay close attention to the sensory changes within their body. There are two levels of training. First, a certificate for 90+ hours of training in; identifying & working with disruptive somatic patterns, disturbed cognitive emotional processing, and fragmented sense of self that many traumatized individuals experience. Second, the Diploma addresses complex attachment traumas such as personality disorders, dissociation, and counter transference arising from loss, neglect, abuse, and shame. Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Acupressure: TCM finger or knuckle pressure working along the meridians. Resources: http://www.mind-bodyattunement.com/index.html

30
Q

Your client was wondering if you could refer him to some place that can help with his hair loss. You have read about a treatment modality that helps identify what body type you are in order to give you the most effective nutrition, exercise, and herbs to help treat hair loss. What is the name of that modality? a) Ayurvedic Bodywork b) Active Isolated Stretching c) Body Rolling d) Orthopedic Massage

A

Ayurvedic Bodywork Rationale: Ayurvedic= ayus meaning “life” or “life principle, and the word veda, which refers to a system of “knowledge” or “study”, roughly translates to the “knowledge of life”. Treatment assessment includes Ayurvedic Doshas (Vata, Pita, and Kapha) and Ayurvedic Five elements (Ether, Air, Fire, Water, and Earth). Treatments include diet, herbs, exercises (various forms of yoga), and hands-on techniques. Eastern approaches are geared toward prevention and treatment of root causes. The Western approach is to suppress the symptoms. Ayurvedic medicine stresses self-care and finding your individual approach to well-being. Ayurvedic recognizes psychological, physiological, and emotional causes of disease. Health is the result of balancing harmony between mind, body, and soul (the body cannot be cured without obtaining a healthy mind and soul). Stresses can be balanced within the Five Elements and harmony between ones lifestyle and archetype. It is good to recognize when you need to refer your client out to another practitioner. Resources: “Zumr, Zdenek LAc. Introduction to Oriental Medicine through Charts and Graphs. The Missing Charts Manual (2nd Edition). Oregon Lithoprint Inc., 2005.”

31
Q

Stan was playing basketball and sprained his medial deltoid ligament on his right ankle when an opponent landed on his foot while he was cutting left after a rebound. It was three days ago and he didn’t want to cancel his appointment but would like you to address it in any way possible. Of the following techniques available from your tool belt, which would use specific points along meridians to promote and restore the body’s natural healing abilities? a) Alexander Technique b) Aston-Patterning c) Amma d) Active Isolated Stretching

A

Amma Rationale: Am-ma (Japanese)= Push-Pull, derived from the Chinese word for massage= ANma. Combines deep tissue (pressure, friction, & touch) to specific points along the meridians to balance the movement of energy within the body in order to restore, promote, and maintain optimum health. The nervous, circulatory, lymphatic, & respiratory systems are affected, allowing your body to function productively. Amma Therapists rely primarily upon the sensitivity and strength of their hands. Sessions are usually 45 to 90 minutes long with a health intake interview and assessment that also may include exercise recommendations, holistic nutrition, vitamin supplements, or herbal formulas. Asian approaches focus on eliciting responses from the nervous and circulatory systems: Amma, Thai massage, Tui-na, watsu, shiatsu, acupressure, jin shin, do-in, hoshino, and Tibetan point holding (not an all-inclusive list). Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications

32
Q

What is the name of the modality that helps to relieve pain and dysfunction by alleviating the underlying cause and utilizing soft-tissue manipulation to balance the body’s central nervous system?

a) Neuromuscular Therapy
b) Myofascial Release (MFR)
c) Polarity Therapy
d) Orthopedic Massage

A

Neuromuscular Therapy

Rationale: Neuromuscular Therapy manipulates soft-tissue to balance the body’s central nervous system. This comprehensive program is based on neurological laws that explain how the central nervous system initiates and maintains pain. The practitioner’s goal is to help relieve pain and dysfunction by alleviating the underlying cause.

33
Q

Marissa, a full time Juilliard Vocal student loves her monthly therapeutic massage. She has been coming for a whole year so you know her tissues fairly well. Just recently she suffered from a bad bronchitis infection and can not seem to come close to working her voice to its full potential. Of the following treatment techniques, which one could give Marissa the most benefits along with knowledge and understanding of regaining and improving upon her talents?

a) Acupressure
b) Amma
c) Alexander Technique
d) Active Isolated Stretching

A

Alexander Technique

Rationale: The Alexander Technique promotes education in movement to improve posture and adjust conditioned patterns of movement. An Australian actor named F. M. Alexander in the 1800s developed this technique. He discovered that misuse of the neuromuscular activity of the head, neck, and spine caused maladaptive functioning and found that this could be corrected. Amma: TCM Deep Massage working with meridians. Acupressure: TCM finger or knuckle pressure working along the meridians. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia.

34
Q

Dianne fell two days ago. She went to the hospital and was diagnosed with a small wrist sprain. They gave her an ace bandage and told her to ice it. Her wrist has been extremely swollen and she can’t seem to get relief from just applying ice to it. What treatment modality is useful in anti-inflammation?

a) Aston-Patterning
b) Aromatherapy
c) Attunement Therapy
d) Equine Massage

A

Aromatherapy

Rationale: When essential oils are inhaled the olfactory receptor cells are stimulated which sends messages to the emotional center (limbic system). Aromatherapy is the science of utilizing the highly concentrated extractions from plants. The National Association of Holistic Aromatherapy (NAHA) defined aromatherapy as the art and science of utilizing naturally extracted aromatic essences from plants to balance, harmonize, and promote the health of the body, mind, and spirit. The American Heritage Dictionary’s definition of Aromatherapy is the use of selected fragrant substances in lotions and inhalants in an effort to affect mood and promote health. Only 400 of the 300,000 documented plant species in the world can be used in Therapeutic Aromatherapy. 5,000 of plant species contain the chemical compound terpenes. Terpenes are a large and varied class of hydrocarbon, an organic compound consisting entirely of hydrogen and carbon. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications. Attunement Therapy: Works with physiological elements of relational trauma which are stored in the nervous system. Equine Massage: Horse Massage.

Resources: http://www.essentialoils.co.za/components.htm
________________________________________

35
Q

The word massage is derived from:

a) The Swedish word for relaxation
b) Greek
c) The Hindi term champna
d) The Japanese word for shiatsu

A

Greek

Rationale: The American and European physicians accepted origin terms are the Greek “messein” to knead or Arabic “mass” press softly. Found in Douglas Graham’s book “History of Massage”.

36
Q
  1. Ron (45) has limited range of motion in his thoracic vertebra and ribs. You are on your tenth treatment when you finally are not taking all your time focusing on his main complaint and preferred focus condition of his anterior and posterior bilateral shoulder hypertonicity. With your remaining time you ask if you can work on releasing his ribs. During the treatment you notice a scar parallel and just inferior to his left rib cage. You ask and he explains that he was stabbed when he was 18 years old. His previous response to your treatments was slow and now that you have identified his disruptive somatic pattern, you may address it more fully. What treatment modality works with the nervous system in creating well-being with physiological elements of trauma?

a) Attunement Therapy
b) Active Isolated Stretching
c) Alexander Technique
d) Acupressure

A

Attunement Therapy

Rationale: Attunement Therapy, or Mind-Body Attunement Therapy, creates emotional well-being through working with physiological elements of relational trauma that are stored in the nervous system. Attunement deeply accesses anger, fear, and sadness to gently discharge the energy and replace it with a sense of calm, giving your client the ability to pay close attention to the sensory changes within their body. There are two levels of training. First, a certificate for 90+ hours of training in; identifying & working with disruptive somatic patterns, disturbed cognitive emotional processing, and fragmented sense of self that many traumatized individuals experience. Second, the Diploma addresses complex attachment traumas such as personality disorders, dissociation, and counter transference arising from loss, neglect, abuse, and shame. Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Acupressure: TCM finger or knuckle pressure working along the meridians.

Resources: http://www.mind-bodyattunement.com/index.html

37
Q

A client comes to you suffering from lower back pain. The client was bending over to take their toddler out of the car seat, and the pain stopped him from moving. He is able to rotate very slowly now without having his back feel like it is not willing to turn anymore. This happened last week and Advil (taken last night) is the only thing he has taken along with 2 trips to the Chiropractor to gain relief. What modality would you add to your therapeutic treatment that will help relieve the client’s pain and induce the body’s natural ability to heal and recover?

a) Active Isolated Stretching
b) Aston-Patterning
c) Alexander Technique
d) Acupressure

A

Acupressure

Rationale: Acupressure is a complementary alternative medicine that utilizes fingers or knuckles to press meridian points on the surface of the skin to stimulate the body’s natural healing abilities. There are four points that are helpful in Lower back pain; Bladder 60, Spleen 6, Stomach 36, and Kidney 1. Massaging along the channel in the direction of the channel flow is especially effective. Pressure is lightly exerted by the finger or knuckle on the front or side of the neck, over nerves, and around sensory organs. Pressure is held for 30-60 seconds on the local point and 1-2 minutes on the distal points. Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications.

38
Q

One of your clients has been an avid walker for the past 20 years. Recently she has been complaining of an annoying pain in her right hamstring, right in the middle of all three muscle bellies. She has tried her yoga stretches and ice but it seems to be getting worse each time she walks. She didn’t fall or remember any injury with its gradual starting point and cant figure out what to do. Her massage last month did help for a few days, but now the pain is worse then it ever has been. Your last treatment you used TP work, what technique would you add to this treatment?

a) Acupressure
b) Aston-Patterning
c) Active Isolated Stretching
d) Alexander Technique

A

Active Isolated Stretching

Rationale: Active Isolated Stretching (AIS), also known as the Mattes Method, is a modality used to provide effective stretching of major muscle groups. A type of athletic stretching method used to lengthen muscles and release the fascia, it restores physiological traits by increasing the function of the superficial and deep fascial layers. To avoid reflexive contractions by the antagonistic muscle group the stretch is repeated no more then 8-10 times, the stretch past the client’s endfield is no longer then 2.0 seconds with no more then one pound of pressure, and the muscle must return to full relaxation or neutral after each stretch. MFR or Myofascial Release techniques include; Direct: Trigger Point (TP), Rolfing, Structural integration. Indirect: Active Isolated Stretching. Acupressure: A TCM working with meridian points. Alexander Technique: Postural Education. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications.

39
Q

Henry has diabetes and his joints are becoming stiff and achy. What modality listed, utilizes specific meridian points that can assist the healing process and promote relief from symptoms?

a) Amma
b) Aston-Patterning
c) Alexander Technique
d) Active Isolated Stretching

A

Amma

Rationale: Am-ma (Japanese)= Push-Pull, derived from the Chinese word for massage= ANma. Combines deep tissue (pressure, friction, & touch) to specific points along the meridians to balance the movement of energy within the body in order to restore, promote, and maintain optimum health. The nervous, circulatory, lymphatic, & respiratory systems are affected, allowing your body to function productively. Amma Therapists rely primarily upon the sensitivity and strength of their hands. Sessions are usually 45 to 90 minutes long with a health intake interview and assessment that also may include exercise recommendations, holistic nutrition, vitamin supplements, or herbal formulas. Asian approaches focus on eliciting responses from the nervous and circulatory systems: Amma, Thai massage, Tui-na, watsu, shiatsu, acupressure, jin shin, do-in, hoshino, and Tibetan point holding (not an all-inclusive list). Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications.

40
Q

You have a client who has been coming in once a month with the same chronic pain for two years. Even though your client feels you have helped stop the pain from progressing, your knowledge and experience is not effective in releasing the holding patterns (BL Shoulders). You know of a practitioner that can help with releasing the holding patterns so he will be able to create new movement. What treatment modality practitioner would you refer your client to?

a) Attunement Therapy
b) Aromatherapy
c) Equine Massage
d) Aston-Patterning

A

Aston-Patterning

Rationale: Aston-Patterning is a treatment system that can transform the quality of life for you and your client. The program includes five steps to specializing a session for your client’s unique patterns, specific goals, needs, and interests. Sessions may include massage, movement education, fitness training, postural evaluation, and environmental modifications (i.e. workstations). The five-steps: History, pretesting (walking, standing, sitting, bending, lifting, and reaching), movement education, bodywork (massage, Myo-kinetics, and Artho-kinetics), and ergonomics. Attunement Therapy: Works with physiological elements of relational trauma which are stored in the nervous system. Equine Massage: Horse Massage. Aromatherapy: The science of utilizing highly concentrated extractions from plants to balance, harmonize, and promote the health of the body, mind, and spirit.

Resources: http://www.astonkinetics.com/index.php?page=aston-patterning-2

41
Q

A potential client calls and would like you to explain to them what you would do to help their pain on rotation in their right shoulder. They have tried another Massage Therapist but only obtained a small amount of relief with their Swedish relaxation application. Which of the following modalities could you utilize in your explanation of specific benefits to activating the body’s natural healing abilities?

a) Active Isolated Stretching
b) Aston-Patterning
c) Alexander Technique
d) Acupressure

A

Acupressure

Rationale: Acupressure is a complementary alternative medicine that utilizes fingers or knuckles to press meridian points on the surface of the skin to stimulate the body’s natural healing abilities. There are nine points that are helpful in treating shoulder pain issues; Lung 5 & 7, Large Intestine 4 & 11, Triple Warmer 5, 14, & 15, Pericardium 6, and Liver 2. Massaging along the channel in the direction of the channel flow is especially effective. Pressure is lightly exerted by the finger or knuckle on the front or side of the neck, over nerves, and around sensory organs. Pressure is held for 30-60 seconds on the local point and 1-2 minutes on the distal points. Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications.

42
Q

In TCM, health is present when ________ flows well through the body and there exists balance between Yin & Yang.

a) Prana
b) Ki
c) Qi
d) Both A and C

A

Qi
Rationale: According to Traditional Chinese medicine (TCM) when the qi balance is disrupted, health gives way to disease.

43
Q

A client expresses to you the desire to learn more about how he can correct and maintain his posture. You have a fellow therapist that you trade with who just finished a certification in a modality that can educate and assess the client for better ways to move in his everyday life. This will enable him to improve and maintain a better quality of life through proper use and alignment of his body. What is the name of this modality?

a) Aston-Patterning
b) Aromatherapy
c) Attunement Therapy
d) Equine Massage

A

Aston-Patterning

Rationale: Aston-Patterning is a treatment system that can transform the quality of life for you and your client. The program includes five steps to specializing a session for your client’s unique patterns, specific goals, needs, and interests. Sessions may include massage, movement education, fitness training, postural evaluation, and environmental modifications (i.e. workstations). The five-steps: History, pretesting (walking, standing, sitting, bending, lifting, and reaching), movement education, bodywork (massage, Myo-kinetics, and Artho-kinetics), and ergonomics. Attunement Therapy: Works with physiological elements of relational trauma which are stored in the nervous system. Equine Massage: Horse Massage. Aromatherapy: The science of utilizing highly concentrated extractions from plants to balance, harmonize, and promote the health of the body, mind, and spirit.

Resources: http://www.astonkinetics.com/index.php?page=aston-patterning-2

44
Q

Amy is a stay-at-home mom who loves to cook. She came in today with a minor burn on her wrist from the oven rack. What topical treatment modality could you use to help alleviate pain and induce rapid recovery of her burn?

a) Aston-Patterning
b) Equine Massage
c) Attunement Therapy
d) Aromatherapy

A

Aromatherapy

Rationale: When essential oils are inhaled the olfactory receptor cells are stimulated which sends messages to the emotional center (limbic system). Aromatherapy is the science of utilizing the highly concentrated extractions from plants. The National Association of Holistic Aromatherapy (NAHA) defined aromatherapy as the art and science of utilizing naturally
 extracted aromatic essences from plants to balance, harmonize, and promote the health of the body, mind, and spirit. The American Heritage Dictionary's definition of Aromatherapy is the use of selected fragrant substances in lotions and inhalants in an effort to affect mood and promote health. Only 400 of the 300,000 documented plant species in the world can be used in Therapeutic Aromatherapy. 5,000 of plant species contain the chemical compound terpenes. Terpenes are a large and varied class of hydrocarbon, an organic compound consisting entirely of hydrogen and carbon. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications. Attunement Therapy: Works with physiological elements of relational trauma which are stored in the nervous system. Equine Massage: Horse Massage.

Resources: http://www.essentialoils.co.za/components.htm

45
Q

Two weeks ago Mary got in a car accident. It was a driver’s side, head-on collision. She is still very soar but would like some additional relief from her Whiplash symptoms. The only medication she has taken is an Oxycodone four nights ago, mainly to help her get some sleep. Mary has been diligent in icing and sometimes uses the heat/ice contrast as well. She asked for the massage to be gentle and mostly relaxing with a focus on pain relief in her neck. Of the following treatments, which is best for stimulating the body’s natural healing abilities for relief from the Whiplash symptoms?

a) Acupressure
b) Aston-Patterning
c) Alexander Technique
d) Active Isolated Stretching

A

Acupressure
Rationale: Acupressure is a complementary alternative medicine that utilizes fingers or knuckles to press meridian points on the surface of the skin to stimulate the body’s natural healing abilities. There are four helpful points to treat Whiplash; Lung 7, Large Intestine 4 & 11, and Bladder 60. Massaging along the channel in the direction of the channel flow is especially effective. Pressure is lightly exerted by the finger or knuckle on the front or side of the neck, over nerves, and around sensory organs. Pressure is held for 30-60 seconds on the local point and 1-2 minutes on the distal points. Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Aston-Patterning: Includes massage, movement education, fitness training, postural evaluation, and environmental modifications.

46
Q

. In 1920 the Chartered Society of _____________________ was formed?

a) Polarity Therapy
b) Massage and Medical Gymnastics
c) Connective tissue massage
d) Orthopedic Medicine

A

Massage and Medical Gymnastics

Rationale: The Chartered Society of Massage and Medical Gymnastics was formed in 1920.

47
Q

Choose the correct modality that was founded by Dr. Ida Rolf in the 1940s. This system utilizes physical manipulations and movement awareness to bring the head, shoulders, thorax, pelvis, and legs into vertical alignment:

a) Rolfing
b) Thai Massage
c) Trigger Point Myotherapy (TP)
d) Trager Approach

A

Rolfing

Rationale: Rolfing, or sometimees called Structural Integration, is a method that promotes more efficient use of the muscles with less expended energy by lifting the head and chest and lengthening the body’s trunk.

48
Q

Sarah was abused when she was young. She believes that if it were not for her bi-monthly massages, her emotions would get the better of her and make it so she couldn’t fulfill her job as an Inspirational Recovery Counselor. She enjoys your treatments because you have been trained to work with her past relational traumas that are stored in her nervous system. Your treatments give her a calming feeling and a sense of well-being. In what modality treatment were you trained in order to obtain these results?

a) Attunement Therapy
b) Active Isolated Stretching
c) Alexander Technique
d) Acupressure

A

Attunement Therapy

Rationale: Attunement Therapy, or Mind-Body Attunement Therapy, creates emotional well-being through working with physiological elements of relational trauma that are stored in the nervous system. Attunement deeply accesses anger, fear, and sadness to gently discharge the energy and replace it with a sense of calm, giving your client the ability to pay close attention to the sensory changes within their body. There are two levels of training. First, a certificate for 90+ hours of training in; identifying & working with disruptive somatic patterns, disturbed cognitive emotional processing, and fragmented sense of self that that many traumatized individuals experience. Second, the Diploma addresses complex attachment traumas such as personality disorders, dissociation, and counter transference arising from loss, neglect, abuse, and shame. Alexander Technique: Postural education. Active Isolated Stretching: Athletic stretching method used to lengthen muscles and release the fascia. Acupressure: TCM finger or knuckle pressure working along the meridians.

Resources: http://www.mind-bodyattunement.com/index.html

49
Q

If you follow standard precautions to protect yourself and the ill or injured, you can:

a) Minimize the risk of disease transmission while performing first aid/CPR
b) Worry about precautions after performing CPR
c) Limit the number of times you wear gloves
d) Change gloves after each breath cycle

A

Minimize the risk of disease transmission while performing first aid/CPR

Rationale: Even if you wear gloves you must properly wash your hands immediately after giving care.

50
Q

You are working outside with a group of people on a hot, humid day. You notice some of your co-workers are sitting down exhausted. They do not look well, who will you help first?

a) The co-worker that appears to have fallen over and is sitting on the ground with moist and ashen skin sweating profusely
b) The co-worker who is sweating heavily and appears to be pale and moist
c) The co-worker who is sweating profusely and complaining to be tired
d) The co-worker that has hot, red, dry skin and does not respond when you ask how he is feeling

A

The co-worker that has hot, red, dry skin and does not respond when you ask how he is feeling

Rationale: Heat stroke: the body’s systems have become overwhelmed by heat and stop functioning LIFE THREATENING (red, hot, dry skin with changes in level of consciousness and vomiting). Heat exhaustion: an early indicator that the body’s cooling system is getting overwhelmed (cool, moist, pale, ashen or flushed skin and heavy sweating).