Contraindications and endangerment sites

Question 1

Contraindication - definition and examples

Answer 1

a situation that requires the therapist to modify or refrain from, to avoid possible harm

examples:
disabilities
impairments
fever
surgeries
injuries
allergies
medical devices (pacemakers or artificial joints)
some medication use

Question 2

absolute contraindications

Answer 2

massage should be postponed – red light!

Question 3

local contraindication

Answer 3

an area that must be avoided due to infection, inflammation, injury or medical device

Question 4

Examples of treatment modifications - positioning

Answer 4

semi-reclined for breathing difficulty

seated if frail or unable to position themselves

side-lying for pregnancy

Question 5

examples of tx modifications - procedureal

Answer 5

lighter pressure for frail client

assist client on and off table

stimulate client if overly sedated after tx

Question 6

circulatory massage

Answer 6

any modality that directly moves blood and lymph through the body

Question 7

contraindications for circulatory massage

Answer 7

diabetes - severely insulin-dependent

CVD - may dislodge thrombus (clot)

Edema - d/t heart, lung, liver, or kidney disfunction

Fever - may indicate acute infection

unexplained symptoms of fatigue, muscle weakness, and general aches and pains should be referred to a physician

Question 8

medication contraindications

Answer 8

those that:

alter clients mental awareness

inhibit feedback - decrease clients sensation

compromise tissue quality

Question 9

endangerment sites - define

Answer 9

areas where deep vigorous techniques and prolonged pressure should be cautiously applied or avoided since the area contains superficial blood vessels and/or nerves

Question 10

Locations of endangerment sites

Answer 10

ribs
armpits
sternum
xiphoid process
inguinal (groin)
umbilical
orbitals (eye cavity)
anterior neck (cervical triangle)
antecubital (front of elbow)
elbow
spinous processes
floating ribs
kidneys
popliteal area

Question 11

Was to manage contraindications

Answer 11

• client cannot receive massage that day
• client can receive massage, but area will be avoided
• client can receive massage with a few tx modifications

Question 12

contraindications are the responsibility of:

Answer 12

the massage therapist

Question 13

examples of absolute contraindication

Answer 13

• highly contagious diseases
• widespread infection or inflammation as indicated by FEVER
  -chronic disease is in exacerbated or acute stage
• medically unstable
  -state of medical emergency

Question 14

examples of local contraindications

Answer 14

-recently injured area

-inflamed area

-area that contain medicated transdermal patches, chemotherapy ports, pacemakers, or other medical devices

-a lump, lesion, suspicious mole, or localized rash

-avoid enlarged lymph nodes unless yo possess advanced certification in lymphatic massage

Question 15

therapeutic massage can do these 3 things to our internal environment that medication can also do

Answer 15

1. stimulate a body process
2. inhibit a body process
3. replace a chemical in the body

Question 16

Many drugs work through the nervous system and could change

Answer 16

how a client’s body reacts to massage

Question 17

some drugs work on a _____ level

Answer 17

cellular

Question 18

Massage can often manage undesirable side effects of medications such as

Answer 18

digestive pain/dysfunction

anxiety or restlessness

sleep disruptions

Question 19

Yellow/red flags when it comes to medications

Answer 19

drugs that slow the nervous systems response to stimuli (muscle relaxants or pain killers)

drugs related to blood clotting