Question 1

What is the difference between an absolute contraindication and a local contraindication for massage?

Accepted Answer

An absolute contraindication means massage should not be performed at all, while a local contraindication means massage is avoided only in a specific area but can be performed elsewhere on the body.

Question 2

Why is deep massage over a area of acute phlebitis contraindicated?

Accepted Answer

Deep massage over acute phlebitis can dislodge a thrombus (blood clot), potentially causing a life-threatening embolism such as a pulmonary embolism.

Question 3

A client presents with fever of 102°F. What is the appropriate action and rationale?

Accepted Answer

Massage should be postponed because fever indicates the body is fighting infection, and massage can accelerate circulation, potentially spreading pathogens and increasing metabolic demand.

Question 4

Which condition makes massage of the abdomen an absolute contraindication?

Accepted Answer

An abdominal aortic aneurysm is an absolute contraindication to abdominal massage because pressure could cause the weakened vessel wall to rupture.

Question 5

Why is massage contraindicated over an open wound or recent surgical incision?

Accepted Answer

Massage over open wounds or fresh incisions risks infection, disrupts the healing process, and can damage fragile new tissue and sutures.

Pathology & Conditions for the MBLEx Massage Therapy Exam

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