Pregnancy and Massage
Massage for All Ages
Pain
Assessments
Massage and Healing After Surgery or Injury
100

This is the most common reason pregnant clients seek pregnancy massage, followed by hip, shoulder, and neck pain. 

What is lower back pain?

100

When working with younger children, the lighting in the massage room should be this way.

What is bright?

100

This is the classification of pain that lasts less than 30 days.

What is acute pain?

100

This is the quality of resistance felt by the practitioner at the end of Passive Range of Motion (PROM).

What is end-feel?

100

This is the noncurative goal of clinical massage used to improve a patient’s quality of life, often seen in hospice care.

What is palliative?

200

This specific body position, while supine, is indicated to help reduce nausea caused by morning sickness.

What is semireclining?

200

For safety and accessibility in a geriatric practice setting, the ADA recommends this minimum clearance for furniture arrangement to accommodate a walker or cane.

What is 32 inches?

200

This is the maximum level of intensity perceived as painful; reaching this level, especially when described as "unbearable," requires the practitioner to immediately reduce pressure or stop the technique.

What is pain tolerance?

200

When conducting assessments, this side of the body should be assessed first to serve as a baseline and treatment goal.

What is the unaffected/univolved side?

200

This is the curative goal of clinical massage used to treat disorders or injuries, aiming for outcomes like improved function and reduced recovery time.

What is therapeutic?

300

The use of essential oils by inhalation or topical application is safe, but this topical product is not recommended because there is no evidence suggesting its safety during this developmentally important time.

What is Topical Cannabidiol (CBD)?

300

This ethical and legal mandate, also called the Duty to Protect, requires individuals who have regular contact with vulnerable populations to file a report when abuse or neglect is suspected.

What is Mandatory Reporting?

300

The minimum level of intensity perceived as painful.

What is pain threshold?

300

A hard normal end-feel is limited by this specific anatomic restriction.

What is bone on bone?

300

During this stage of wound healing, lasting up to 8 weeks, the body fills and covers the wound site by depositing collagen.

What is Proliferation (Regeneration)?

400

The hormone that activates collagenase, reducing collagen strength in joints and requiring modification of mobilizations and traction (like avoiding manual traction of lower extremities).

What is relaxin?

400

This is the term for the reduced muscle mass, muscle tone, and loss of strength from age-related inactivity.

What is sarcopenia?

400

This pain classification persists past normal healing times and lasts or recurs for more than 3 to 6 months.

What is chronic pain?

400

This ROM barrier is caused by soft tissues such as muscles, tendons, and ligaments.

What is physiologic barrier?

400

Massage over a C-section or surgical incision is contraindicated until the area is dry, and the wound has entered this final stage of healing.

What is the Remodeling (Maturation) phase?

500

This severe pregnancy condition is characterized by persistent high blood pressure and protein in the urine, requiring massage postponement and referral if widespread edema, severe headaches, or visual disturbances are observed.

What is preeclampsia?

500

When massaging an aging client, the practitioner must look for this common condition on the feet and toenails, avoid suspicious areas, and inform the client and/or caregiver.

What is a fungal infection?

500

Pain is the subjective experience, while ______is the encoding of painful events.

What is nociception?

500

This phase of the gait cycle occurs when the foot is in contact with the ground, bearing most of the body weight, accounting for 60% of the cycle.

What is the stance phase?

500

This is the duration of the Inflammation stage of wound healing, during which the scar is swollen, warm, red, and often painful.

What is apporximately 2 weeks?

600

Starting in week 22, or earlier if the client is "showing," this body position is used to prevent compression of blood vessels by the pregnant uterus.

What is the left lateral tilt or side-lying position?

600

This is the type speed of movement and depth of pressure recommended for massage techniques in a hospice care setting.

What is slow speed and light pressure?

600

This pain theory suggests that faster stimuli, such as pressure from massage, preventing pain signals from reaching the brain.

What is the Gate Control Theory?

600

This phase of the gait cycle accounts for 40% of the movement pattern and occurs when the foot is not touching the ground, with the body weight on the opposite foot.

What is the swing cycle?

600

After major surgery, massage can begin once the client achieves this status, as determined by a healthcare provider.

What is medically stable?

700

If a practitioner suspects this condition—evidenced by unilateral leg swelling, heat, redness, pain, and tenderness—they must avoid the affected lower extremity and refer the client to an HCP, as the risk remains high until 10 weeks postpartum.

What is deep vein thrombosis(DVT)?

700

When considering nontherapeutic/wellness procedures like spa services, this is the age of consent for adolescents.

What is age 16?

700

The Neuromatrix Theory defines this as a person’s unique set of nerve impulses within a network in the brain, suggesting that pain is one possible output after synthesizing various inputs.

What is neurosignature?

700

Motion limited by joint capsules or ligaments that feels firm and elastic with a slight give defines this type of normal end-feel.

What is firm end-feel?

700

This is the name of the first stage of wound healing, which involves mechanisms to stop bleeding from broken blood vessels.

What is hemostasis?

800

This is the duration that vigorous massage should be avoided on the lower extremities after a C-section due to the increased risk of blood clots.

What is 12 weeks?

800

This condition, indicated by dizziness or loss of balance when moving from lying down or sitting to standing, increases in risk for aging adults due to cardiovascular changes.

What is orthostatic hypotension?

800

This is the definition for the lowering of the pain threshold, causing hypersensitivity where typically non-painful stimuli is now perceived as painful.

What is sensitization?

800

This gait disorder is described as unsteady and uncoordinated, resulting in a staggered walk with irregular foot placement, often causing the person to look at the floor.

What is ataxic gait?

800

This specific pair of techniques is recommended to be used near and over a scar to manipulate the tissue in several directions (circular, vertical, horizontal) once the area has entered the remodeling phase of healing.

What is deep friction and skin rolling?

900

This is the minimum time frame postpartum that a practitioner must maintain restrictions on joint mobilizations and traction, such as avoiding manual traction of the lower extremities, due to the effects of the hormone Relaxin.

What is 4-6 months?

900

Thyroid hormone production decreases in aging adults, reducing metabolism and increasing the risk of this specific discomfort.

What is cold intolerance?

900

This is the general term for abnormal sensations, such as burning, itching, numbness, or "pins and needles," which may or may not include sensations of pain.

What is paresthesia?

900

This is the gait abnormality defined as a limp adopted by the client to avoid pain.

What is antalgic gait?

900

You should avoid vigorous massage techniques on lower extremities (thighs and legs) for 12 weeks post surgery for this reason.

What is increased risk of blood clots?

1000

If a client has Gestational Diabetes Mellitus and uses insulin, vigorous massage must be avoided over injection sites for this duration to prevent increased absorption and hypoglycemia.

What is 24 hours?

1000

A client leaning back due to increased abdominal girth in pregnancy is an example of what type of posture being adopted in order to maintain balance and function?

What is a compensatory posture?

1000

Pain that originates from spinal nerve roots?

What is radiculopathy?

1000

When observing lateral landmarks during postural assessment, the vertical line should bisect these four specific anterior/lateral structures.

What are the external auditory meatus, humeral head, greater trochanter, lateral epicondyle of the femur, and lateral malleolus?

1000

The 3 Rs that characterize scars in the proliferation phase.

What are red, raised, and rigid?

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