Lecture Massage therapy review: Passing the NCETMB, NCETM, and MBLEx (2/e): Chapter 3 - Laura A. Abbott

Massage Therapy Review: 

Passing the NCETMB, NCETM, and MBLEx

Chapter 3
 Pathology
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3-2

Pre­class Assignment
 Review Chapter 3 of 

your Massage 
Therapy Review 
book

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3-3

Terminology
 Pathology
 Acute
 Chronic

 Disease

 Pathophysiology
– Endemic
– Epidemic
– Pandemic

 Etiology
 Morbidity
 Mortality

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3-4

Understanding Medical Terminology
 Terminology helps us to understand and break 

down words, some of which may be 
unfamiliar to us.

 Be familiar with the At a Glance: Medical 

Terminology chart in the Massage Therapy 
Review Book.

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Nine Regions of the Abdomen
Right 
Hypochondriac 
Region

Epigastric
Region

Right 
Lumbar 
Region
Right
Iliac
Region

Umbilical Region

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Hypogastric
Region

Left
Hypochondriac

Region
Left 
Lumbar 
Region
Left
Iliac
Region

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3-6

Risk Factors for Disease
 Age
 Gender
 Genetics
 Physical Exposure
 Nutrition
 Congenital Defects
 Occupational Hazards
 Pre­existing Conditions
 Lifestyle and Habits
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3-7

Microorganisms
 Bacteria
 Fungi
 Protozoans
 Viruses

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3-8

Modes of Transmission
 Mucous Membranes
 Intact Skin
 Broken Skin
 Ingestion
 Inhalation

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3-9

Signs of Inflammation
 Redness
 Swelling

Reduction of
blood flow

Buildup of 
metabolic waste

Tense, spasmed or
contracted
muscles

Pain

 Heat
 Pain

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3-10

Disorders and Diseases
 Medical Clearances
 Indicated
 Indicated with Restrictions
 Absolute Contraindications

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3-11

Indicated with Restrictions
 Acne
 Boils
 Bunions
 Burns
 Fibromyalgia
 Gout (nonacute)
 Hematoma
 Hernia

 Impetigo
 Multiple Sclerosis
 Osteoarthritis
 Osteoporosis
 Psoriasis
 Rheumatoid Arthritis
 Tendonitis
 Varicose Veins

 Herniated Disc
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3-12

Absolute Contraindications
 Alcoholism or 








Drunkenness
Amyotrophic Lateral 
Sclerosis (Lou Gehrig’s)
Bronchitis
Cancers
Congestive Heart Failure
COPD/Emphysema
Diabetes
Edema

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 Fever
 Gout (acute)
 Hepatitis
 HIV/AIDS
 Impetigo

 MI/Angina
 Osteomalacia
 Seizures
 Shingles
 Substance Abuse
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3-13

Signs and Symptoms
 Review and understand 

the signs, symptoms, 
and massage 
implications
 At a Glance: Signs and 
Symptoms of Disease 
chart in the Massage 
Therapy Review Book.

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3-14

Stages of Cancer
 Stage One

– Small lump that has invaded tissue beyond 
lobules or ducts but not yet spread to nodes or 
other areas.
 Stage Two

– Slightly larger tumor size, or enlarged lymph 
nodes that indicate more trouble may be 
imminent.  No sign of metastases.

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3-15

Stages of Cancer, Cont’d
 Stage Three
– Tumor is larger than 2 inches or has invaded other 
areas.  Lymph nodes are enlarged.  No concrete 
cancer in other organs.
 Stage Four

– Cancer is detectable in other organs.

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3-16

Drugs and Their Effects
 Be familiar with charts on pages 114–116 
 Common medications:

–
–
–
–
–

Blood Pressure
Cardiovascular
Diabetes
Hormone Replacements
Thyroid
 Note:  If clients are taking antibiotics and are contagious, you 
shouldn’t be massaging them!

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3-17

Physical and Emotional Abuse
 Stress and Its Effects
 Traumatic Distress

– How quickly the client is upset
– How frequently it is triggered
– How intense the source is
– How long the upset lasts
– How long it takes to calm down

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3-18

Physical Symptoms of Trauma
 Eating Disturbances
 Sleep Disturbances
 Sexual Dysfunction
 Low Energy
 Chronic or 

Unexplained Pain

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3-19

Emotional Symptoms of Trauma

 Depression
 Spontaneous Crying
 Anxiety
 Panic Attacks
 Fearfulness
 Compulsive/Obsessive Behaviors
 Irritability, Anger

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3-20

Cognitive Symptoms of Trauma
 Memory Lapses
 Difficulty Making Decisions
 Decreased Ability to Concentrate
 Feeling of Distracted

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