STUDY GUIDE OUTLINE FOR BOARD CERTIFICATION
STUDY GUIDE OUTLINE FOR BOARD CERTIFICATIONBoard Certified massage therapists have obtained the highest voluntary credential in the massage therapy andbodywork profession. The Board Certification Exam for Therapeutic Massage and Bodywork (BCETMB) wasdeveloped to challenge massage therapists in different areas to ensure each possesses advanced knowledgeand has evolved beyond entry-level in the profession.When working in the medical profession, massage therapists must speak and understand medical terminology,have a deeper anatomical and physiological understanding of the systems of the body as well as a thoroughunderstanding of pathologies. Knowledge of indications, contraindications, and signs and symptoms ofpathologies will ensure massage therapists will not harm clients and will not perpetuate the spread of infection.This study guide was developed to help massage therapists who wish to separate themselves from entry-leveleducation by mastering additional concepts. This exam contains questions that go beyond that of entry-levelcredentialing. Please visit www.ncbtmb.org for more information or to purchase the Online Practice Exam, anadditional study tool to prepare you for the exam.PathologyThere are numerous pathologies of all systems of the body a massage therapist will encounter. Knowingwhether a pathology is contagious, and how to work within the scope of the pathology is important whenworking in a professional atmosphere–home office, clinic, hospital, spa–to minimize the spread of diseaseand/or ensure the client is comfort.Contagious Pathologies Candidates will demonstrate knowledge of common contagious diseases. Candidates will demonstrate knowledge of how is each contracted and spread to others. Candidates will demonstrate knowledge of signs and symptoms of each disease. Candidates will demonstrate knowledge of precautions when working with people diagnosed withcontagious diseases. Candidates will demonstrate knowledge of indications and contraindications when working with peoplewith contagious diseases. Candidates will demonstrate knowledge of the differences between bacteria, viruses and fungi.o Influenzaso Pneumoniao Hepatitis A, B, Co HIVo Methicillin-resistant staphylococcus aureus (MRSA)o Tuberculosiso Streptococcuso Staphylococcuso Herpeso Herpes Zostero Impetigoo Tinea corpuso Tinea pedisThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
ooooRingwormCellulitisClostridium Difficile (C. Diff)MeningitisAllergic Reactions/AllergiesAllergies are an immune system reaction to otherwise harmless substances the body deems harmful andreacts to the substance as if it was a threat. Candidates will demonstrate recognition of allergies and how to proceed if a client presents with anallergic reaction during massage therapy treatment.Candidates will demonstrate recognition of signs and symptoms of allergies.o Dermatitis/Contact Dermatitiso Eczemao Hay fevero Drug interactionso AnaphylaxisMusculoskeletal SystemMassage therapists must have an advanced knowledge of the musculoskeletal systems and pathologies fromwhich the clients may suffer. Pain can arise in different areas caused by structural misalignment of the skeletalsystem or dysfunction of the muscles. A massage therapist must identify the location of each muscle and bone,looking at the body in three dimensions to assess the causative factor of pain and discomfort.Musculoskeletal pathologies can have multiple causative factors. An advanced massage therapist can digestthe information from the intake and assessment and create a treatment plan that will assist the body inreadjustment and healing. Candidates will demonstrate advanced knowledge of musculoskeletal pathologies.Candidates will identify musculoskeletal pathologies that can utilize manual soft tissue techniques toassist in the recovery process.Candidates will identify depths of pressure that should be used when working with people who havemusculoskeletal pathologies.Candidate will demonstrate knowledge of indications and contraindications when working with clientswho have musculoskeletal pathologies.o Fibromyalgiao Lower Cross Syndromeo Tetanuso Scoliosiso Hyperlordosiso Hyperkyphosiso Osteomyelitiso Osteoporosiso Whiplasho Myositis Ossificanso Chronic/Acute Compartment SyndromeThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
ooooPlantar FasciitisDupuytren ContractureGanglion cystsBunionsNervous SystemNervous system pathologies may lack external signs, so an advanced massage therapist must be able torecognize signs and symptoms of central and peripheral nervous system pathologies and disorders. Knowinghow to recognize manic or depressive behavior and when to refer out or seek assistance from a client’sprimary care provider will assist a massage therapist in creating a treatment plan and determining when mentalillness may prevent a client from receiving massage.Recognizing nerve entrapment and damage will assist the massage therapist in determining massage protocol,including appropriate positioning, to work different areas while the client remains comfortable and pain free. Candidates will demonstrate knowledge of different mental illnesses and whether to refer the client out.Candidates will demonstrate knowledge of indications and contraindications when working with differentnervous system pathologies and disorders.Candidates will demonstrate knowledge of peripheral nerve entrapment and pathologies.Candidates will demonstrate knowledge of how to position clients with nervous system pathologies forcomfort.Mental Disorderso Bipolar disordero Depressiono Anxietyo Stress Somatization Psychosis Understand the effects of stress on the bodyo PTSDo Addictiono HivesPhysical Disorderso Traumatic brain injurieso Epilepsyo Parkinson’s diseaseo Dementiao Alzheimer diseaseo Cerebral palsyo Bell palsyo Thoracic outlet syndromeo Carpal tunnel syndromeo Neuritiso HivesThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
Autoimmune PathologiesAutoimmune pathologies may mimic symptoms of other pathologies causing the client to believe they have thepathology of another system such as the nervous or musculoskeletal systems. A massage therapist must learnthe extent of the pathology and any indications or contraindication prior to working with a client suffering fromautoimmune pathologies. Candidates will recognize different autoimmune pathologies, their signs and symptoms.Candidates will demonstrate knowledge of indications and contraindications of autoimmunepathologies.Candidates will determine when it’s necessary to refer a client to his/her primary care physician ifneeded.o Rheumatoid arthritiso AIDSo Lupuso Guillain-Barre syndromeo Ankylosing Spondylitiso Crohn diseaseo Psoriasiso Multiple SclerosisEndocrine SystemThe endocrine system is composed of glands that secrete hormones to maintain homeostasis within the body.Endocrine system pathologies can disrupt sleep patterns, cause the body to react poorly to temperaturechanges, creating disordered eating – weight gain and loss – and cause many other problems in all bodysystems. Endocrine system pathologies will affect the functions of other systems due to the hormonalabnormalities that lead to improper functioning of the other systems. Candidates will demonstrate knowledge of endocrine system pathologies.Candidates will demonstrate knowledge of indications and contraindications when working with clients.o Diabetes Mellituso Diabetes Insipiduso Hashimotoo Hyperthyroidismo Hypothyroidismo Graves diseaseo Addison diseaseo Cushing diseaseLymphatic SystemLymphatic system pathologies often lead to swelling and edema that makes movement difficult. Massagetherapists must have a fundamental knowledge of how the lymphatic system works and massage techniquesthat will enhance the function of the lymphatic system. Candidates will demonstrate knowledge of the functions of the lymphatic system. Candidates will demonstrate knowledge of indications and contraindications for massage in relation tothe lymphatic system. Candidates will demonstrate fundamental knowledge of manual lymphatic drainage techniques.The National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
ooLymphangitisEdemaDigestive SystemDigestive system pathologies can lead to discomfort, illness and systemic infections if not treated. Massagetherapists must understand the digestive system and pathologies associated with digestion and elimination toensure each is providing a safe massage while working within the client’s comfort level. Candidates will demonstrate knowledge of the digestive system.Candidates will demonstrate knowledge of indications and contraindication of massage when a clientpresents with digestive system pathologies.o Cirrhosiso Cachexiao Jaundiceo Hypercholesterolemiao Celiac diseaseo Gastroesophageal Reflux disease (GERD)o Peptic ulcerso Diverticulitiso Irritable Bowel syndrome (IBS)o Gallstoneso Pancreatitiso Appendicitiso HepatitisCardiovascular SystemThe cardiovascular system moves blood, nutrients and oxygen throughout the body. Pathologies of thecardiovascular system can cause strokes, heart attacks and tissue death. A massage therapist must have anin-depth knowledge of cardiovascular pathologies and understand when massage is indicated andcontraindicated for anyone suffering from cardiovascular pathologies. Candidates will demonstrate knowledge of indications and contraindication of massage when workingwith clients who have cardiovascular pathologies.Candidates will demonstrate knowledge of major cardio vascular pathologies.o Deep vein thrombosiso Embolismso Strokeo Heart Attacko Hemophiliao Anemiao Phlebitiso Aneurysmso Atherosclerosiso Anginao Hypertensiono Varicose veinsThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
Insects and Insect BitesMany insect bites can cause pathologies in the body. Some insects can embed themselves into the skin andcause long lasting effects. A massage therapist must recognize different bites and embeddings and refer aclient out for medical help. Candidates will recognize different bites and know whether massage is indicated, or if acontraindication is a local or general.Candidates will refer clients to a primary care physician if the situation is serious.o Tick Lyme diseaseo Spider biteso Fleaso MitesMassage Techniques – When To Be UsedMassage therapists must have knowledge of multiple techniques for working on clients with different needs.For example: understanding sports massage when working with an athlete can speed recovery time; knowinglymphatic drainage will help remove edema when working with cancer patients. Candidates will demonstrate knowledge of the following techniques and when it is appropriate to usethem.o Stabilization techniques Stabilize joints when stretchingo Sports massageo Reciprocal inhibitiono Muscle approximationo Post isometric relaxationo Pin and stretcho Trigger pointo Neuromuscular therapyo Muscle energy techniqueso Positional release Understand each step of positional releaseo Tensile forceo Torsiono Compressiono Frictiono Kneadingo Vibrationo Shearingo Bendingo Lymphatic drainageo Myofascial releaseo Hydrotherapyo Cryotherapyo Contrast hydrotherapyThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
ooMoist heatActive engagement techniquesAssessmentPrior to massage therapy treatment, the therapist must assess a client’s overall wellbeing and ability to receivemassage. The therapist should give a short interview to find out how the client is feeling and also assess theclient’s gait and posture balance.Clients who present with discomfort due to muscle strain or taut areas may need additional assessment touncover soft tissue issues. The therapist should not stop at assessing the area of discomfort but continue on toother areas of the body. Candidates will demonstrate knowledge of interviewing and evaluating clients prior to treatment.Candidates will demonstrate knowledge of treatment plans and addressing areas in need of massage.Candidates will demonstrate knowledge of different orthopedic tests.Candidates will demonstrate knowledge of postural imbalances.o Interviewing and evaluating intake forms Uncover finding Determine appropriate treatment Develop treatment planso Range of motion testing Active Passive Resistive Active assistedo Hypertonicityo Hypotonicityo Gait theoryo Aggregate principleo Overload principleo Recruitment principleo Sherrington’s lawo Law of reactiono Law of accelerationo Pfleuger’s lawo Straight-leg-raiseo Posterior drawer testo Valgus stress testo Varus stress testo Anterior drawer testo Intake procedureso Treatment planso Goalso Pain scales Sensory Pain ScaleThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
oooooo McGill Pain Scale Wong-Baker FACES Pain Scale Allina Health Pain ScalePelvic alignmentPostural distortionsFunctional imbalancePathological imbalanceStructural imbalanceKnow muscle anatomy and how to position clients for purposes of treatmentMuscle assessment Assess referrals from different muscles and muscle groups into other areas of the body.o Erector spinae groupo Trapeziuso Rhomboidso Teres major and minoro Pectoralis major and minoro Abdominalso Psoaso Iliacuso Quadratus lumborumo Gluteus minimus, medius, maximuso Piriformiso Quadricepso Hamstringso Abductorso AdductorsMusclesA massage therapist must have an advanced knowledge of the muscles of the body, which actions theyperform, their agonists, antagonists and synergists. When a client is having difficulties moving or is having painin an area of the body, the massage therapist must be able to assess all of the structures in that area to relievediscomfort or stiffness and know whether the discomfort is caused by nerve entrapment or muscle dysfunction. Candidates will have an advanced knowledge of each muscle’s location, the action, its agonist,antagonist and synergist.Candidates will demonstrate an advanced knowledge of each muscle associated with the followingmuscle groups.o Head Muscles of mastication Muscles of swallowing Muscles of facial expression Cervical spineo Neck Muscles that move the head and neck – flexion, lateral flexion, extension and rotationThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
Thoracic and lumbar spine, rib cage and abdomen Muscles that move the spine – flexion, lateralflexion, extension and rotation Muscles that elevate and compress the ribs Muscles of inhalation and exhalation Abdominal muscleso Shoulder and Arm Muscles of the rotator cuff Muscles of the shoulder girdle Rotation, flexion, extension, abduction, adduction of the glenohumeral joint, Protraction, retraction, elevation, depression, upward rotation and downwardrotation of the scapula and the clavicle Muscles of elbow flexion and extension Muscles of wrist flexion, extension, ulnar deviation, radial deviation, pronation andsupinationo Hip Lateral and medial rotators Hip flexors and extensors Hip abductors and adductorso Leg Knee flexors and extensors Muscles of dorsiflexion and plantarflexion Muscles of ankle eversion and inversionReceptorso Muscle spindleso Golgi tendon organsPrincipals of muscle physiologyo Overloado Aggregateo Recruitmento All-or-none responseo Nerve Assessment Assess nerve entrapment, which structures may be causing dysfunction and how to provide relief Understand which structures may be implicated in the condition.o Innervations – nerve/muscleo Dermatomeso Sciatic nerveo Accessory nerve (CN XI)o Thoracic nerveo Median nerveo Subscapular nerveo Radial nerveo Ulnar nerveo Obturator nerveo Vasovagal nerveo Femoral nerveThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
ooooCervical plexusBrachial plexusLumbar plexusSacral plexusJointsJoint injuries can become complex and require critical thinking to assess soft tissue involvement. Joints maytake long periods of time to heal and require an educated massage therapist that understands all of theintricate structures that are involved in joints throughout the body. Candidates will demonstrate knowledge of common joint injuries of the shoulder, elbow, wrist, hip,knee, and ankle.Candidates will demonstrate knowledge of joint structures including muscles and ligaments at eachjoint, the articulating bones, relevant bony landmarks, bursae and other structures found within eachjoint such as menisci.Candidates will demonstrate knowledge of indications and contraindication of massage when assessingand evaluating joint pathologies.o Joint nameso Types of joints Synarthrotic/fibrous Amphiarthrotic/cartilaginous Diarthrotic/synovialo Sprains and strains Grading (1, 2, 3)The difference between strains and sprainso End feels Capsular Empty Bonyo Temporomandibular Joint Disordero Bursitiso Adhesive capsulitiso Tennis elbowo Golfer’s elbowo Arthritiso Tenosynovitiso Chondromalaciao DeQuervain’s tenosynovitiso Bakers cysto Tendonitiso Osteoarthritiso Spondylolisthesiso Spondylosiso Herniated disco Gouto Arthroplasty HipThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
o KneeLigament and muscle names that cross each jointSpecial Populations (indications, contraindications, special needs)Massage therapists must have a fundamental knowledge of indications, contraindication, positioning, pressureand working with special populations. Clients may not understand that massage may not be indicated due toillness, medications or other things happening in their bodies due to pregnancy complications, surgical sites,tissue integrity, etc. Candidates will demonstrate knowledge of indications and contraindications when working with specialpopulations.Candidates will demonstrate knowledge of working with clients who are taking different medicationsthat may alter the client in areas such as state of mind, tissue integrity, blood composition and heartfunction.Candidates will recognize the massage therapy scope of practice and know when to refer out.Pregnancy Eclampsia Preeclampsia Thrombus Embolisms Hypertension Endocrine activityCancer Working with clients with cancer – positioning and treatmentso Radiationo Chemotherapyo Surgical sites Leukemia Non-Hodgkin’s Lymphoma Prostate Breast Liver Colorectal LungGeriatric Thermoregulatory needs Tissue changes Help getting on and off the table Depth of pressure and speed of strokesThe National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527
ResearchResearch has strengthened trust between the medical profession and massage therapists. Research hasproven massage is an excellent alternative to pain relieving medications and can be integrated into patients’treatments to speed recovery. Also proven, massage therapy helps with depression and anxiety.As a community of massage therapists, we must continue our research to strengthen our role within themedical profession. Understanding the basics of research is important to continue forward movement. Candidates will demonstrate knowledge of research literacy, how to read, how to find and how toanalyze research. Candidates will demonstrate knowledge of different stages of research. Candidates will demonstrate knowledge of common research terminology.o Methodso Developmento Reasoningo Measurementso Resultso Criteriao Relevant massage research Hyp
The National Certification Board for Therapeutic Massage & Bodywork 1333 Burr Ridge Pkwy, Ste 200, Burr Ridge, IL 60527 STUDY GUIDE OUTLINE FOR BOARD CERTIFICATION Board Certified massage therapists have obtained the highest voluntary credential in the massage therapy and bodywork profession.
Bruksanvisning för bilstereo . Bruksanvisning for bilstereo . Instrukcja obsługi samochodowego odtwarzacza stereo . Operating Instructions for Car Stereo . 610-104 . SV . Bruksanvisning i original
10 tips och tricks för att lyckas med ert sap-projekt 20 SAPSANYTT 2/2015 De flesta projektledare känner säkert till Cobb’s paradox. Martin Cobb verkade som CIO för sekretariatet för Treasury Board of Canada 1995 då han ställde frågan
Oct 02, 2012 · Deuteronomy Outline Pg. # 20 8. Joshua Outline Pg. # 23 9. Judges Outline Pg. # 25 10. Ruth Outline Pg. # 27 11. 1 Samuel Outline Pg. # 28 12. 2 Samuel Outline Pg. # 30 13. 1 Kings Outline Pg. # 32 14. 2 Kings Outline Pg. # 34 15. Matthew Outline Pg. # 36 16. Mark Outline Pg. # 4
service i Norge och Finland drivs inom ramen för ett enskilt företag (NRK. 1 och Yleisradio), fin ns det i Sverige tre: Ett för tv (Sveriges Television , SVT ), ett för radio (Sveriges Radio , SR ) och ett för utbildnings program (Sveriges Utbildningsradio, UR, vilket till följd av sin begränsade storlek inte återfinns bland de 25 största
Hotell För hotell anges de tre klasserna A/B, C och D. Det betyder att den "normala" standarden C är acceptabel men att motiven för en högre standard är starka. Ljudklass C motsvarar de tidigare normkraven för hotell, ljudklass A/B motsvarar kraven för moderna hotell med hög standard och ljudklass D kan användas vid
LÄS NOGGRANT FÖLJANDE VILLKOR FÖR APPLE DEVELOPER PROGRAM LICENCE . Apple Developer Program License Agreement Syfte Du vill använda Apple-mjukvara (enligt definitionen nedan) för att utveckla en eller flera Applikationer (enligt definitionen nedan) för Apple-märkta produkter. . Applikationer som utvecklas för iOS-produkter, Apple .
och krav. Maskinerna skriver ut upp till fyra tum breda etiketter med direkt termoteknik och termotransferteknik och är lämpliga för en lång rad användningsområden på vertikala marknader. TD-seriens professionella etikettskrivare för . skrivbordet. Brothers nya avancerade 4-tums etikettskrivare för skrivbordet är effektiva och enkla att
Den kanadensiska språkvetaren Jim Cummins har visat i sin forskning från år 1979 att det kan ta 1 till 3 år för att lära sig ett vardagsspråk och mellan 5 till 7 år för att behärska ett akademiskt språk.4 Han införde två begrepp för att beskriva elevernas språkliga kompetens: BI
