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PENNSYLVANIA Massage Therapy Education
THIS BOOK INCLUDES MANDATORY COURSES: Ethics for Therapeutic Massage and Bodywork Child Abuse Recognition and Reporting in Pennsylvania, 2nd edition (Renewal Licensure)
8-hour Continuing Education Package $55.00 ELITELEARNING.COM/BOOK Complete this book online with book code: MPA0825
WHAT’S INSIDE
THIS COURSE FULFILLS THE PROFESSIONAL ETHICS REQUIREMENT Chapter 1: Ethics for Therapeutic Massage and Bodywork (Mandatory)
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[4 CE Hours] This course emphasizes the principles and standards of ethical practice for massage therapy and bodywork, and ethical issues that impact the professional in daily practice. The course includes steps to identify potential ethical conflicts, and strategies for ethical decision making to avoid and resolve ethical issues before they become problematic.
THIS COURSE FULFILLS THE CHILD ABUSE RECOGNITION AND REPORTING REQUIREMENT Chapter 2: Child Abuse Recognition and Reporting in Pennsylvania, 2nd edition (Renewal Licensure) (Mandatory) 50 [2 CE Hours] Child abuse and neglect remains a significant problem for us all in the U.S. as well as in Pennsylvania. Approximately 3.5 million children in the U.S. were the subjects of at least one child abuse or neglect report (United States Department of Health and Human Services [HHS], 2019). In Pennsylvania alone, there were 46,208 reports of suspected child and student abuse in 2017 (HHS, 2019). This course provides the details of the identification, assessment, and reporting of child abuse and reviews Pennsylvania state laws regarding child abuse and neglect. Chapter 3: Musculoskeletal Assessment and Treatment for Manual Therapists 77 [2 CE Hours] The course commences with an exploration of fundamental terminology and prevalent manual therapy techniques. Participants will review comprehensive orthopedic assessments covering the entire body. Course sections are structured to delve into typical tests utilized for differential diagnosis across major joints and their associated musculature. In addition, this course will provide manual therapy or stretching techniques for the positive result of a given dysfunction. Final Examination Answer Sheet 92
©2024: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge in the areas covered. It is not meant to provide medical, legal or professional services advice. Colibri Healthcare, LLC recommends that you consult a medical, legal or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing, but does not represent or warrant that it will apply to your situation or circumstances and assumes no liability from reliance on these materials. i MASSAGE THERAPY CONTINUING EDUCATION Book Code: MPA0825
What are the requirements for license renewal? License Expires Frequently Asked Questions
CE Hours Required
Mandatory Subjects
24 hours 8 hours allowed through home study
4 hours of Professional Ethics 2 hours of Child Abuse Recognition and Reporting
Licenses expire on January 31 of each odd-numbered year
16 hours must be completed in a live classroom setting (Webinars do not count towards live classroom credit)
How much will it cost? If you are only completing individual courses in this book, use the code that corresponds to the course when completing online. COURSE TITLE HOURS PRICE COURSE CODE Chapter 1: Ethics for Therapeutic Massage and Bodywork (Mandatory) 4 $40.00 MPA04EM
Child Abuse Recognition and Reporting in Pennsylvania, 2nd edition (Renewal Licensure) (Mandatory)
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Chapter 3: Musculoskeletal Assessment and Treatment for Manual Therapists
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How do I complete this course and receive my certificate of completion? See the following page for step by step instructions to complete and receive your certificate. Are you an Pennsylvania board-approved provider? Colibri Healthcare, LLC is approved by the National Certification Board for Therapeutic Massage and Bodywork (Provider #450215-06). The Child Abuse Recognition and Reporting in Pennsylvania, 2nd edition (Renewal Licensure) course is approved by the Pennsylvania Department of State - Child Abuse Recognition and Reporting Training (Provider # CACE000025). Are my hours reported to the Pennsylvania board? We will only report your 2-hour Child Abuse Recognition and Reporting in Pennsylvania, 2nd edition course to the Pennsylvania Department of State within two business days. The Pennsylvania State Board of Massage Therapy will perform a random audit on the remaining hours at which time proof of your continuing education must be provided. Is my information secure? Yes! We use SSL encryption, and we never share your information with third-parties. We are also rated A+ by the National Better Business Bureau. What if I still have questions? What are your business hours? No problem, we have several options for you to choose from! Online at EliteLearning.com/Massage-Therapy you will see our robust FAQ section that answers many of your questions, simply click FAQs at the top of the page, e-mail us at office@elitelearning.com, or call us toll free at 1-866-344-0973, Monday - Friday 9:00 am - Always check your state’s board website to determine the number of hours required for renewal, mandatory topics (as these are subject to change), and the amount that may be completed through home-study. Also, make sure that you notify the board of any changes of address. It is important that your most current address is on file. Disclosures Resolution of conflict of interest Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity. Sponsorship/commercial support and non-endorsement It is the policy of Colibri Healthcare, LLC not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners. 6:00 pm and Saturday 10:00 am - 4:00 pm EST. Important information for licensees:
Licensing board contact information:
State Board of Massage Therapy | Pennsylvania Department of State P.O. Box 2649 | Harrisburg, PA 17105-2649 | Physical address: 2525 N 7th St, Harrisburg, PA 17110 Phone: (717) 783-7155 | Fax: (717) 787-7769 https://www.pa.gov/en/agencies/dos/department-and-offices/bpoa/boards-commissions/massage-therapy.html
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Book Code: MPA0825
MASSAGE THERAPY CONTINUING EDUCATION
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Ethics for Therapeutic Massage and Bodywork (Mandatory)
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Child Abuse Recognition and Reporting in Pennsylvania, 2nd edition (Renewal Licensure) (Mandatory)
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MASSAGE THERAPY CONTINUING EDUCATION
Book Code: MPA0825
Chapter 1: Ethics for Therapeutic Massage and Bodywork (Mandatory) 4 CE Hours Expiration Date : July 31, 2027 Learning outcomes
Explain the concepts of power dynamics, transference and counter transference related to the scope of practice in massage and bodywork. List five key elements of documentation and records maintenance, including the HIPAA Privacy Rule. Define the risks involved with dual or multiple-role relationships between therapists and clients and list four strategies that reinforce appropriate boundaries. Explain the relationship between patient autonomy and therapist/client agreements, including the client’s bill of rights, informed consent, and right to refuse treatment. The components of informed consent, documentation and records maintenance, establishing boundaries, and collaboration with supervisors and colleagues for integrated healthcare, are detailed based on ethical standards of best practice. health outcomes. Addressing implicit bias in healthcare is crucial for achieving equity in medical treatment. Strategies to combat these biases involve education and awareness programs for healthcare professionals. These programs help individuals recognize and acknowledge their biases, fostering a more empathetic and unbiased approach to patient care. Additionally, implementing policies and procedures prioritizing equitable treatment for all patients can play a pivotal role in reducing healthcare disparities. Ultimately, confronting implicit bias in healthcare is essential to creating a more just and equitable healthcare system where everyone receives fair and equal treatment regardless of their background or characteristics.
After completing this course, the learner will be able to: Identify the principles of the professional Code of Ethics from the American Massage Therapy Association (AMTA), the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB), and the Associated Bodywork and Massage Professionals (ABMP). List and define five standards of practice from the AMTA, the ABMP and the NCBTMB, and give an example of each standard. Course overview This course emphasizes the principles and standards of ethical practice for massage therapy and bodywork, and ethical issues that impact the professional in daily practice. The course includes steps to identify potential ethical conflicts, and strategies for ethical decision-making to avoid and resolve ethical issues before they become problematic. professionals perceive and make treatment decisions, ultimately resulting in disparities in health outcomes. These biases, often unconscious and unintentional, can shape behavior and produce differences in medical care along various lines, including race, ethnicity, gender identity, sexual orientation, age, and socioeconomic status. Healthcare disparities stemming from implicit bias can manifest in several ways. For example, a healthcare provider might unconsciously give less attention to a patient or make assumptions about their medical needs based on race, gender, or age. The unconscious assumptions can lead to delayed or inadequate care, misdiagnoses, or inappropriate treatments, all of which can adversely impact Implicit bias in healthcare Implicit bias significantly affects how healthcare
INTRODUCTION
dilemmas may arise and therefore sound and ethical decision making skills must be developed. Ethical practice involves technical competence and knowledge in the specific areas of massage and bodywork. A professional therapist offers significant mental and physical health benefits to a client based on competency gained through education, certification or licensure, and experience. The practice of massage and bodywork are integrated into many multidisciplinary approaches to mental and physical health today. The professional practitioner has the added responsibility to understand a variety of massage and bodywork modalities that can effectively treat a wide variety of mental and physical disorders. 2016). The 2016 National Center for Complementary, and Integrated Health (NCCIH), a division of the National Institute of Health (NIH), notes that scientific research on massage therapy and bodywork is in the preliminary stage, but significant evidence points toward beneficial effects of integrative healthcare in a variety of situations
Ethics is a part of philosophy that deals with systematic approaches to moral issues and problems; ethics refers to the rules or principles that govern right conduct and includes the study of morality (Dail, 2012). Professional massage and bodywork therapists have the responsibility to practice according to ethical principles and standards of conduct set by their professional, educational, and certification organizations. Professional relationships with clients involve setting clear boundaries that must be upheld for the safety of the therapist and client. Boundaries allow a therapist to work within his or her scope of practice based on education, training and certification following the code of ethics and professional standards. Within the practice of massage therapy and bodywork, ethical
The National Institute of Health on benefits of massage (NIH) The use of integrative approaches to health and wellness has grown within healthcare settings across the United States with more than 30 percent of adults and about 12 percent of children using health care approaches developed outside of mainstream Western or conventional medicine (National Center for Complimentary and Integrative Health,
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Beyond the NIH advisory, there are other health conditions to consider before proceeding with massage and bodywork. The practitioner must communicate concerns with the client and obtain approval from other health professionals prior to initiating massage or body work if the client has experienced the following conditions: ● Bone damage, such as severe osteoporosis, may mean that massage is not indicated for the client. ● Conditions such as deep vein thrombosis, or blood clots may put clients at risk. Blood clots may become dislodged and travel to the heart or brain, causing heart attack or stroke. ● An injury, especially one that affects the blood or bones, could be negatively impacted by massage and bodywork. ● There is a risk of allergic reaction to body preparation products, including oils or aromatherapy materials. Any skin sensitivity, allergies or other conditions must be identified and discussed to identify any possibility of allergic reactions or sensitivities to products. ● Though some soreness following deep tissue massage is common, pain during or after massage should not occur. Muscle weakness or pain after the massage should be reported by the client to their health provider (NCCIH, 2016). As the massage and bodywork professions continue to expand into integrated healthcare, they have gained legitimacy for the therapeutic benefits they may provide to clients in areas of mental and physical health. Ethical practice goes beyond adherence to laws, standards, and guidelines and includes honesty with clients and colleagues, professional goals, continued education, and the obligation to always act in the client’s best interest. All state licensing authorities, certifying or accrediting agencies, and professional associations establish their own standards of conduct and ethical guidelines for their members. Massage and bodywork therapists need to refer directly to the organizations and academic or training institutions with which they are affiliated, as well as with state, local, and national associations to review ethical guidelines that apply specifically to their practice. addresses priorities for populations that may benefit from an integrated approach to health care. The objectives of the specialty certification programs are to: 1. Further elevate the standards of massage therapy. 2. Further include massage therapy’s role in integrative healthcare. 3. Provide therapists with access to high-quality, advanced programs for specific modalities and populations. 4. Ensure patients receive the best possible care.
(NCCIH, 2016). These benefits include pain management for military personnel and veterans, relief of symptoms in cancer patients and survivors, programs to promote healthy behaviors, and symptoms associated with a number of medical conditions (NCCIH, 2016). Research evidence has documented positive short term effects and if clients continue massage and body work care health benefits may continue (NCCIH, 2016). According to the NIH, Massage therapy appears to have few risks when performed by a trained massage therapist, though some precautions must be considered when practicing on clients with certain health conditions: ● In some cases, pregnant women should avoid massage therapy. Clients must consult with their health care provider before getting a massage if pregnant. Always consult the licensing agency or state regulations for additional guidance when working with pregnant clients. It might be prudent for the massage/bodywork professional to institute a standard release form to be signed and maintained in the client’s record in these cases. ● People with some conditions such as bleeding disorders or low blood platelet counts should avoid having forceful and deep tissue massage. People who take anticoagulants, known as blood thinners , also should avoid these modalities. ● Massage should not be done in any potentially weak area of the skin, such as wounds. Again, the massage professional should understand any regulations that govern their practice with these clients. ● Deep or intense pressure should not be used over an area where the patient has a tumor or cancer, unless approved by the patient’s health care provider. Always document all medical conditions and discuss the safety and effectiveness of massage and bodywork with colleagues or supervisors. ● The procedures for informed consent must include any medical diagnosis, massage and bodywork modalities to be used, and documentation must reflect any discussions and explanations conducted with clients. The informed consent section of this course will outline the important, specific, and ongoing components of informed consent that must be included in client records (NCCIH, 2016).
National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) National Board Certification is voluntary and offered through NCBTMB to provide a credential beyond state licensure
or certification for the massage therapy and bodywork profession (NCBTMB, 2016). It includes more education, hands-on experience, and a background check that conveys a higher level of mastery for the practitioner beyond state minimum requirements. The NCBTMB offers specialty certifications that align with the National Institute of Health 2016 Strategic Plan that
STATISTICS
knowledge of ethical practice and their role in integrative healthcare. The primary reason people received massage was for health and wellness reasons as follows: ● Fifty-two percent of adult Americans who had a massage between July 2014 and July 2015 received it for medical or health reasons, such as pain management, soreness/ stiffness/spasms, injury rehabilitation, or overall wellness. ● Ninety-one percent agree that massage can be effective in reducing pain.
The following is a compilation of data gathered by the American Massage Therapy Association (AMTA) from U.S. government statistics, surveys of consumers, massage therapists and recent clinical studies on the efficacy of massage. The following statistics, released in 2016, outline the current state of the massage profession, public and medical acceptance of the value of massage and increasing consumer usage of massage therapy in the U.S. (American Massage Therapy Association, 2016). It is important to understand these statistics to keep pace with the changes in the profession that require the practitioner to increase their
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● Thirty-three percent of massage consumers had a massage for relaxation/stress reduction between July 2014 and July 2015. Massage in health care More Americans are discussing massage with their doctors or health care providers: ● In July 2015, more than fifty-one million American adults, 16 percent of the population, had discussed massage therapy with their doctors or health care providers in the previous year. ● Of those who discussed massage with their doctor or health care provider, 69 percent of their doctors or health care providers referred them to a therapist, strongly recommended massage therapy, or encouraged them to get a massage. ● While physicians in 2015 led the way in recommending massage, 54 percent vs. 59 percent in 2014, chiropractors, 46 percent vs. 49 percent in 2014, and physical therapists, 37 percent vs. 43 percent in 2014, State regulation of the profession ● Forty-four states and the District of Columbia, Puerto Rico, and the US Virgin Islands regulate massage therapists through licensing requirements. ● Forty-six states have practice law and regulation of some form. ● In states that regulate massage therapy, massage therapists must meet the legal requirements to practice, which may include minimum hours of initial training and passing an exam. Frequency of massage ● According to the AMTA 2015 consumer survey, an average of 18 percent of adult Americans received at least one massage between July 2014 and July 2015, and an average of 27 percent of adult Americans received a massage in the previous five years. ● In July 2015, 19 percent of women and 16 percent of men reported having a massage in the past twelve months. Research on massage therapy The therapeutic benefits of massage continue to be researched and studied. Recent research has shown the effectiveness of massage for the following conditions: ● Cancer-related fatigue. ● Low back pain. ● Osteoarthritis of the knee. ● Reducing post-operative pain. ● Boosting the body’s immune system functioning. ● Decreasing the symptoms of carpal tunnel syndrome. ● Lowering blood pressure. ● Reducing headache frequency. ● Injury recovery or prevention. ● Pregnancy and pre-natal topics. ● Effects on general well-being. ● PTSD symptom management. ● Autism in children. ● Treating depression (AMTA, 2016b). Massage therapy for regular health maintenance According to the 20th annual consumer survey sponsored by the American Massage Therapy Association, 78 percent of individuals surveyed claimed their primary reason for ● Easing alcohol withdrawal symptoms. ● Decreasing pain in cancer patient. ● Fibromyalgia relief. ● Migraine relief. ● Treating muscle stiffness or spasms.
● The U.S. Bureau of Labor Statistics predicts an increase of 23 percent in Massage Therapist jobs between 2012 and 2022, with 30,000 jobs created during that time period (Bureau of Labor Statistics, 2015). also recommended massage therapy when their clients discussed it with them. ● More referrals come from chiropractic offices than other sources, with 11 percent of respondents reporting receiving referrals at least once per week, and another 25 percent receiving referrals several times per month. ● Fifty-five percent of massage therapists received at least one referral every six months or less from a hospital or medical office in 2015. ● Nearly two-thirds of adult Americans would like to see their insurance cover massage therapy. ● The vast majority of massage therapists, 96 percent, believe massage therapy should be considered part of the health care field (AMTA, 2016b). ● In states that do not regulate massage therapy, this task may fall to local municipalities. ● Most states that license massage therapists require a passing grade on the Massage & Bodywork Licensing Exam (MBLEx) or one of two exams provided by the National Certification Board for Therapeutic Massage & Bodywork. ● Eighteen percent of massage consumers reported receiving their last massage at a massage therapist’s office or location in 2015, surpassing spas as the top place to receive massage for the first time. ● 19 percent of consumers surveyed reported receiving a massage from a professional massage therapist in the past year (AMTA, 2016b). receiving a massage in the previous 12 months was medical. These medical reasons included massage for pain relief, muscle soreness, stiffness or spasms. An additional 50 percent sought massage for stress relief and 28 percent sought massage for symptoms they reported were related to stress. The consumer survey also included the following results: ● 88 percent of individuals view massage as being beneficial to overall health and wellness. ● 89 percent of consumers surveyed believe that massage can be effective in reducing pain; with 28 percent of respondents stating they have used massage therapy for pain relief. ● The overall mean, excluding none, was 3.8 massages for those receiving massage in past 12 months. ● Overall mean, excluding none, was 10.2 massages for those receiving massage in past 5 years (AMTA, 2016b). Americans reasons for getting massages are changing Instead of seeking massage therapy solely for relaxation and pampering purposes, individuals clearly are turning to massage therapy to assist with medical conditions. ● As few as 27 percent of individuals believe massage therapy is only a form of pampering with 71 percent of consumers responding that massage therapy should be considered a form of healthcare.
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Health care providers recommending massage as a viable form of treatment for the conditions discussed above Health care providers and doctors are more commonly viewing massage therapy as a legitimate option to address health concerns. Of consumers who discussed massage therapy with their doctors: ● 12 percent were referred to a massage therapist by their doctor. ● 15 percent were told by their doctor that a massage might benefit them. ● 56 percent of respondents said their physician has recommended they get a massage, up from 54 percent last year (AMTA, 2016b).
● 50 percent of people have received a massage for one or more of the following reasons: soreness, stiffness or spasms, to relieve or manage stress, for prevention or to improve quality of life, injury recovery or rehabilitation, to keep fit or healthy, maintain wellness, pregnancy/ prenatal, or to control headaches or migraines (AMTA, 2016b). Consumers are discussing specific medical conditions with their doctors ● 37 percent of respondents discussed pain relief or pain management with their doctor. ● 26 percent discussed injury recovery or rehabilitation with their doctor. ● 16 percent discussed soreness, stiffness, and spasms with their doctor (AMTA, 2016b).
GLOSSARY OF TERMS
The major organizations that guide the massage therapy and bodywork professions have their own specific glossaries that reflect the unique practice of their members, and the NCBTMB glossary of terms ● Acceptable accounting procedures : Rules, conventions, standards, and procedures that are widely accepted among financial accountants. ● Boundary : A boundary is a limit that separates one person from another. Its function is to protect the integrity of each person. ● Competency : Study and development of a particular professional knowledge base, and skills associated with and applied in practice within that knowledge base. ● Counter-transference : A practitioner’s unresolved feelings and issues that are unconsciously transferred to the client. ● Dignity : The quality or state of being worthy, honored, or esteemed. ● Dual relationships : An alliance in addition to the client/ therapist relationship, such as social, familial, business or any other relationship that is outside the therapeutic relationship. ● Genitalia, female : Labia major, labia minor, clitoris and vaginal orifice. ● Genitalia, male : Testes, penis and scrotum. ● Impugn : To assail by words or arguments, oppose or attack as false. ● Integrity : Honesty. Firm adherence to a code of values. ● Multidimensional relationships : Overlapping relationships, in which the therapist and client share an alliance, in addition to the therapeutic relationship. ● Progress notes : Notes written by a practitioner certified by NCBTMB, and kept in a separate client file that indicates the date of the session, areas of complaint as The 2016 AMBP glossary of terms This glossary is very extensive, but additional key terms used in this course are as follows: ● Craniosacral therapy : Craniosacral therapy is a gentle, noninvasive method of evaluating and enhancing the function of a physiological body arrangement called the craniosacral system , which consists of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord. It extends from the bones of the skull, face, and mouth, which make up the cranium, down to the sacrum or tailbone. ● Healing touch : Healing Touch is an energy-based therapeutic approach to healing. Healing Touch uses touch to influence the energy system, thus affecting physical, emotional, mental, and spiritual health, as well as healing. The goal of Healing Touch is to restore
goals, ethics, and standards of the association. These often overlap, but the following terms that relate to this course are included.
stated by client, and observations made and actions taken by the practitioner. ● Sexual activity : Any verbal and/or nonverbal behavior for the purpose of soliciting, receiving, or giving sexual gratification. ● Sexual harassment : Sexual harassment consists of unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when: (1) submission to such conduct is made, either explicitly or implicitly, a term or condition of an individual’s employment; (2) submission to, or rejection of, such conduct by an individual is used as the basis for employment decisions affecting such individuals; or (3) such conduct has the purpose or effect of unreasonably interfering with an individual’s work performance or creating an intimidating, hostile, or offensive working environment. ● Scope of practice : The minimum standards necessary for safe and effective practice and the parameters of practice determined by a certificant’s professional training and education, and, when applicable, regulatory bodies. ● Therapeutic breast massage : Manipulation of the non- muscular soft tissue structure of the breast, up to and including the areola and nipple. ● Transference : The displacement or transfer of feelings, thoughts, and behaviors originally related to a significant person, such as a parent, onto someone else, such as a massage therapist, or doctor, psychotherapist, teacher, or spiritual advisor (NCBTMB, 2016b). harmony and balance in the energy system to help the person to self-heal. The quality and impact of the healing is influenced by the relationship between the giver and receiver. ● Hydrotherapy : Although ancient Greece and Rome had beliefs that water had healing properties, it was the Romans to first integrate hydrotherapy into their social life, building temples and baths near natural springs. Various hydrotherapy massage techniques exist and are generally utilized by massage/bodywork practitioners, physical therapists, physicians, and spa technicians. These techniques include underwater massage, herbal baths, thalassotherapy, Kneipp therapy, Vichy treatments, Scotch hoses, and Swiss showers.
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● Kinesiology/applied kinesiology : The study of the principles of mechanics and anatomy related to human body movement, specifically the action of individual muscles or groups of muscles that perform specific movements. Applied kinesiology involves muscle testing to assess a client’s condition. ● Lymph drainage therapy (LDT) : LDT is unique in that healthcare professionals learn how to palpate lymphatic flow. As they develop their skills, they can identify the rhythm, direction, and quality of the lymphatic flow. Advanced practitioners are often able to precisely map the lymphatic flow to identify alternate pathways for drainage. Lymph Drainage Therapy evolved from traditional medicine, Asian medical practices, and manual therapies. ● Medical massage : Performing medical massage requires a firm background in pathology and utilizes specific treatments appropriate to working with disease, pain, and recovery from injury. The therapist may work from AMTA 2016 glossary of research terminology ● Beneficence : An obligation to ensure the well-being of individuals by: (a) doing no harm; and (b) maximizing potential benefits while minimizing possible harm. ● Competency : Mastery or the skills and techniques of the profession that are gained through education and training. A competent learner has acquired a variety of learning goals including an attainment of self- confidence, or the sense of being able to cope. This attainment of self-confidence denotes an emotional or affective component of competency. ● Confidentiality : This provision in a research study means that, although the researcher potentially or actually can associate a research subject’s identity with information received from that individual, assurances are given that such associations of identity and information will be kept strictly secret, private, and undisclosed. ● Ethics : One of two subdivisions of the branch of philosophy known as Axiology . Whereas Axiology speaks to the issue of values in general, ethics is the subdivision that addresses values in the context of human behavior. The second subdivision of axiology is that of aesthetics and concerns itself with values in the context of the appreciation of beauty. ● Informed consent : Informed consent by research subjects is a moral requirement derived primarily from the ethical principle of respect for persons. Though somewhat debated, consensus does exist in that informed consent must encompass three critical elements as the researcher attempts to ensure that prospective subjects have all of the required information necessary to make a rational decision regarding their participation in a study. These three elements involve: (a) the extent and nature of study-related information provided to potential research subjects; (b) the comprehensibility of the study-related information; and (c) the voluntary nature of the consent if and when it is forthcoming. ● Neuromuscular therapy : The program of soft tissue manipulation, balancing the body’s central nervous system with the musculoskeletal system. It is based on neurological laws that explain how the central nervous system initiates and maintains pain. The outcome of
a physician’s prescription or as an adjunct healer in a hospital or physical therapy setting. ● Orthopedic massage : Combining some elements of sports and medical massage, orthopedic massage integrates ten modalities to treat soft-tissue pain and injury. Emphasis is placed on understanding both the injury and its rehabilitation criteria. The three basic elements adhered to, despite the technical diversity in treatment, are assessment, matching treatment to the injury, and treatment adaptability. ● Somatic therapy : Meaning of the body, and often used to denote a body/mind or whole-body approach, as distinguished from a physiology-only perspective. ● Tapotement : A specific technique used in Swedish massage. It is a rhythmic percussion, most frequently administered with the edge of the hand, a cupped hand, or the tips of the fingers (Associated Bodywork and Massage Professionals, 2015). the therapy is to help relieve pain and dysfunction by alleviating the underlying cause. ● Massage therapy : A generic term that denotes both (a) the promotion of health and well-being by way of soft tissue manipulation and movement of the body, and (b) a health care profession engaged in by massage practitioners. Specialties in the massage therapy profession are defined by virtue of those client populations served, health conditions treated, and intervention techniques used. ● Massage Therapy Research Database (MTRD) : This database, maintained by the Massage Therapy Foundation, represents the only consolidated, comprehensive listing of bibliographic citations of the scientific research literature on therapeutic massage and bodywork. It currently contains more than 4000 entries and serves as a reference source to help professionals and the public locate articles and other relevant documents. ● Research : At its most basic level, research is a process that explores one or more areas of interest (called factors or variables ) by analyzing numerical and/or verbal data so as to advance our understanding. More specifically, research is an activity that allows one to accomplish one or more of the following tasks: (a) to characterize a variable of interest by an appeal to numerical and/ or verbal data, (b) to investigate a possible relationship between two or more variables, and (c) to integrate or synthesize data from already published sources concerning one or more variables of interest. ● Risks/benefits assessment : The assessment of risks and benefits is the moral requirement derived primarily from the ethical principle of beneficence. This assessment should be viewed not only as a responsibility but also as an opportunity for the researcher, a review committee, and a prospective research subject. For all three parties involved, it allows for the systematic gathering of comprehensive information about the research being proposed, with each party to the process having a unique set of concerns regarding the study’s potential risks and benefits (AMTA, 2016c).
National Center for Complementary, and Integrated Health: National Institute of Health glossary ● Alternative medicine : A non-mainstream practice used in place of conventional healthcare.
The NIH views massage, chiropractic and osteopathic manipulation in this category. ● Integrated healthcare : Conventional and complementary approaches brought together in a coordinated way.
● Complementary healthcare : A non-mainstream practice used together with conventional medicine.
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Book Code: MPA0825
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● Mind and body practices : Mind and body practices include a large and diverse group of procedures or techniques administered or taught by a trained practitioner or teacher. The 2012 National Health Interview Survey (NHIS) showed that chiropractic and osteopathic manipulation, yoga, massage therapy, and meditation are among the most popular mind and body practices used by adults. Other mind and body practices include acupuncture, relaxation techniques, such as breathing exercises, guided imagery, and progressive muscle relaxation, tai chi, qi gong, healing touch, hypnotherapy, and movement therapies, such as Feldenkrais method, Alexander technique, Pilates, Principles of professional ethics Ethics refers to principles of morally right or good conduct. Professional ethics in massage therapy is the application of guiding principles and standards of conduct to the study, practice, and business of massage therapy. Professional ethical codes are formally defined, mandatory standards of conduct established by and for members of professional associations to ensure quality and integrity in the profession. The AMTA Code of Ethics This Code of Ethics is a summary statement of the standards of conduct that define ethical behavior for the massage therapist. Adherence to the Code is a prerequisite for admission to and continued membership in the American Massage Therapy Association (AMTA, 2015). Principles of Ethics form the first part of the Code of Ethics. They are the model standards of exemplary professional conduct for all members of the association. These principles should not be regarded as limitations or restrictions, but as goals of which members should constantly strive to achieve (AMTA, 2015). The second part of the code is Rules of Ethics. Rules of Ethics are mandatory, and direct specific, minimally acceptable professional conduct for all members of the association. These rules are enforceable for all association members, and any members who violate this Code shall be subject to disciplinary action (AMTA, 2015). The AMTA provides the following ethical principles to ensure that massage therapists/practitioners shall: ● Demonstrate commitment to provide the highest quality massage therapy to those who seek their professional service. ● Acknowledge the inherent worth and individuality of each person by not discriminating or behaving in any prejudicial manner with clients and/or colleagues. ● Demonstrate professional excellence through regular self-assessment of strengths, limitations, and effectiveness by continued education and training. The ABMP Code of Ethics The AMTA and ABMP organizations share similar fundamental principles, but it is important to review both to expand the professional knowledge of ethics. Members of the ABMP pledge commitment to the highest principles of the massage and bodywork profession as outlined below: 1. Commitment to High-Quality Care. ○ Serve the best interests of my clients at all times and provide the highest quality of bodywork and service possible. ○ Recognize that the obligation for building and
Rolfing Structural Integration, and Trager psychophysical integration. ● 2016 Strategic Plan: Exploring the science of complementary and integrative health : A series of goals and objectives to guide priorities for future research on complementary health approaches. The scientific objectives in the plan are aligned with those of the broader National Institutes of Health strategic plan. ● Natural products : A variety of products, such as herbs, also known as botanicals, vitamins, minerals and probiotics. These are widely marketed, readily available to consumers, and often sold as dietary supplements (NCCIH, 2016b).
ETHICS FOR MASSAGE AND BODYWORK
This course is based on standards of ethical behavior embodied in the American Massage Therapy Association (AMTA), the Associated Bodywork and Massage Professionals (ABMP) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) Codes of Ethics. ● Acknowledge the confidential nature of the professional relationship with clients and respect each client’s right to privacy within the constraints of the law. ● Project a professional image and uphold the highest standards of professionalism. ● Accept responsibility to do no harm to the physical, mental, and emotional well-being of self, clients, and associates (AMTA, 2015). The AMTA provides the following ethical rules to ensure that massage therapists/practitioners shall: ● Conduct all business and professional activities within their scope of practice and all applicable legal and regulatory requirements. ● Refrain from engaging in any sexual conduct or sexual activities involving their clients in the course of a massage therapy session. ● Be truthful in advertising and marketing, and refrain from misrepresenting his or her services, charges for services, credentials, training, experience, ability or results. ● Refrain from using AMTA membership, including the AMTA name, logo or other intellectual property, or the member’s position, in any way that is unauthorized, improper or misleading. ● Refrain from engaging in any activity that would violate confidentiality commitments and/or proprietary rights of AMTA or any other person or organization (AMTA, 2015). 2. Commitment to Do No Harm. ○ Conduct a thorough health history intake process for each client and evaluate the health history to rule out contraindications or determine appropriate session adaptations. If signs or suspicions of an undiagnosed condition are detected that might make massage inappropriate, refer that client to a physician or other qualified health-care professional, and delay the massage session until approval from the physician has been granted. ○ Understand the importance of ethical touch, and therapeutic intent and conduct sessions with the sole objective of benefitting the client.
maintaining an effective, healthy, and safe therapeutic relationship with my clients is my responsibility.
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Book Code: MPA0825
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3. Commitment to Honest Representation of Qualifications. ○ Never work outside the commonly accepted scope of practice for massage therapists and bodywork professionals. ○ Adhere to the state’s scope of practice guidelines and only provide treatments and techniques for based on training and credentials. ○ Evaluate the needs of each client and refer the client to another provider if the client requires work beyond the therapist’s capabilities, or beyond the capacity of massage and bodywork. ○ Do not use the trademarks and symbols associated with a particular system or group without authentic affiliation. ○ Acknowledge the limitations of massage and bodywork by refraining from exaggerating the benefits of massage therapy and related services in marketing materials. 4. Commitment to Uphold the Inherent Worth of All Individuals. ○ Demonstrate compassion, respect, and tolerance for others. ○ Seek to decrease discrimination, misunderstandings, and prejudice. ○ Understand there are situations when it is appropriate to decline service to a client due to the best interests of a client’s health, or for personal safety, but do not refuse service to any client based on: disability; ethnicity; gender; marital status; physical build; sexual orientation; religious, national, or political affiliation; or social or economic status. 5. Commitment to Respect Client Dignity and Basic Rights. ○ Demonstrate respect for the dignity and rights of all individuals by providing a clean, comfortable, and safe environment for sessions, using appropriate and skilled draping procedures. Give clients recourse in the event of dissatisfaction with treatment, and uphold the integrity of the therapeutic relationship. 6. Commitment to Informed Consent. ○ Recognize a client’s right to determine what happens to his or her body. ○ Understand that a client may suffer emotional and physical harm if a therapist fails to listen to the client and imposes his or her own beliefs in a situation. ○ Inform clients of choices relating to their care, and disclose policies and limitations that may affect their care. The NCBTMB Code of Ethics This NCBTMB board certification credentials are available for the massage therapy and bodywork profession. It requires achievement beyond entry-level licensure, including completing more education, hands-on experience, and a background check (NCBTMB, 2008). Board Certification through the NCBTMB seeks to align the massage therapy and bodywork profession with other allied health and medical professions, enhancing value and credibility of these professions. Many health care facilities and spas now require board certification to apply for positions (NCBTMB, 2008). National board certification, unlike state requirements that vary, is based on a uniform set of standards and code of ethics. Certificants throughout the profession represent and benefit from a consistent level of quality evidenced by their national board certification.
○ Do not provide massage without obtaining a client’s informed consent, or that of the guardian or advocate for the client, for a session plan. 7. Commitment to Confidentiality. ○ Keep client communication and information confidential and do not share client information without the client’s written consent, within the limits of the law. ○ Ensure every effort is made to respect a client’s right to privacy, and provide an environment where personal health-related details cannot be overheard or seen by others. 8. Commitment to Personal and Professional Boundaries. ○ Refrain from and prevent behaviors that may be considered sexual in massage practice, and uphold the highest professional standards in order to desexualize massage. ○ Do not “date” a client, engage in sexual intercourse with a client, or allow any level of sexual impropriety, i.e., behavior or language, from yourself or from clients. ○ Understand that sexual impropriety may lead to sexual harassment charges, the loss of credentials, lawsuits for personal damages, criminal charges, fines, attorney fees, court costs, and jail time. 9. Commitment to Honesty in Business. ○ Know and follow good business practices in regards to record keeping, regulation compliance, and tax law. ○ Set fair fees and practice honesty in marketing materials. ○ Do not accept gifts, compensation, or other benefits intended to influence a decision related to a client. ○ Use the ABMP logo appropriately to establish credibility and market a practice. 10.Commitment to Professionalism. ○ Maintain clear and honest communication with clients and colleagues. ○ Do not use recreational drugs or alcohol before or during massage sessions. ○ Project a professional image with respect to behavior and personal appearance in keeping with the highest standards of the massage profession. ○ Do not actively seek to take another colleague’s clients, disrespect a client or colleague, or malign another therapist or other allied professional. ○ Actively strive to positively promote the massage and bodywork profession by committing to self- development and continually building professional skills (ABMP, 2016). The NCBTMB Code of Ethics was last updated in 2008, and reflects principles and standards as summarized below. NCBTMB certificants and applicants for certification shall act in a manner that justifies public trust and confidence, enhances the reputation of the profession, and safeguards the interest of individual clients. Certificants and applicants for certification will: ● Have a sincere commitment to provide the highest quality of care to those who seek their professional services. ● Represent their qualifications honestly, including education and professional affiliations, and provide only those services that they are qualified to perform. ● Accurately inform clients, other health care practitioners, and the public, of the scope and limitations of their discipline.
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Book Code: MPA0825
EliteLearning.com/Massage-Therapy
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