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Exam Number : NCBTMB
Exam Name : National Certification Board for Therapeutic Massage & Bodywork
Vendor Name : Medical
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NCBTMB exam Format | NCBTMB Course Contents | NCBTMB Course Outline | NCBTMB exam Syllabus | NCBTMB exam Objectives


Board Certification in Therapeutic Massage and Bodywork represents the highest attainable credential within the massage therapy and bodywork profession. Board Certification is a separate credential above and beyond entry-level massage therapy licensure.

As Board Certification is voluntary, its achievement represents the highest level of commitment to clients and to the advancement of the massage therapy and bodywork profession. Board Certificants must meet higher standards of education and experience, as well as pass a rigorous exam that tests massage therapy and bodywork technique and application, critical thinking, communication, law, ethics, evaluation, documentation, and planning.

NCBTMB is the only certifying body for the massage therapy and bodywork profession. For that reason, NCBTMBs certification processes are founded upon a superior Code of Ethics and Standards of Practice, which all Board Certificants must adhere to. Like their Certificants, the advancement of the profession and the improvement of client care is their focus.

Board Certification in Therapeutic Massage and Bodywork (BCTMB) is the highest attainable credential within the massage therapy and bodywork profession. It is a separate credential above and beyond entry-level, mandatory state licensure.

Board Certificants must meet stringent requirements, clear a recurring criminal background check, and pass the Board Certification Exam.

Board Certification is so much more than having an entry-level massage license. By achieving the profession's highest attainable credential, you represent advanced standards of education, experience, critical thinking, and exam skills to provide clients and patients positive outcomes.

In the past, massage therapists have not made Board Certification a priority as it is voluntary—but that is changing rapidly in both clinical and staff positions. As massage therapy gains traction as a reimbursable, non-pharmaceutical method for pain relief, insurance companies and other approval entities will look for, or may even require, Board Certification to make this possible.

Course Outline | Syllabus | Objectives

I. Massage Modalities, Techniques, And Manual Forces (20%)

• Knowledge

• General massage protocols

• Compression

• Tension/decompression

• Friction/shearing

• Bending

• PNF, MFR, pin and stretch, etc.

• Torsion

• Range of motion

• Muscle Energy Techniques

• Stretching

• Hydrotherapy

• Indications and contraindications

• Vibration (jostling, shaking)

• Tapotement

• Client/patient positioning

• Special population (pregnancy massage, oncology massage, etc.)

• Appropriate tools and appropriate use

• Efficient body mechanics

• Benefits and effects of modalities (forms), and techniques

• Modality literacy Skills

• Determine applicable massage techniques when working with clients

• Apply massage techniques safely

• Perform massage on special populations

• (athletes, geriatric, prenatal, etc.)

• Identify contraindications and apply affective techniques

• Identify fundamental characteristics of bodywork modalities

• Perform proper body mechanics while working with different populations

• Position clients for comfort and safety

II. Applied Science: Anatomy, Physiology, Kinesiology, Pathology/ Injury, and Pharmacology (25%)


• Anatomy (structure of the human body including joints, tissues, muscles, functions, origins, insertions, and actions, nerve
structure, etc.)

• Physiology – systems of the body with:

• i. in-depth knowledge in muscle, skeletal, and nervous systems

• ii. intermediate knowledge in integumentary, cardiovascular, lymphatic and digestive systems iii. basic knowledge in respiratory, endocrine, reproductive and urinary systems

• Kinesiology (mechanics of body movement including levers, agonists, antagonists, synergist, etc.)

• Pharmacology (contraindications of prescription and non-prescription medication, implications for massage, etc.)

• Standard precautions

• Endangerment sites


• Identify structures and functions of all body systems

• Identify muscle and joint physiology

• Recognize mechanics of body movement –

• agonists, antagonists and synergists

• Identify and apply range of motion techniques

– passive, active, active assisted and resistive range of motion

• Identify endangerment/cautionary sites

• Recognize muscle and orthopedic testing

• Identify indications and contraindications of common prescription drugs

• Determine proper stretching techniques and “end feels”

III. Professional Communication (15%)


• Medical terminology

• How to communicate with client/patient in understandable terms

• Reporting formats (appropriate language in medical history, treatment plan, SOAP notes, EMR etc.)


• Communication with clients/patients (asking questions to clarify information)

• Client/patient sensitivity and vulnerabilities (how to make clients comfortable during treatment)

• Verbal and non-verbal cues

• Informed consent


• Effectively communicate with clients when explaining treatment plans

• Describe techniques, anatomy, physiology and kinesiology in understandable terms

• Identify HIPAA procedures

• Work within client comfort levels

• Adapt to verbal and non-verbal cues when working with clients

• Document sessions appropriate to the work setting – SOAP, EMR, spa etc.

• Uphold all HIPAA confidentiality standards

• Effectively communicate in proper medical terminology when working with other healthcare professionals

IV. Professionalism & Ethics (10%)


• Current standard of care for safe and effective massage

• Professional boundaries

• Draping laws and techniques

• When to refer clients to other health professionals

• When, why and how to refuse treatment

• How to report misconduct and who to report to

• Transference and countertransference


• Maintain proper physical and emotional boundaries

• Respect clients right to say no

• Identify when to refer out and whom to refer clients with pathologies

• Identify transference and countertransference situations

• Identify when to refuse to treat clients

• Identify correct entities to report client or fellow massage therapists misconduct

V. Laws & Business Practices (5%)


• Appropriate draping

• Continuing education requirements

• Scope of practice and applicable licensing laws

• Record keeping (business and client/patient)


• Maintain client confidentiality

• Perform only within the massage therapy scope of practice

• Maintain appropriate draping for client protection and privacy

• Represent educational and professional

• qualifications honestly

• Demonstrate proper business and client record keeping

• Abide by national organizations code of conduct and policies

• Comply with all federal state and local laws

VI. Assessment (25%)


• Comprehensive intake

• Interview and data collection techniques

• Observation techniques (posture deviation, etc.)

• Range of motion (normal and abnormal body motions)

• Treatment session planning techniques in collaboration with client/patient and other healthcare professionals when necessary

• Indications and contraindications

• Functional exams and reassessments

• Customized treatments

• Pain scale and pain management

• Medical terminology (SOAP charting, etc.)

• Clinical reasoning (analyzing information from client/patient)

• Research associated with massage therapy


• Conduct an effective and thorough intake interview to gather information

• Interpret client health history information

• Customize treatment plans to fit the needs of • each client

• Discuss treatment plan and alternate plans if requested by the client

• Determine common pain scale descriptions

• Utilize palpatory skills to assess soft tissue

• Perform and interpret active and passive range of motion exams

• Perform and interpret postural analysis

• Perform and interpret gait exam

• Perform and interpret manual resistance tests

• Perform and interpret special orthopedic tests

• Reassess client movement, strength and range of motion post – treatment

• Document all findings properly pre and post treatment and change treatment plans accordingly

• Collaborate with other healthcare professionals as needed

• Communicate using appropriate medical terminology when speaking with other medical professionals and in official documentation

• Work effectively as part of an integrated healthcare team

• Recognize and analyze research

• Identify different areas of research

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What to learn about GABA | Killexams.com Resources

Gamma-aminobutyric acid (GABA) is a neurotransmitter, or chemical messenger, within the brain. capabilities GABA advantages consist of reducing blood power, reducing muscle spasms, and managing mood.

The mind consists of many neurotransmitters that set off or inhibit particular reactions in the body. GABA calms the panic equipment by preventing the transmission of certain alerts.

GABA is existing in flowers, animals, and microorganisms. The human physique produces it, and it's present in some foods. drug treatments and supplements aim to boost it.

listed here, they verify how expanded tiers of GABA may additionally affect the mind and body and no matter if taking GABA supplements could have the same benefits.

In 2020, some researchers described GABA as a bioactive agent that might also have here properties:

  • antidepressant
  • sedative
  • antihypertensive, which potential it could possibly in the reduction of blood power
  • antidiabetic
  • anticancer
  • immune system enhancer
  • A 2019 overview mentioned that GABA has antimicrobial, antiseizure, and antioxidant properties and can help treat and prevent circumstances equivalent to:

    Boosting GABA may have quite a number effects, but precisely what it may well do isn't yet clear.

    Some drugs contain supplies that enhance the motion of GABA. Gabapentin and valproate, for instance, in some way raise the motion of GABA in the physique.

    here are some examples:

  • valproate can stabilize moods and stop seizures
  • gabapentin helps manipulate nerve pain
  • baclofen can reduce muscle spasms and treat narcolepsy, a snooze ailment
  • benzodiazepines — akin to Valium and Xanax — aid treat anxiety, agitation, seizures, and muscle spasms
  • according to one analyze, americans who have depression might also have reduced GABA degrees within the mind. using benzodiazepines may be a good idea in these circumstances.

    read about which medication act as a muscle relaxer here.

    GABA is latest in some fermented foods, comparable to:

  • kimchi
  • fermented fish
  • tempeh
  • fermented buffalo milk
  • fermented cassava
  • fermented durian
  • Zlatar cheese
  • sourdough
  • mulberry beer
  • sake
  • yogurt-sake
  • different foods where scientists have discovered at the least traces of GABA consist of:

  • germinating adzuki and soybeans
  • peas
  • wheat and barley
  • brown and red rice
  • mature green tomatoes
  • cruciferous greens, equivalent to spinach, kale, and broccoli
  • candy potato
  • shiitake mushrooms
  • chestnuts
  • white chinese tea
  • The meals and Drug Administration (FDA) classes GABA as “frequently recognized as secure” to make use of as a complement and food additive.

    manufacturers may add GABA to sports drinks and different foods.

    one more option for boosting GABA is to take dietary supplements.

    manufacturers produce GABA dietary supplements by fermenting a sort of lactic acid micro organism.

    individuals take them to:

  • relieve stress and nervousness
  • enhance sleep
  • in the reduction of excessive blood force
  • There is not sufficient evidence to show that GABA dietary supplements will produce all the anticipated benefits. analysis is ongoing.

    Some individuals may additionally take a supplement in pill form, while others might also add it to meals, equivalent to protein drinks.

    manufacturers make different thoughts about how a lot to take. any person on account that taking GABA dietary supplements should still check with their doctor first.

    If a person experiences facet effects after starting to take GABA dietary supplements, they should still stop using the complement and call their doctor.

    research into GABA dietary supplements is ongoing and has now not yet confirmed if they are advantageous or now not.

    Some experts say the effective outcomes people record may well be a placebo response. Others do not agree with that GABA dietary supplements go the blood-brain barrier. This capability they are not likely to have any impact on the physique.

    besides the fact that children, some stories report effective outcomes from taking GABA dietary supplements. These consist of:

    better considering and assignment efficiency advantage

    A study from 2015 found that someone better their capacity to prioritize and plan actions by using taking 800 milligrams (mg) of GABA supplementation per day. however the analyze turned into small, involving just 30 healthy volunteers, it showed how GABA supplementation may promote more advantageous thinking.

    Stress discount

    An older look at from 2012 discovered that taking a hundred mg of GABA every day helped cut back stress because of intellectual initiatives. Like many different experiences related to GABA, the analyze turned into small and panic simply 63 individuals.

    workout healing and muscle constructing

    A 2019 analysis examine asked 21 fit men to take a supplement with whey protein or whey protein plus GABA as soon as a day for 12 weeks.

    The contributors performed the equal resistance practicing workout routines twice a week, and the researchers measured the consequences. The researchers found that the mixture of whey protein and GABA multiplied ranges of increase hormone in comparison to whey protein on my own.

    despite the fact this turned into yet another small study, the researchers concluded that GABA dietary supplements might help build muscle and support in exercising recovery. They counseled that researchers behavior extra reports.

    it's fundamental to observe any directions, even if the usage of supplements or taking medicinal drugs that mimic or purpose to boost GABA.

    drugs aspect effects

    americans who use medications that mimic or aim to enhance GABA may still follow the directions from their doctor or pharmacist cautiously.

    Taking too a good deal or combining them with alcohol or opioids can cause critical apprehensive device (CNS) melancholy. This can cause the body to slow down so that the adult can no longer breathe. It may also be life threatening.

    learn more about the opposed effects of gabapentin here.

    dietary supplements facet results

    medical studies suggest that taking over to a hundred and twenty milligrams (mg) of GABA per day as dietary supplements for 12 weeks is not going to cause adversarial results.

    individuals should take care when the use of them with different medication.

    the usage of them with medicines for prime blood drive or epilepsy might also enhance the affect of those medication.

    americans should all the time confer with a physician earlier than taking any dietary supplements and make sure they understand which drugs the adult is already taking.

    The FDA doesn't alter dietary supplements in the identical way as medicinal drugs. people should take care most effective to purchase from professional carriers and agencies.

    The body naturally produces GABA, and it helps promote sleep, relieve anxiety, and give protection to the brain.

    medicines that mimic its effect have critical uses in the treatment of epilepsy and pain administration.

    Some americans take dietary supplements, but scientists are still searching into the benefits they may give.

    before the use of GABA supplements for any condition, it is premiere to talk with a physician. They may additionally advocate making an attempt a medically confirmed medicine first. in the event that they guide the use of GABA supplements, they're going to propose the grownup on the way to do so safely.


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