Carpal Tunnel Syndrome and Massage

Course #M4112 - $18 • 4 Hours/Credits


Study Points

  1. Define carpal tunnel syndrome, and identify the causes and contributing factors.
  2. Evaluate the symptoms of carpal tunnel syndrome and perform tests to reinforce the diagnosis.
  3. Treat carpal tunnel syndrome and lessen symptoms using massage therapy techniques.
  4. Prevent the onset of carpal tunnel syndrome in the massage therapy profession.

    1 . Carpal tunnel syndrome is defined as
    A) pain and abnormal nerve sensations in the neck, shoulder, arm, and/or hand.
    B) painful disorder of the wrist and hand that occurs when the median nerve becomes compressed.
    C) injury to the nerves, muscles, and tendons of the wrist and hand due to the repetitive use of vibrating hand tools.
    D) medial elbow pain, hand fatigue, and sensations in the fourth and fifth fingers resulting from ulnar nerve damage.

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    2 . The carpal tunnel is
    A) where the radius and the ulna adjoin.
    B) the internal structures of the entire wrist.
    C) the collection of tendons housed in the wrist.
    D) a narrow passageway housing and protecting the tendons of the hand.

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    3 . Which of the following is NOT a symptom of carpal tunnel syndrome?
    A) Frequent fatigue
    B) Decreased grip strength
    C) Difficulty distinguishing between hot and cold
    D) Pain in the wrist, palm, or forearm, especially during use

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    4 . Health conditions frequently associated with the presence of carpal tunnel syndrome include
    A) thyroid disorders, rheumatoid arthritis, and hypotension.
    B) rheumatoid arthritis, hypotension, and tophaceous gout.
    C) metabolic syndrome, thyroid disorders, and rheumatoid arthritis.
    D) hypotension, tophaceous gout, and noninflammatory synovial fibrosis.

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    5 . Which of the following is TRUE regarding the health factors contributing to carpal tunnel syndrome?
    A) It is likely to retain carpal tunnel syndrome several years after pregnancy.
    B) Hemodialysis has no connection to one's likelihood of developing carpal tunnel syndrome.
    C) The combination of hypothyroidism and carpal tunnel syndrome appears to be more common in the elderly.
    D) Women with gout are significantly more likely than their male counterparts to develop carpal tunnel syndrome.

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    6 . Which of the following is a personal/physical risk factor for carpal tunnel syndrome?
    A) Male gender
    B) Female gender
    C) Small physical stature
    D) Frequent wrist inactivity

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    7 . Phalen's test consists of
    A) pressing or tapping on the median nerve in the client's wrist.
    B) asking the client to flick the hand and wrist as if shaking a thermometer.
    C) asking the client to flex the wrists by pressing the back of his or her hands together.
    D) elevating the client's hand above his or her head as high as comfortably possible for one minute.

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    8 . Which massage technique uses slow, intense pressure to decrease tension?
    A) Flexor work
    B) Myofascial stretching
    C) Soft tissue mobilization
    D) Stripping and compression

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    9 . Which of the following is NOT one of OSHA's points designed to reduce and prevent illness and injury resulting from muscle/skeletal disorders in the workplace?
    A) Specific guidelines for the salon and spa industries
    B) Guidelines designed to prevent/reduce workplace muscle/skeletal disorders
    C) Enforcement designed to prosecute serious ergonomic violations in the workplace
    D) Outreach and assistance designed to assist businesses with the management of ergonomic issues

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    10 . All of the following are strategies massage therapists can use to prevent carpal tunnel syndrome, EXCEPT:
    A) Adjust the height of chairs
    B) Avoid repetitive movements
    C) Keep elbows at an angle less than 90 degrees
    D) Keep tools and products within comfortable reach

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