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NCBTMB Exam Format | NCBTMB Course Contents | NCBTMB Course Outline | NCBTMB Exam Syllabus | NCBTMB Exam Objectives

Exam Type: Computer-based multiple-choice exam.

Number of Questions: 100 scored questions + 20 un-scored pretest questions (total of 120 questions).

Time Limit: 2 hours (120 minutes).

Question Types: Multiple-choice questions with four answer options.

Language: English.

Scoring System: The exam uses a scaled scoring system, with scores ranging from 300 to 700.

Passing Score: A scaled score of 500 or higher is required to pass.



1. Anatomy and Physiology (25%)

- Skeletal System: Bones, joints, and their functions.

- Muscular System: Muscle groups, origins, insertions, actions, and types of muscle contractions.

- Nervous System: Central and peripheral nervous systems, reflexes, and sensory receptors.

- Circulatory System: Heart, blood vessels, and circulation pathways.

- Lymphatic System: Lymph nodes, vessels, and immune function.

- Respiratory System: Lungs, diaphragm, and breathing mechanics.

- Digestive System: Organs and processes of digestion.

- Endocrine System: Hormones and glands.

- Integumentary System: Skin, hair, and nails.

- Reproductive System: Male and female reproductive anatomy.



2. Kinesiology (20%)

- Muscle Function: Agonists, antagonists, synergists, and stabilizers.

- Range of Motion (ROM): Active, passive, and resisted movements.

- Posture and Alignment: Common postural deviations (e.g., lordosis, kyphosis, scoliosis).

- Gait Analysis: Walking patterns and their impact on the body.

- Biomechanics: Lever systems, force, and torque in movement.



3. Pathology (15%)

- Contraindications: Absolute (e.g., deep vein thrombosis) and local (e.g., open wounds).

- Common Pathologies: Arthritis, fibromyalgia, carpal tunnel syndrome, tendonitis, etc.

- Infectious Diseases: HIV/AIDS, hepatitis, and universal precautions.

- Chronic Pain Conditions: Understanding pain pathways and management.

- Medications: How medications may affect massage therapy.



4. Massage and Bodywork Assessment (15%)

- Client Intake: Health history forms, informed consent, and SOAP notes (Subjective, Objective, Assessment, Plan).

- Palpation Skills: Identifying tissue texture, temperature, and tension.

- Range of Motion Testing: Assessing joint mobility.

- Postural Assessment: Identifying imbalances and compensations.

- Special Populations: Adapting techniques for pregnant women, elderly clients, athletes, etc.



5. Massage and Bodywork Techniques (25%)

- Swedish Massage: Effleurage, petrissage, tapotement, friction, and vibration.

- Deep Tissue Massage: Techniques for addressing chronic tension and adhesions.

- Myofascial Release: Releasing fascial restrictions.

- Trigger Point Therapy: Identifying and releasing trigger points.

- Sports Massage: Pre-event, post-event, and maintenance techniques.

- Seated Massage: Techniques for chair massage.

- Energy-Based Modalities: Basics of Reiki, craniosacral therapy, etc.

- Hydrotherapy: Use of hot/cold therapies.

- Stretching Techniques: Active, passive, and PNF stretching.



6. Professional Practices, Ethics, and Legalities (10%)

- Scope of Practice: Understanding what is within and outside a massage therapist's scope.

- Ethical Standards: Confidentiality, boundaries, and client-therapist relationships.

- Laws and Regulations: State licensing requirements, HIPAA compliance, and business laws.

- Professional Communication: Effective communication with clients and healthcare providers.

- Business Practices: Marketing, record-keeping, and insurance billing.



7. Research and Evidence-Based Practice (5%)

- Research Literacy: Understanding peer-reviewed studies and evidence-based practices.

- Outcome Measures: Evaluating the effectiveness of massage techniques.

- Continuing Education: Importance of staying updated with current research and trends.



- Effleurage: A gliding stroke used in Swedish massage.

- Petrissage: Kneading techniques to lift and squeeze muscles.

- Tapotement: Rhythmic tapping or percussion movements.

- Myofascial: Relating to the fascia surrounding muscles.

- Trigger Point: A hyperirritable spot in a muscle associated with pain.

- Contraindication: A condition or factor that makes a particular treatment inadvisable.

- SOAP Notes: A method of documentation (Subjective, Objective, Assessment, Plan).

- PNF Stretching: Proprioceptive Neuromuscular Facilitation, a stretching technique.

- Endangerment Sites: Areas of the body where nerves or blood vessels are close to the surface and require caution during massage.

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