Massage on Athletes Certified (MAC) Massage Therapists Domains of Knowledge

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1 Massage on Athletes Certified (MAC) Massage Therapists Domains of Knowledge DOMAIN I: Evaluation and assessment of athletic injuries A. Obtain a history through observation, interview, and/or review of relevant records to assess current or potential injury, illness, or condition. 1. Pathomechanics of injury 2. Relationship between predisposing factors and injuries, illnesses, and healthrelated 3. The body s immediate and delayed physiological response to injuries, illnesses, and 4. Signs and symptoms of injuries, illnesses, and 5. Relationship between nutrition and injuries, illnesses, and 6. Relationship between ergogenic aids and injuries, illnesses, and 7. Relationship between medications and injuries, illnesses, and 8. Communication techniques in order to elicit information 9. Infectious agents 10. Standard medical nomenclature and terminology 11. Medical records as a source of information 12. Injuries, illnesses, and associated with specific activities 13. Biomechanical factors associated with specific activities 14. Pathophysiology of illnesses and 1. Identifying the extent and severity of injuries, illnesses, and 2. Relating signs and symptoms to specific injuries, illnesses, and 3. Obtaining and recording information related to injuries, illnesses, and 4. Recognizing predisposing factors to specific injuries, illnesses, and 5. Identifying anatomical structures involved in injuries, illnesses, and 6. Interpreting medical records and related reports 7. Identifying psychosocial factors associated with injuries, illnesses, and 8. Identifying nutritional factors related to injuries, illnesses, and 9. Identifying the impact of supplements and prescription and nonprescription medications associated with injuries, illnesses, and 10. Interviewing and communication for the purpose of gathering information related to the condition

2 B. Inspect the involved area(s) visually to assess the injury, illness, or health-related condition. 1. Bony landmarks and soft tissues 2. Signs of injuries, 3. Response to injuries, 4. Principles of visual inspection 5. Normal and abnormal structural relationships to the pathomechanics of injuries and 1. Properly exposing the area in order to evaluate the involved area 2. Assessing immediate and delayed physiological responses to injuries, 3. Identifying bony surface landmarks and soft tissue abnormalities of specific/special injuries, 4. Identifying the relationship and severity of pathological signs of injuries, 5. Assessing pre-existing structural abnormalities and relating them to pathomechanics of injuries, C. Palpate the involved area(s) using standard techniques to assess the injury, illness, or health-related condition. 1. Human anatomy with emphasis on bony landmarks and soft tissue structures 2. Immediate and delayed physiological response to injuries, illnesses, and health-related 3. Principles of palpation techniques 1. Locating and palpating bony landmarks, articulations, ligamentous structures, musculotendinous units, and other soft tissues 2. Recognizing severity of pathological signs and symptoms of injuries, 3. Assessing immediate and delayed physiological response to injuries, 4. Palpating appropriate structures in order to assess the integrity of human anatomical/physiological systems D. Perform specific tests in accordance with accepted procedures to assess the injury, illness, or health-related condition. 1. Mechanics, principles, and techniques of specific/special tests (ligamentous, neurological, manual, fracture, and functional tests) 2. Standard/individual special tests for range of motion, muscular strength, structural integrity, and functional capacity 3. Signs and symptoms of systemic requirements and failure during exercise 4. Signs, symptoms, and interpretations of specific/special tests

3 1. Assessing muscular strength through the use of manual or non-manual muscle tests 2. Assessing joint range of motion using test and measurement techniques 3. Identifying structural and functional integrity of anatomical structures 4. Identifying appropriate specific/special tests for particular injuries 5. Assessing neurological function 6. Identifying the signs and symptoms related to specific/special tests 7. Identifying location, type, function, and action of each joint 8. Using equipment associated with specific/special tests 9. Performing specific/special tests 10. Interpreting the information gained from specific/special tests E. Formulate a clinical impression by interpreting the signs, symptoms, and predisposing factors of the injury, illness, or condition to determine the appropriate course of action. 1. Signs, symptoms, and predisposing factors related to injuries, illnesses, and health-related 2. Basic pharmacological considerations 3. Pathomechanics of injuries and/or health-related 4. Psychosocial dysfunction and implications associated with injuries, illnesses, and health-related 5. Medical terminology and nomenclature 6. Indications for referral 7. Guidelines for return to participation 1. Interpreting the pertinent information from the evaluation 2. Synthesizing applicable information from an evaluation 3. Identifying appropriate courses of action F. Educate the appropriate individual(s) regarding the assessment by communicating information about the current or potential injury, illness, or health-related condition to encourage compliance with recommended care. 1. Communication skills and techniques 2. Patient confidentiality rules and regulations 3. Medical terminology and nomenclature 4. Commonly accepted practices regarding the care and treatment of injuries, illnesses, and 5. Potential complications and expected outcomes 6. Appropriate treatment options 1. Using both verbal and written forms of communication 2. Interpreting medical terminology and describing the nature of injuries, in basic terms 3. Utilizing appropriate counseling techniques

4 G. Share assessment findings with other healthcare professionals using effective means of communication to coordinate appropriate care. 1. Patient confidentiality rules and regulations 2. Medical terminology and nomenclature 3. Communication skills and techniques 4. Role and scope of practice of various healthcare professionals 5. Commonly accepted practices regarding the care and treatment of injuries, 1. Communicating with healthcare professionals 2. Collaborating with healthcare professionals 3. Using medical terminology and nomenclature 4. Directing a referral to other medical personnel DOMAIN II: Administering massage therapy and appropriate treatment of athletic injuries A. Administer appropriate massage therapy techniques and procedures in order to facilitate recovery, function, and/or performance. 1. The structure, growth, development, and regeneration of tissue 2. Principles of adaptation and overload of tissues 3. Principles of adaptation of systems 4. Principles of therapeutic exercise (e.g., isometric, isotonic, isokinetic, work, power, and endurance) 5. Principles of strength and conditioning exercises (e.g., plyometrics, core stabilization, speed, agility, and power) 6. Neurology related to treatment, rehabilitation, and 7. The inflammatory process related to treatment, rehabilitation, and 8. Proprioception and kinesthesis related to treatment, rehabilitation, and 9. Available equipment and tools related to treatment, rehabilitation, and 10. Adaptation of the cardiovascular and muscular systems related to treatment, rehabilitation, and 11. Indications and contraindications related to treatment, rehabilitation, and 12. Pharmacology related to treatment, rehabilitation, and 13. Surgical procedures and implications for treatment, rehabilitation, and

5 14. Age-specific considerations related to treatment, rehabilitation, and 15. Psychology related to treatment, rehabilitation, and 16. Indications and contraindications for therapeutic modalities 17. Principles of mechanical, electromagnetic, and acoustical energy 18. Structure, growth, development, and regeneration of tissue 19. Inflammatory process related to therapeutic modalities 20. Available therapeutic modalities related to treatment, rehabilitation, and 21. Theories of pain 22. Human anatomy: normal and compromised structures 23. Human physiology: normal and compromised functions 24. Biomechanics/kinesiology: mechanisms of function and dysfunction 25. Pathomechanics of the injury or condition 26. Pathophysiology associated with systemic illness, communicable disease, bacterial, viral, fungal, and parasitic infections 27. Pharmacology related to the treatment of injuries, illnesses, and 28. Medical and allied healthcare professionals involved in the treatment of injuries, illnesses, and 29. Available reference sources related to injuries, illnesses, and 30. Psychological reaction to injuries, illnesses, and 1. Applying manual therapy techniques 2. Applying universal precautions 3. Referring to appropriate healthcare providers 4. Recognizing the status of systemic illnesses 5. Recognizing the status of bacterial, viral, fungal, and parasitic infections 6. Recognizing atypical psychosocial 7. Interpreting assessment information necessary to modify, continue, or discontinue treatment plans B. Educate the appropriate individual(s) in the treatment, rehabilitation, and of injuries, illnesses, and/or using applicable methods and materials to facilitate recovery, function, and/or performance. 1. Available psychosocial, community, family, and healthcare support systems related to treatment, rehabilitation, and 2. Applicable methods and materials for education 3. Learning process across the lifespan 4. Ethnicity and culture 5. Referral resources 6. Psychosocial dysfunction 1. Identifying appropriate individuals to educate 2. Communicating appropriate information

6 3. Disseminating information to individuals at an appropriate level 4. Identifying appropriate individuals for guidance and counseling 5. Referring to appropriate healthcare professionals 6. Using effective communication skills DOMAIN III: Comprehensive understanding of the sports medicine team A. Establish a working relationship with the members of the sports medicine team in order to to work as a group with a singleness of purpose to achieve objectives that could not be accomplished separately. 1. The role in sports medicine and scope of practice of the athletic trainer 2. The role in sports medicine and scope of practice of the medical doctor (team physician) 3. The role in sports medicine and scope of practice of the sports physical therapist 4. The role in sports medicine and scope of practice of the strength and conditioning coach 5. The role in sports medicine and scope of practice of the sports psychologist 6. The role in sports medicine and scope of practice of the personal trainer 7. The role in sports medicine and scope of practice of the dietician 8. The role in sports medicine and scope of practice of the physiotherapist 9. The role in sports medicine and scope of practice of the sports massage therapist 1. Communicating with the sports medicine team and other healthcare professionals 2. Collaborating with the sports medicine team and other healthcare professionals 3. Using medical terminology and nomenclature 4. Directing a referral to other medical personnel DOMAIN IV: Professional Responsibility A. Demonstrate appropriate professional conduct by complying with applicable standards and maintaining continuing competence to provide quality massage therapy services. 1. The AMTA and ABMP Standards of Practice 2. AMTA and ABMP Code of Ethics 3. Relevant policy and position statements of the AMTA and other appropriate organizations (e.g., ACSM, AOASM, AOSSM, AFMTE, AMSSM, FSMTB, NATA, NCAA, NCBTMB, NFHSA, NAIA, USOC) 4. Resources for continuing education (e.g., current and pertinent research, journals, courses, conferences)

7 1. Obtaining, interpreting, evaluating, and applying relevant research data, literature, and/or other forms of information 2. Obtaining, interpreting, evaluating, and applying relevant policy and position statements 3. Obtaining, interpreting, and applying the AMTA and ABMP Standards of Practice 4. Obtaining, interpreting, and applying AMTA and ABMP Code of Ethics 5. Applying evidence-based medicine (EBM) B. Adhere to statutory and regulatory provisions and other legal responsibilities relating to the practice of massage therapy by maintaining an understanding of these provisions and responsibilities in order to contribute to the safety and welfare of the public. 1. State statutes, regulations, and adjudication that directly govern the practice of massage therapy (e.g., state practice and title acts, state professional conduct and misconducts acts, liability and negligence) 2. Federal and state statutes, regulations, and adjudication that apply to the practice and/or organization and administration of massage therapy (e.g., OSHA, DEA, Title IX, Civil Rights Act, HIPAA, Buckley Amendment, labor practices, patient confidentiality, insurance, record keeping) 3. State statutes, regulations, and adjudication governing other professions which impact the practice of massage therapy (e.g., medicine, physical therapy, nursing, pharmacology) 4. Criteria for determining the legal standard of care in massage therapy (e.g., state statutes and regulations, professional standards and guidelines, publications, customs, practices, and societal expectations) 1. Researching and applying state and federal statutes, regulations, and adjudications 2. Researching professional standards and guidelines (e.g., AMTA, ABMP, AFMTE, NCBTMB, FSMTB) 3. Researching practice methods and procedures C. Educate appropriate individuals and entities about the role and standards of practice of the massage therapist through informal and formal means to improve the ability of those individuals and entities to make informed decisions. 1. Appropriate individuals and entities (e.g., employers, supervisor, administrators, governing boards, parents, participants/patients, coaches, other allied healthcare professionals, and other interested parties) 2. Communication techniques 3. The credentialing process and laws for massage therapy 4. Scope of practice of the massage therapy profession 5. Current healthcare issues relevant to massage therapy 6. Accepted guidelines for different practice settings

8 7. Federal, state, and county statutes, regulations, and adjudication which apply to the practice and/or organization and administration of massage therapy (e.g., OSHA, DEA, Title IX, Civil Rights Act, HIPAA, Buckley Amendment, Fair Labor Standards Act) 1. Communicating information through various methods 2. Identifying the appropriate individuals and/or entities 3. Applying relevant information to specific employment and/or practice settings

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