National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) Practice Exam

In the context of the pelvic region, where should a massage therapist avoid applying pressure?

1. Below anterior superior iliac spine

2. Above posterior iliac crest and below the 12th rib

3. At the pubic symphysis

4. Along the sacrum

The correct answer is: Above posterior iliac crest and below the 12th rib

The preferred approach is to avoid applying pressure above the posterior iliac crest and below the 12th rib because this area can encompass delicate structures such as the kidneys and other organs within the abdominal cavity. Being cautious in this region is essential, as inappropriate pressure can lead to discomfort for the client or potential injury to these vital organs. In addition, the other locations mentioned can be safely engaged during a massage session, as they encompass muscle groups and connective tissues rather than sensitive internal regions. Specifically, pressure below the anterior superior iliac spine typically targets the hip flexors or adjacent muscle groups. The area at the pubic symphysis mainly involves pelvic floor structures, which can often benefit from appropriate manipulation. Similarly, along the sacrum, the massage can promote relaxation and relieve tension, taking care to apply techniques that are comfortable and beneficial for the client.