System Features Relevant to MT
- Positioning for breathing is a primary consideration. Clients with respiratory conditions often cannot lie prone or fully supine. Side-lying, semi-reclined, or elevated positions improve breathing mechanics and client comfort during treatment.
- Contraindications during active infection apply to most acute respiratory conditions (common cold, influenza, pneumonia, TB). Active infections are contraindicated due to contagion risk and the body's need to direct energy toward immune function.
- Postural drainage techniques and tapotement (percussion) can assist mucus clearance in chronic conditions like bronchiectasis, cystic fibrosis, and chronic bronchitis. These techniques require specific positioning and are used only with medical clearance.
- Accessory breathing muscles (scalenes, SCM, pectoralis minor, upper trapezius) are often hypertonic in clients with chronic respiratory conditions. Addressing these muscles can improve breathing comfort.
- Asthma management requires therapists to keep the treatment room free of strong scents and to have the client's rescue inhaler accessible during the session.
Condition Articles
Obstructive Conditions
- Asthma - Acute Attack (Emergency)
- Asthma — Acute
- Asthma — Chronic
- Bronchiectasis
- Bronchitis — Acute
- Bronchitis — Chronic
- Cystic Fibrosis
- Emphysema
Infectious Conditions
Upper Airway and Sinus
Toxic Exposure
Key Takeaways
- Active respiratory infections are generally contraindicated for massage due to contagion risk and immune burden.
- Positioning adjustments (side-lying, semi-reclined) are essential for clients who cannot breathe comfortably prone or supine.
- Chronic respiratory clients often have hypertonic accessory breathing muscles that benefit from targeted massage.
- Tapotement and postural drainage may assist mucus clearance in chronic obstructive conditions with physician approval.
- Avoid strong scents, ensure rescue inhalers are accessible, and monitor breathing effort throughout the session.