College of Massage Therapists of British Columbia (CMTBC) Practice Exam

When using a direct fascial technique and feeling a restriction barrier push back, what should you do?

1. Immediately push harder against the barrier

2. Move to a different area

3. Meet the resistance, hold the barrier, and wait for a release

4. Apply heat to relax the tissue

The correct answer is: Meet the resistance, hold the barrier, and wait for a release

In a direct fascial technique, the goal is to engage with the tissue's restrictions effectively. When encountering a restriction barrier that pushes back, the best approach is to meet the resistance, hold the barrier, and wait for a release. This method facilitates a more effective interaction with the fascia, allowing for the potential of the tissue to relax and release under sustained pressure. Holding the barrier without forcing beyond it encourages the body to respond to the applied pressure, often resulting in a biochemical shift within the tissue that can promote healing and improve range of motion. Patience during this process often leads to gradual change and is an essential component of effective myofascial release techniques. Choices that suggest pushing harder against the barrier or moving to a different area may not allow for a proper engagement with the restriction, potentially leading to ineffective treatment or causing discomfort to the client. Applying heat could assist with relaxation but is not the primary action taken when faced with direct resistance during a fascial technique. Thus, maintaining contact with the barrier and allowing for a natural release is the most beneficial approach in this scenario.