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

Which technique should be avoided when treating spasticity in a patient with cerebral palsy?

1. Brisk shaking

2. Gentle rocking

3. Slow muscle approximation

4. Cross-hand myofascial release

The correct answer is: Brisk shaking

Brisk shaking is a technique that should be avoided when treating spasticity in a patient with cerebral palsy due to its potential to exacerbate hypertonicity. Spasticity is characterized by an increase in muscle tone and heightened reflex responses. When using brisk shaking, the rapid and forceful movement can provoke a further tightening of the muscles, making spasticity worse, rather than alleviating it. In contrast, gentle rocking, slow muscle approximation, and cross-hand myofascial release promote relaxation and can help to ease muscle tension. These techniques encourage a calming effect on the nervous system and can facilitate improved flexibility and range of motion in individuals with spasticity, making them more suitable for this condition.