Hawaii Massage License Practice Exam

Tapotement or percussion techniques should not be used on which area?

1. Bony areas

2. Muscular areas

3. Neck

4. Sternum

The correct answer is: Bony areas

Tapotement, also known as percussion, involves a series of rhythmic taps, blows, or vibrations applied to the surface of the body. This technique can stimulate circulation and invigorate the tissues. However, it is important to be mindful of anatomical considerations when applying this method. Using tapotement on bony areas can lead to discomfort or even injury. The lack of muscle or soft tissue covering the bones makes them more sensitive to the impact of percussion techniques. Directly applying tapotement to the sternum, for instance, can cause discomfort due to the thin layer of soft tissue between the skin and the bone in that area. Furthermore, the bony structure of areas such as the spine and joints can result in unintended pain or damage if subjected to vigorous percussion. While tapotement is beneficial in muscular areas, as muscles generally benefit from stimulation and can tolerate the technique better, caution is advised around the neck and sternum due to the potential for injury on bony surfaces. Understanding where to apply tapotement safely ensures that clients receive the therapeutic benefits without adverse effects.