Hawaii Massage License Practice Exam

Which action is recommended for patient comfort during a massage with lower back pain?

1. Legs straight

2. Arms across the chest

3. Pillow under the knees

4. Pillow under the head

The correct answer is: Pillow under the knees

Utilizing a pillow under the knees during a massage for a patient experiencing lower back pain is recommended because it helps to relieve pressure on the lumbar spine. This specific positioning encourages a more relaxed state for the lower back, effectively alleviating discomfort. By elevating the knees, the natural curve of the lower back can be maintained, promoting spinal alignment and reducing strain on the back muscles. In contrast, placing the legs straight may inadvertently increase tension in the lower back, as this position doesn't offer support to the spine's natural curvature. Similarly, positioning the arms across the chest does not specifically address the needs of the lower back and may create unnecessary tightness or discomfort in other areas. Adding a pillow under the head can be beneficial for neck support, but it does not directly target the lower back pain, making it less effective for this particular issue. Thus, the use of a pillow under the knees is the most effective option for patient comfort in this context.