Pathology, Contraindications & Pharmacology
Recognize risk, adapt thoughtfully, and know when to pause or refer.
Lesson 9 of 18
Nervous System Pathologies
Neurologic conditions can affect sensation, strength, coordination, cognition, and autonomic function. Reduced sensation makes it harder for a client to detect excessive pressure or heat. Symptoms such as new weakness, sudden facial droop, or abrupt speech difficulty require urgent response rather than massage. Use clear communication and adapt contact to the person's abilities and preferences.
Key points
- Peripheral neuropathy may cause numbness, tingling, burning pain, or altered temperature perception.
- Stroke warning signs include sudden facial, arm, or speech changes; activate emergency services immediately.
- Multiple sclerosis can involve variable fatigue, sensation, balance, or motor function.
- Parkinson's disease may affect movement, balance, rigidity, and comfort with transitions.
- Seizure history calls for understanding the client's plan and keeping the environment safe.
- Use lighter pressure and frequent feedback when sensation or communication is altered.
Key terms
- Peripheral neuropathy
- Damage or dysfunction of nerves outside the brain and spinal cord.
- Paresthesia
- An unusual sensation such as tingling or pins and needles.
- Stroke
- Sudden brain injury from disrupted blood flow or bleeding.
- Multiple sclerosis
- An immune-mediated disease affecting the central nervous system.
- Seizure
- A brief episode of abnormal electrical activity in the brain.
Memory tip
When feedback is less reliable, lower the intensity and check more often.
Clinical note
A suspected stroke, first seizure, prolonged seizure, or sudden neurologic deficit is an emergency. Do not give food or drink to someone who is not fully alert.
Unit checkpoint
Lock it in: match the terms, then test yourself.