Health & Personal Services · course plan
⚠ Pending professional review
This course plan, its lessons and its assessments has not yet been verified by a licensed clinician in the field or by a certification or approval body. It is a study draft and may contain errors. Do not use it to make decisions about any patient or medication. Always follow your instructor, your supervising professional, and current official references and regulations.
VoTechWorks program approval and accreditation are still in progress. Credentials are issued only by the certifying bodies named in each program, after their own exams.
Massage Therapy
9 courses · 600 clock hours · 6–9 mo full-time. Grading is competency-based: each course requires the written exam, a competent skills demonstration with zero safety faults, a signed log, and a passed safety audit; percentage weights only rank performance above the competency floor.
9courses
44lessons
600hours
31assessments
Development progressPlanCourses, lessons and assessments written for this tradeLessons44 of 44 lesson pages writtenPractice352 practice questionsResources116 reference entries (study list)Review0 lesson pages reviewed by a licensed professional
Study now: 44 lesson pages are open (lesson titles below are links).
HLT-MASS35-01 Universal core
Universal Core: Safety, Math, Communication & Career for Massage Therapy
148 hr · $1,185 COMPLIMENTARY
This foundational course equips massage therapy students with the safety knowledge, applied mathematics, professional communication skills, and career-readiness tools they need before touching a client. Students complete OSHA 10 general industry training and hands-on first aid/CPR certification, learn to calculate draping measurements, session timing, product dilutions, and charting metrics, and develop the digital and interpersonal skills required in a licensed massage practice. All content is aligned to the domains tested on the MBLEx and to the professional standards required for state licensure.
Outcomes- Demonstrate OSHA 10 general industry compliance and perform adult CPR/AED and first aid to the standard required for certification.
- Calculate session pricing, product dilution ratios, room setup measurements, and basic charting statistics accurately using trade-relevant math.
- Read and interpret SOAP notes, Material Safety Data Sheets (SDS), intake forms, and state practice act language with full comprehension.
- Use standard digital tools—electronic health records software, scheduling platforms, and professional email—to manage a simulated solo practice.
- Apply client-centered communication techniques, including informed consent, active listening, and culturally competent language, in role-played intake and post-session scenarios.
- Construct a career portfolio containing a resume, professional biography, and state licensure application checklist aligned to the MBLEx eligibility requirements.
Course text
This foundational course equips massage therapy students with the safety knowledge, applied mathematics, professional communication skills, and career-readiness tools they need before touching a client. Students complete OSHA 10 general industry training and hands-on first aid/CPR certification, learn to calculate draping measurements, session timing, product dilutions, and charting metrics, and develop the digital and interpersonal skills required in a licensed massage practice. All content is aligned to the domains tested on the MBLEx and to the professional standards required for state licensure.
How the course runs. 7 blocks: Workplace Safety, OSHA 10 & Infection Control in the Massage Setting; First Aid, CPR/AED & Emergency Response for Massage Professionals; Trade Math: Measurements, Dilutions, Timing & Business Calculations; Technical Reading: SOAP Notes, Intake Forms, Practice Acts & Research Literacy; Digital Tools: EHR Software, Scheduling Platforms & Professional Online Presence; Client-Centered Communication, Informed Consent & Cultural Competence; Career Readiness: Portfolio, Licensure Roadmap & Professionalism Standards.
What competent looks like. Demonstrate OSHA 10 general industry compliance and perform adult CPR/AED and first aid to the standard required for certification. Calculate session pricing, product dilution ratios, room setup measurements, and basic charting statistics accurately using trade-relevant math. Read and interpret SOAP notes, Material Safety Data Sheets (SDS), intake forms, and state practice act language with full comprehension. Use standard digital tools—electronic health records software, scheduling platforms, and professional email—to manage a simulated solo practice. Apply client-centered communication techniques, including informed consent, active listening, and culturally competent language, in role-played intake and post-session scenarios. Construct a career portfolio containing a resume, professional biography, and state licensure application checklist aligned to the MBLEx eligibility requirements.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Workplace Safety, OSHA 10 & Infection Control in the Massage Setting | 24 | theory | Students will identify the ten OSHA general industry hazard categories, explain standard precautions and bloodborne pathogen protocols, and apply infection-control procedures specific to a massage therapy workspace. |
| OSHA 10 General Industry authorized online courseware, printed SDS collection (minimum six products), OSHA compliance inspection checklist, massage table and linens for staging deficiencies, personal safety log template | Students pass the OSHA 10 final assessment (minimum score set by the authorized provider, typically 70%) and score at least 80% on a 20-question instructor-written safety quiz covering infection control and SDS interpretation. |
| 2 | First Aid, CPR/AED & Emergency Response for Massage Professionals | 16 | practice | Students will perform adult, child, and infant CPR with AED operation and demonstrate first aid responses to the four emergencies most likely to occur in a massage setting—anaphylaxis, syncope, seizure, and musculoskeletal injury—to the standard required for a recognized certification card. |
| Adult, child, and infant CPR manikins, training AED unit, first aid kit (training supplies), four scripted emergency scenario cards, blank incident report forms, recognized CPR/First Aid certification course materials (e.g., American Red Cross or American Heart Association) | Students earn a valid CPR/AED and First Aid certification card from a nationally recognized provider; students who do not pass the skills check on the first attempt receive one remediation session and must retest within five business days. |
| 3 | Trade Math: Measurements, Dilutions, Timing & Business Calculations | 22 | lab | Students will accurately perform the six categories of math encountered in a licensed massage practice—unit conversion, area and volume measurement, product dilution, session-fee calculation, appointment scheduling, and tip/tax arithmetic—with no more than 5% error on a timed practical. |
| Printed math workbook (instructor-authored), scientific calculator, metric and US-standard tape measure, massage table and linens, laptop with spreadsheet software, product labels showing carrier oil and essential oil volumes | Students score at least 80% on a 30-problem timed math quiz (45 minutes, no calculator for the arithmetic section) and complete the spreadsheet project with all formulas functioning and projections within a 2% rounding tolerance. |
| 4 | Technical Reading: SOAP Notes, Intake Forms, Practice Acts & Research Literacy | 20 | theory | Students will correctly interpret SOAP note entries, client health-history intake forms, contraindication flags, and the scope-of-practice language in a state massage practice act, and distinguish peer-reviewed evidence from anecdotal claims. |
| Three sample SOAP notes (instructor-authored), blank SOAP note and intake forms, scripted client profiles, excerpted practice act language (generic/composite), highlighters, MBLEx Candidate Handbook (FSMTB) | Students correctly identify all contraindication flags in an unseen sample SOAP note (100% required for safety items; 80% overall) and score at least 80% on the 10-question practice-act comprehension quiz. |
| 5 | Digital Tools: EHR Software, Scheduling Platforms & Professional Online Presence | 20 | lab | Students will enter a complete client record, schedule a series of appointments, and generate a basic session report in a standard electronic health record or practice-management software, and will create a professional digital profile appropriate for a licensed massage therapist. |
| Laptop or desktop computers with internet access, demo or free-tier practice-management software account, scripted client profiles, professional email rubric, scope-of-practice checklist, website builder platform, HIPAA overview handout | All three client records are entered with zero missing required fields and zero scope-of-practice violations; the professional email scores at least 80% on the rubric; the digital portfolio meets all six required elements listed in the rubric. |
| 6 | Client-Centered Communication, Informed Consent & Cultural Competence | 24 | demo | Students will conduct a complete verbal intake, obtain documented informed consent, and adapt communication style to three culturally distinct scripted client profiles, receiving a passing score on an instructor-observed communication rubric. |
| Video recordings of intake demonstrations (instructor-sourced or commercially licensed), scripted client profile cards, blank consent form templates, communication rubric, observation forms, whiteboard for debrief notes | Each student's role-play intake is scored by the instructor using a 20-point rubric (threshold: 16/20); the written consent form contains all five required elements with zero scope-of-practice or HIPAA violations. |
| 7 | Career Readiness: Portfolio, Licensure Roadmap & Professionalism Standards | 22 | field | Students will assemble a complete career portfolio—resume, professional biography, state licensure application checklist, and MBLEx eligibility summary—and articulate a realistic 90-day post-graduation employment plan during a mock job interview. |
| FSMTB MBLEx Candidate Handbook, state board website access, licensure-roadmap worksheet, resume template and checklist, professional biography template, mock interview question bank, professional dress guidelines handout | The licensure roadmap worksheet contains all required steps with no factual errors about MBLEx eligibility; the resume and biography meet all checklist criteria (pass/fail); the mock interview is scored by the interviewer on a 15-point rubric with a passing threshold of 12/15, and any response that misrepresents scope of practice requires a documented remediation conversation. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Safety & Regulatory Knowledge Exam | Written exam | 25% | 80% (40/50 questions correct) | A 50-question multiple-choice written exam covering OSHA 10 hazard categories, bloodborne pathogen and infection-control protocols, SDS interpretation, standard precautions, and the scope-of-practice and regulatory-language content from state practice act reading exercises. Questions are written at the comprehension and application levels and are mapped to the MBLEx content outline domain covering benefits and physiological effects of techniques, as well as the ethics, boundaries, laws, and regulations domain. Accuracy · Safety · Communication · Professionalism |
| Trade Math & Technical Reading Exam | Written exam | 25% | 80% (24/30 questions and problems correct; all safety-critical conversion problems must be correct) | A 30-item mixed-format exam (multiple choice, short calculation, and one SOAP-note annotation task) assessing unit conversion, dilution math, session-fee and scheduling arithmetic, and comprehension of SOAP note and intake form entries. This exam maps to the MBLEx content areas that require candidates to apply knowledge in clinical decision-making contexts, such as identifying contraindications from charted information. Accuracy · Safety · Communication · Professionalism |
| Career Portfolio Project | Project | 25% | Pass requires meeting all eight non-negotiable criteria on the rubric; a score below 80% on the holistic rubric triggers a mandatory revision submitted within one week | Students submit a complete career portfolio containing: a polished resume, a 150-word professional biography, a completed licensure roadmap worksheet (accurate for their intended practice state), a written informed consent form meeting all five required elements, a professional digital profile URL, and a one-page 90-day employment plan. The portfolio is scored against a 40-point rubric by the instructor, with automatic failure if any scope-of-practice or HIPAA violation is present. Accuracy · Safety · Communication · Professionalism |
| Professional Communication Oral Defense | Oral / panel | 25% | 12/15 points on the employer-style rubric; any scope-of-practice misrepresentation requires remediation before the student may advance to Anatomy | Each student conducts a 15-minute observed session consisting of a live client intake role-play (using a new scripted profile not seen in class) followed by a five-minute structured interview in which the instructor asks three questions: one about handling a contraindicated request, one about a documentation decision, and one about the student's planned licensure timeline. The oral format mirrors the professional judgment expectations of the MBLEx and the interpersonal standards assessed in employer evaluations during Clinical Practicum. Accuracy · Safety · Communication · Professionalism |
HLT-MASS35-02 Trade course
Anatomy for Massage Therapy
49 hr · $705 COMPLIMENTARY
Students systematically learn the structures and functions of the human body that are directly relevant to massage therapy practice, including bones, joints, muscles, fascia, and the major organ systems. Emphasis is placed on palpatory anatomy, anatomical terminology, and recognizing contraindicated conditions to keep clients safe. Lesson content is mapped to the Kinesiology, Anatomy & Physiology, and Pathology domains tested on the MBLEx and required for state licensure.
Outcomes- Identify and locate the major bones, joints, and bony landmarks of the axial and appendicular skeleton using correct anatomical terminology.
- Name the origin, insertion, primary action, and innervation of at least 40 muscles commonly addressed in massage therapy.
- Describe the structure and function of fascia, tendons, ligaments, bursae, and joint capsules as they relate to soft-tissue work.
- Explain the basic function of the cardiovascular, lymphatic, nervous, integumentary, and respiratory systems and state how each is affected by massage.
- Identify common pathologies and contraindicated conditions within each body system and apply that knowledge to client intake decisions.
- Demonstrate accurate palpation of superficial muscles, tendons, and bony landmarks on a peer using correct anatomical language.
Course text
Students systematically learn the structures and functions of the human body that are directly relevant to massage therapy practice, including bones, joints, muscles, fascia, and the major organ systems. Emphasis is placed on palpatory anatomy, anatomical terminology, and recognizing contraindicated conditions to keep clients safe. Lesson content is mapped to the Kinesiology, Anatomy & Physiology, and Pathology domains tested on the MBLEx and required for state licensure.
How the course runs. 5 blocks: Anatomical Foundations: Terminology, Body Planes, and the Skeletal System; Muscular System: Structure, Function, and the Major Muscle Groups; Fascia, Joints, and Connective Tissue; Organ Systems Relevant to Massage: Cardiovascular, Lymphatic, Nervous, Integumentary, and Respiratory; Pathology, Contraindications, and Palpatory Anatomy Integration.
What competent looks like. Identify and locate the major bones, joints, and bony landmarks of the axial and appendicular skeleton using correct anatomical terminology. Name the origin, insertion, primary action, and innervation of at least 40 muscles commonly addressed in massage therapy. Describe the structure and function of fascia, tendons, ligaments, bursae, and joint capsules as they relate to soft-tissue work. Explain the basic function of the cardiovascular, lymphatic, nervous, integumentary, and respiratory systems and state how each is affected by massage. Identify common pathologies and contraindicated conditions within each body system and apply that knowledge to client intake decisions. Demonstrate accurate palpation of superficial muscles, tendons, and bony landmarks on a peer using correct anatomical language.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Anatomical Foundations: Terminology, Body Planes, and the Skeletal System | 10 | theory | Given a unlabeled skeletal diagram, students will correctly identify and label at least 85% of major bones and bony landmarks using standard anatomical terminology and directional terms. |
| Full plastic articulated skeleton model, disarticulated bone set, anatomical diagrams (Trail Guide to the Body or equivalent), whiteboard, printed skeleton outline worksheets, Quizlet/Anki deck, colored markers for annotation | Exit ticket: students complete a 20-item fill-in-the-blank skeletal diagram without aids; passing standard is 85% (17/20 correct). |
| 2 | Muscular System: Structure, Function, and the Major Muscle Groups | 14 | demo | Students will correctly state the origin, insertion, primary action, and innervation of at least 40 muscles of clinical relevance to massage therapy, and will demonstrate their location on a partner using surface anatomy. |
| Trail Guide to the Body (student edition), anatomical muscle chart posters, skin-safe markers, massage tables with linens for positioning, printed muscle data sheets, whiteboard for group presentations | Practical muscle quiz: instructor calls out 10 muscles; student must verbally state origin, insertion, and primary action and point to the correct location on a skeleton model or peer (with consent); passing standard is 80% accuracy (8/10 correct with all three components). |
| 3 | Fascia, Joints, and Connective Tissue | 8 | lab | Students will accurately describe the layers and properties of fascia and distinguish between tendons, ligaments, bursae, and joint capsules, explaining how each structure responds to mechanical force applied during massage. |
| Raw chicken legs/wings (one per two students), dissection trays, blunt probes, gloves, lab journals, joint model (shoulder and knee), anatomical reference text, colored pencils for concept mapping, OSHA-standard biohazard disposal bags | Lab journal entry assessed with a rubric: must include labeled sketch of at least three connective tissue types, written description of each tissue's mechanical properties, and a statement on how massage force affects each; all three elements required to pass. |
| 4 | Organ Systems Relevant to Massage: Cardiovascular, Lymphatic, Nervous, Integumentary, and Respiratory | 10 | theory | Students will explain the basic structure and function of five major organ systems and describe at least two ways massage therapy affects each system, using correct physiological terminology. |
| Massage therapy anatomy and physiology textbook (Salvo or equivalent), organ system diagram handouts, poster paper and markers for jigsaw activity, scenario analysis worksheets, whiteboard | Written scenario worksheet: 6 vignettes scored with a rubric (correct system identified, physiological rationale stated, appropriate indication/contraindication decision made); passing standard is 80% (at least 5 of 6 vignettes fully correct). |
| 5 | Pathology, Contraindications, and Palpatory Anatomy Integration | 7 | practice | Students will correctly classify at least 15 common pathological conditions as local contraindication, absolute contraindication, or indication requiring physician clearance, and will demonstrate accurate palpation of at least 10 muscles and landmarks on a peer. |
| Trail Guide to the Body landmark checklists, condition card sets (printed), massage tables with linens, Trail Guide to the Body (student edition), FSMTB MBLEx candidate handbook (current edition), 20-question practice quiz printed or projected | Dual check: (1) written contraindication sort assessed by rubric — 15 conditions must be correctly classified to pass; (2) palpatory practical assessed by instructor observation — student must correctly identify 8 of 10 assigned landmarks or muscles by name and location on a peer. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Anatomy and Physiology Written Exam | Written exam | 25% | 75% or higher (scored by rubric; questions weighted equally) | A 60-question written examination covering anatomical terminology, skeletal and muscular identification, organ system physiology, and pathology/contraindications, formatted with multiple-choice and short-answer items aligned to the MBLEx Anatomy & Physiology and Pathology content domains. Students who score below 75% receive one remediation opportunity after reviewing missed content with the instructor. Standard met · Safety · Time · Quality/finish · Documentation |
| Palpatory Anatomy Skills Demonstration | Skills demonstration | 45% | Student correctly identifies and palpates at least 16 of 20 assigned muscles or bony landmarks (80%) with accurate verbal identification | The instructor selects 20 muscles and bony landmarks from a standardized list; the student must palpate each structure on a consenting peer and state its name and relevant action or anatomical relationship within 10 seconds. This performance assessment directly reflects the hands-on competency required for state licensure practical examinations. Standard met · Safety · Time · Quality/finish · Documentation |
| Anatomy Lab Journal | Log | 15% | All 5 required entries submitted; each entry scores at least 3 of 4 points on the rubric (labeled diagram, written description, clinical connection, legibility) | Students maintain a running lab journal across all five lessons, recording labeled anatomical sketches, palpatory notes, dissection observations, and a brief clinical connection statement for each session. The journal demonstrates sustained engagement with hands-on learning and serves as a personalized study reference for the MBLEx. Standard met · Safety · Time · Quality/finish · Documentation |
| Contraindication Safety Check | Safety audit | 15% | 100% on absolute contraindications; 80% overall (must correctly classify all conditions that pose immediate client safety risk) | A structured safety check in which students receive a set of 20 client condition cards and must classify each as absolute contraindication, local contraindication, or indication requiring physician clearance, providing a one-sentence rationale for each decision. Failure to correctly identify any absolute contraindication (e.g., acute thrombophlebitis, fever, open infectious lesions) results in automatic re-assessment regardless of overall score, reflecting the non-negotiable nature of client safety in massage practice. Standard met · Safety · Time · Quality/finish · Documentation |
HLT-MASS35-03 Trade course
Swedish and Deep Tissue Massage
49 hr · $705 COMPLIMENTARY
Students learn the foundational effleurage, petrissage, friction, tapotement, and vibration strokes of Swedish massage and then progress to deep tissue techniques that address the deeper layers of muscle and connective tissue. Emphasis is placed on correct body mechanics, draping, pressure calibration, and client communication to ensure both effectiveness and safety. Lesson content maps directly to the MBLEx content outline areas covering massage application, client assessment, and effects of massage.
Outcomes- Demonstrate all five classical Swedish strokes on each major body region with correct hand placement, rhythm, and pressure as observed by the instructor.
- Apply deep tissue techniques—including cross-fiber friction, myofascial release, and compression—safely within scope of practice, modifying pressure based on client feedback.
- Perform proper prone and supine full-body draping, bolstering, and repositioning procedures on every practice client without compromise to client modesty or safety.
- Assess common contraindications and cautions (local and general) before and during a session and document findings in a SOAP-format session note.
- Maintain correct therapist body mechanics throughout a 60-minute massage, using table height adjustment, stacked joints, and lunge stance to prevent self-injury.
- Explain the physiological and neurological effects of Swedish and deep tissue techniques on the circulatory, lymphatic, muscular, and nervous systems as tested on the MBLEx.
Course text
Students learn the foundational effleurage, petrissage, friction, tapotement, and vibration strokes of Swedish massage and then progress to deep tissue techniques that address the deeper layers of muscle and connective tissue. Emphasis is placed on correct body mechanics, draping, pressure calibration, and client communication to ensure both effectiveness and safety. Lesson content maps directly to the MBLEx content outline areas covering massage application, client assessment, and effects of massage.
How the course runs. 5 blocks: Foundations: History, Physiology of Touch, and Stroke Mechanics; Body Mechanics, Draping, and Table Setup; Swedish Stroke Technique: Application on All Body Regions; Deep Tissue Techniques: Cross-Fiber Friction, Compression, and Myofascial Release; Integrated Full-Body Session: Assessment, Documentation, and Client Communication.
What competent looks like. Demonstrate all five classical Swedish strokes on each major body region with correct hand placement, rhythm, and pressure as observed by the instructor. Apply deep tissue techniques—including cross-fiber friction, myofascial release, and compression—safely within scope of practice, modifying pressure based on client feedback. Perform proper prone and supine full-body draping, bolstering, and repositioning procedures on every practice client without compromise to client modesty or safety. Assess common contraindications and cautions (local and general) before and during a session and document findings in a SOAP-format session note. Maintain correct therapist body mechanics throughout a 60-minute massage, using table height adjustment, stacked joints, and lunge stance to prevent self-injury. Explain the physiological and neurological effects of Swedish and deep tissue techniques on the circulatory, lymphatic, muscular, and nervous systems as tested on the MBLEx.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Foundations: History, Physiology of Touch, and Stroke Mechanics | 9 | theory | Students will identify the five classical Swedish strokes, describe their physiological effects on body systems, and list general and local contraindications relevant to Swedish massage. |
| Standard massage therapy textbook (e.g., Salvo's Massage Therapy: Principles and Practice or equivalent), contraindication reference card, SOAP note template, whiteboard, projector | 10-question multiple-choice quiz on stroke names, effects, and contraindications; pass mark 70% correct |
| 2 | Body Mechanics, Draping, and Table Setup | 8 | demo | Students will set up a massage table with correct bolstering, perform prone and supine full-body draping, and demonstrate proper therapist stance and joint stacking without instructor correction. |
| Massage tables, face cradles, bolsters (full and half-cylinder), flat and fitted sheets, towels, body mechanics checklist, smartphone or tablet for video recording | Instructor observational checklist covering table height, 8 draping sequences, and 5 body mechanics criteria; all 13 items must be marked satisfactory (pass = 100% on safety-critical draping items, 80% overall) |
| 3 | Swedish Stroke Technique: Application on All Body Regions | 14 | practice | Students will correctly execute effleurage, petrissage, friction, tapotement, and vibration on the back, neck, shoulders, arms, legs, and feet, adjusting speed and pressure on instructor cue. |
| Massage tables, linens, massage lubricant (oil and lotion, unscented), bathroom scale, stroke technique rubric, lab log binder, anatomical body region reference posters | Instructor rates each stroke on each body region using a 4-point rubric (1 = unsafe/incorrect, 4 = proficient); minimum average score of 3 on all regions and minimum score of 4 on all safety-critical items (e.g., no undraping errors, no contraindicated pressure on spine) |
| 4 | Deep Tissue Techniques: Cross-Fiber Friction, Compression, and Myofascial Release | 10 | lab | Students will apply deep tissue techniques including sustained compression, cross-fiber friction, and passive myofascial release with appropriate pressure progression, obtaining continuous verbal feedback from the practice client. |
| Massage tables, linens, lubricant, washable skin markers, pressure reference chart, SOAP note forms, anatomical muscle charts, instructor scenario card deck | Practical skills checklist: instructor verifies tissue engagement sequence, pressure communication protocol observed at least twice, and correct response to two contraindication scenarios; pass = all three criteria met |
| 5 | Integrated Full-Body Session: Assessment, Documentation, and Client Communication | 8 | practice | Students will conduct a complete 60-minute Swedish or Swedish/deep tissue combination session from health intake through session close, then complete an accurate SOAP note demonstrating professional client communication throughout. |
| Massage tables, linens, lubricant, health intake form, SOAP note form, student self-evaluation form, client feedback card, final practical rubric, timer | Final practical rubric scored by instructor: 10 criteria (intake, draping, body mechanics, stroke variety, pressure calibration, communication, transition flow, deep tissue application, session timing, SOAP accuracy); pass = 70% overall with no score below 2 of 4 on any safety-critical criterion |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Stroke Identification and Contraindication Knowledge Exam | Written exam | 25% | 70% or higher (28 of 40 questions correct) | A 40-question multiple-choice written exam covering the five Swedish strokes and their physiological effects, deep tissue principles, general and local contraindications, draping standards, and relevant MBLEx content areas including effects of massage and client assessment. Questions are written in MBLEx style to build familiarity with the licensing exam format. Standard met · Safety · Time · Quality/finish · Documentation |
| Full-Body Swedish/Deep Tissue Skills Demonstration | Skills demonstration | 45% | Score of 70% overall on the 10-criterion rubric, with no safety-critical criterion scored below 2 of 4 | Each student performs a complete 60-minute session on a classmate, evaluated live by the instructor using the standardized practical rubric covering health intake, draping, body mechanics, stroke execution, pressure calibration, verbal communication, and SOAP note accuracy. This assessment maps to MBLEx domains for massage application and professional standards. Standard met · Safety · Time · Quality/finish · Documentation |
| Lab Log Portfolio | Log | 15% | All required entries present and 80% or more rated 'meets standard' on the log rubric | Students maintain a cumulative lab log throughout the course containing completed stroke technique rubric sheets from each lab session, at least six SOAP notes from practice sessions, the palpation differentiation lab worksheet, and the body mechanics peer-feedback checklist. The log is collected at the end of the course and reviewed for completeness, accuracy of documentation, and evidence of self-reflection. Standard met · Safety · Time · Quality/finish · Documentation |
| Draping and Contraindication Safety Check | Safety audit | 15% | 100% on all eight draping sequences and both contraindication scenario responses; any failure requires immediate remediation and retest before student may continue to Course 4 | A focused performance check in which the instructor presents each student with two unannounced contraindication scenarios mid-session and evaluates all eight draping sequences using the observational checklist; this is a gate assessment because errors in draping or failure to recognize a contraindication constitute a direct patient safety risk. Students who do not pass on the first attempt receive remediation within one week and must retest before advancing. Standard met · Safety · Time · Quality/finish · Documentation |
HLT-MASS35-04 Trade course
Sports Massage Therapy
48 hr · $690 COMPLIMENTARY
Students learn the theory, assessment techniques, and hands-on application of sports massage for pre-event, inter-event, post-event, and injury-recovery contexts. Emphasis is placed on musculoskeletal anatomy, safe scope-of-practice boundaries, and event-site protocols so graduates can work competently with athletic populations. Lesson content maps directly to MBLEx domains covering pathology, kinesiology, and assessment.
Outcomes- Accurately identify the major muscles, tendons, and common injury patterns of athletic populations and explain their relevance to sports massage treatment planning.
- Perform pre-event, inter-event, and post-event sports massage sequences using appropriate pressure, pace, and duration for each context.
- Apply at least four soft-tissue techniques—including effleurage, petrissage, compression, and myofascial release—with correct body mechanics to prevent therapist injury.
- Conduct a basic postural and range-of-motion assessment, document findings using standard SOAP notation, and adjust technique accordingly within scope of practice.
- Recognize contraindications and red-flag signs in athletic clients, respond with appropriate first-aid measures, and refer to licensed healthcare providers when indicated.
- Communicate professionally with coaches, athletes, and allied health personnel at a sports event, maintaining HIPAA-consistent confidentiality of client information.
Course text
Students learn the theory, assessment techniques, and hands-on application of sports massage for pre-event, inter-event, post-event, and injury-recovery contexts. Emphasis is placed on musculoskeletal anatomy, safe scope-of-practice boundaries, and event-site protocols so graduates can work competently with athletic populations. Lesson content maps directly to MBLEx domains covering pathology, kinesiology, and assessment.
How the course runs. 5 blocks: Foundations of Sports Massage: Kinesiology, Injury Types, and Scope of Practice; Assessment Skills: Postural Analysis, ROM, and SOAP Documentation; Pre-Event and Inter-Event Sports Massage Techniques; Post-Event Sports Massage and Soft-Tissue Techniques for Recovery; Event-Site Protocols, Adverse Events, and Professional Practice at Athletic Events.
What competent looks like. Accurately identify the major muscles, tendons, and common injury patterns of athletic populations and explain their relevance to sports massage treatment planning. Perform pre-event, inter-event, and post-event sports massage sequences using appropriate pressure, pace, and duration for each context. Apply at least four soft-tissue techniques—including effleurage, petrissage, compression, and myofascial release—with correct body mechanics to prevent therapist injury. Conduct a basic postural and range-of-motion assessment, document findings using standard SOAP notation, and adjust technique accordingly within scope of practice. Recognize contraindications and red-flag signs in athletic clients, respond with appropriate first-aid measures, and refer to licensed healthcare providers when indicated. Communicate professionally with coaches, athletes, and allied health personnel at a sports event, maintaining HIPAA-consistent confidentiality of client information.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Foundations of Sports Massage: Kinesiology, Injury Types, and Scope of Practice | 10 | theory | Students will correctly classify common sports injuries by tissue type and stage, explain physiological effects of sports massage, and state the scope-of-practice boundaries that govern sports massage therapists. |
| Trail Guide to the Body (5th ed.) or equivalent; whiteboard anatomical diagrams; printed athlete intake forms; projector; student notebooks; MBLEx content outline (FSMTB public document) | 10-question written quiz on injury classification, physiological effects, and contraindications; pass mark 70% correct. |
| 2 | Assessment Skills: Postural Analysis, ROM, and SOAP Documentation | 8 | demo | Students will perform a structured visual postural assessment and passive/active range-of-motion screen on a peer and document findings in correctly formatted SOAP notes. |
| Goniometers; plumb line or posture grid; massage tables; printed SOAP note templates; model answer SOAP notes; video-capable projector; skills checklist handout | Instructor rates each student's live postural assessment and ROM procedure against a 10-point skills checklist; must score 8/10 or higher, and SOAP note must include all four sections with no critical omissions. |
| 3 | Pre-Event and Inter-Event Sports Massage Techniques | 12 | practice | Students will deliver a 15-minute pre-event sports massage sequence and a 5-minute inter-event compression routine that are energizing, safe, and appropriate for a clothed athlete preparing for or between competitive activities. |
| Massage tables and portable massage chairs; bolsters; twin timers; massage lotion (not used for clothed work—students learn to adapt); printed pre-event sequence cards; body mechanics mirror or wall-mounted camera for self-review | Instructor observes full pre-event sequence using a 15-point rubric assessing technique selection, pace, pressure, body mechanics, and professionalism; pass mark 80% (12/15 points); any unsafe body-mechanics error must be corrected before student advances. |
| 4 | Post-Event Sports Massage and Soft-Tissue Techniques for Recovery | 10 | lab | Students will apply a 30-minute post-event sports massage integrating effleurage, petrissage, compression, passive stretching, and myofascial release, adapting pressure and duration to a fatigued athlete's tissue state. |
| Massage tables; bolsters; sheets and draping; hypoallergenic massage lubricant; station cue cards; lab log forms; first-aid kit (accessible in room); clock/timer | Instructor rates 30-minute post-event sequence on a 20-point rubric covering tissue assessment, technique variety, draping, pressure adaptation, and correct response to introduced complications; pass mark 16/20; any draping error or failure to respond correctly to the pain-spike complication requires immediate remediation. |
| 5 | Event-Site Protocols, Adverse Events, and Professional Practice at Athletic Events | 8 | field | Students will set up and manage a compliant sports massage station at a simulated or real athletic event, demonstrate correct response to one adverse event scenario, and complete all required documentation. |
| Portable massage chair; pop-up canopy or designated space; intake and consent forms; SOAP templates; first-aid kit with CPR mask; EMS contact simulation cards; hand sanitizer; event supply checklist; MBLEx content outline for cross-reference | Instructor evaluates station setup, client flow management, and adverse-event drill using a pass/fail field checklist (all 8 critical safety items must be marked pass); event report graded on completeness and accuracy (pass = all required sections completed with factually correct content). |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Sports Massage Written Examination | Written exam | 25% | 70% or higher (35/50 questions correct) | A 50-question multiple-choice exam covering kinesiology, injury classification, physiological effects of sports massage, contraindications, and scope of practice, mapped to MBLEx content domains of Anatomy & Physiology, Pathology, and Benefits & Physiological Effects. Questions are written at application level so students must interpret clinical scenarios, not merely recall definitions. Standard met · Safety · Time · Quality/finish · Documentation |
| Sports Massage Full-Sequence Skills Demonstration | Skills demonstration | 45% | 80% on rubric (40/50 points); zero critical safety errors | Each student performs a 30-minute sports massage session—including intake, pre-session assessment, choice of pre- or post-event sequence, and SOAP documentation—on a peer client while the instructor scores technique, body mechanics, communication, draping, and appropriate modification to a contraindication introduced mid-session. Any unsafe action (missed contraindication, improper draping, injurious body mechanics) results in automatic remediation before retesting. Standard met · Safety · Time · Quality/finish · Documentation |
| Sports Massage Lab Log Portfolio | Log | 15% | All 10 required log entries submitted; average reflection score of 3/4 or higher across entries | Students submit a compiled log of all required structured reflection forms completed after practice sessions throughout the course, demonstrating progressive development of technique, documentation accuracy, and clinical reasoning. Each entry is scored on a 4-point rubric assessing completeness, specificity of technique description, accuracy of SOAP notation, and quality of self-identified improvement goals. Standard met · Safety · Time · Quality/finish · Documentation |
| Event-Site Safety and Setup Check | Safety audit | 15% | Pass all 8 critical items on the field safety checklist; no retest allowed until all items are corrected and re-evaluated | During the field lesson or a scheduled check-out session, the instructor uses a pass/fail checklist to verify that the student can independently set up a compliant sports massage station, obtain informed consent, identify and verbally state the correct response to two adverse-event scenarios, and break down and sanitize the station to infection-control standards. This check is a prerequisite for the Clinical Practicum. Standard met · Safety · Time · Quality/finish · Documentation |
HLT-MASS35-05 Trade course
Spa Modalities: Hydrotherapy, Body Treatments & Thermal Applications
48 hr · $690 COMPLIMENTARY
Students learn the theory, safe application, and client communication skills required to deliver core spa services including hydrotherapy, exfoliation, body wraps, and thermal and cryotherapy treatments. Emphasis is placed on contraindication screening, product safety, sanitation protocols, and adapting treatments to individual client needs. Lesson content maps to MBLEx domain areas covering benefits and physiological effects of massage and bodywork, client assessment, and hygiene and sanitation.
Outcomes- Accurately screen clients for contraindications to spa modalities and document findings using a standardized intake form before each service.
- Demonstrate safe setup, application, and breakdown of at least four spa modalities—dry brushing, salt or sugar scrub, body wrap, hot stone placement, and cold compress—following facility sanitation standards.
- Explain the physiological effects of heat, cold, and hydrotherapy on the integumentary, circulatory, and nervous systems using correct anatomical terminology.
- Select appropriate products and temperatures for each modality, staying within established safety ranges and manufacturer guidelines to prevent burns, allergic reactions, or client discomfort.
- Apply infection-control and OSHA-aligned sanitation procedures for linens, equipment, and single-use products throughout an entire spa service sequence.
- Communicate professionally with clients before, during, and after spa treatments, providing clear homecare instructions and documenting session outcomes in a SOAP-format note.
Course text
Students learn the theory, safe application, and client communication skills required to deliver core spa services including hydrotherapy, exfoliation, body wraps, and thermal and cryotherapy treatments. Emphasis is placed on contraindication screening, product safety, sanitation protocols, and adapting treatments to individual client needs. Lesson content maps to MBLEx domain areas covering benefits and physiological effects of massage and bodywork, client assessment, and hygiene and sanitation.
How the course runs. 5 blocks: Foundations of Spa Therapy: History, Physiology, and Client Screening; Exfoliation Treatments: Dry Brushing, Salt Scrubs, and Sugar Scrubs; Body Wraps and Thermal Treatments: Application, Monitoring, and Safety; Hot Stone Massage and Cryotherapy Applications; Sanitation Standards, Product Safety, and Integrated Spa Service Sequence.
What competent looks like. Accurately screen clients for contraindications to spa modalities and document findings using a standardized intake form before each service. Demonstrate safe setup, application, and breakdown of at least four spa modalities—dry brushing, salt or sugar scrub, body wrap, hot stone placement, and cold compress—following facility sanitation standards. Explain the physiological effects of heat, cold, and hydrotherapy on the integumentary, circulatory, and nervous systems using correct anatomical terminology. Select appropriate products and temperatures for each modality, staying within established safety ranges and manufacturer guidelines to prevent burns, allergic reactions, or client discomfort. Apply infection-control and OSHA-aligned sanitation procedures for linens, equipment, and single-use products throughout an entire spa service sequence. Communicate professionally with clients before, during, and after spa treatments, providing clear homecare instructions and documenting session outcomes in a SOAP-format note.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Foundations of Spa Therapy: History, Physiology, and Client Screening | 10 | theory | Students will explain the physiological effects of heat, cold, and hydrotherapy on body systems and correctly identify contraindications for each major spa modality using a written screening protocol. |
| Spa therapy textbook (current edition), printed contraindication screening forms, client intake/SOAP note templates, whiteboard, projector for slides, sample spa menu handout | Students score 80% or higher on a 20-question written quiz covering physiological effects of thermal/cold/hydrotherapy applications and contraindication identification; instructor reviews each completed intake form from the role-play for all required fields and at least two correctly flagged contraindications. |
| 2 | Exfoliation Treatments: Dry Brushing, Salt Scrubs, and Sugar Scrubs | 10 | demo | Students will select appropriate exfoliation media for a given skin type, set up the treatment room to sanitation standards, and perform a full-body dry-brush or scrub sequence on a peer model using correct pressure, direction, and draping. |
| Dry body brushes (one per student), pre-mixed salt and sugar scrub products in single-use containers, warm moist towels or hydro-rinse equipment, massage table, bolsters, full draping linens, SDS sheets for all products, skill checklist rubric | Instructor skill checklist: student must meet or exceed 'competent' rating (pass) on all critical-safety items (SDS reviewed, no product on broken skin, correct draping maintained, sanitation completed) and score at least 80% of total checklist points; any critical-safety miss requires immediate remediation and re-check. |
| 3 | Body Wraps and Thermal Treatments: Application, Monitoring, and Safety | 10 | practice | Students will prepare, apply, and safely remove a full-body wrap treatment—including thermal blanket or mylar layer—while continuously monitoring client comfort and body temperature response and maintaining documentation. |
| Mylar sheets, thermal electric blanket (with temperature controls), clay or mud wrap product, mixing bowls and spatulas, timer, SOAP note forms, table setup supply list, thermometer for product temperature verification, single-use product containers | Instructor observes each wrap session for: correct layer order (100% required), verbal client check-in at each required interval (100% required), safe product temperature before application, and complete SOAP note; student must achieve all critical safety markers plus 80% of skill checklist points to pass. |
| 4 | Hot Stone Massage and Cryotherapy Applications | 10 | lab | Students will heat basalt stones to a safe working temperature range using a professional stone heater, perform placement and effleurage strokes on a peer model without causing thermal injury, and apply cold marble or ice pack cryotherapy following contrast therapy protocols. |
| Basalt stone set (assorted sizes), stone heater with lid, calibrated water thermometer, wooden or silicone tongs, stone heater instruction manual, cold marble stones or commercial cold packs, protective toweling, lab log notebooks, hot-stone technique reference card | Each student must demonstrate correct thermometer use and wrist-test prior to any stone touching the model (non-negotiable safety requirement); scored on lab-log entry (must include documented temperature readings, contrast rationale, and two self-identified modifications) and instructor checklist—pass requires all safety checkpoints met plus 80% of total skill points. |
| 5 | Sanitation Standards, Product Safety, and Integrated Spa Service Sequence | 8 | field | Students will design, document, and deliver a complete 50-minute spa service that integrates at least two modalities from the course, maintaining OSHA-aligned sanitation between phases and providing written homecare instructions to the client. |
| Full spa linen set, all modality equipment and products used in previous lessons, room-setup checklist, treatment plan template, SOAP note forms, homecare instruction card template, peer-observer checklist, instructor scoring rubric | Pass requires: instructor-approved treatment plan on file, all critical sanitation checkpoints met during service (no reuse of single-use items, equipment cleaned between phases), SOAP note completed within 15 minutes of service end, homecare card written and reviewed with model client, and overall rubric score of 80% or higher; any critical sanitation failure requires immediate stop, debrief, and rescheduled assessment. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Spa Modalities Knowledge Examination | Written exam | 25% | 80% or higher (40 of 50 questions correct) | A 50-question multiple-choice exam covering the physiological effects of thermal, cryotherapy, hydrotherapy, and exfoliation treatments; contraindications and client screening; product categories and SDS interpretation; and sanitation principles. Questions are written at the application level to mirror MBLEx domain language, particularly the domains addressing benefits and physiological effects of massage and bodywork, client assessment and treatment planning, and hygiene, sanitation, and safety. Standard met · Safety · Time · Quality/finish · Documentation |
| Integrated Spa Service Skills Demonstration | Skills demonstration | 45% | All critical-safety items met (pass/fail) plus 80% of total rubric points | The student performs the 50-minute integrated spa service from Lesson 5 in front of a primary instructor evaluator, receiving no coaching during the session; the rubric scores client intake and contraindication screening, correct product selection and temperature verification, draping and modesty throughout, smooth transitions between modalities, verbal client monitoring, and complete post-service sanitation and documentation. Standard met · Safety · Time · Quality/finish · Documentation |
| Spa Modalities Lab Log | Log | 15% | Pass: all five required entries present, each entry scores 80% or higher on the lab-log rubric | Students maintain a running lab log throughout all five lessons, with one required entry per lesson documenting the modality practiced, equipment setup steps and temperature or product readings, at least one observed physiological client response, one contraindication considered, and a self-reflection on technique; the log is collected at the end of the course and scored for completeness, accuracy of technical detail, and use of correct anatomical and spa-industry terminology. Standard met · Safety · Time · Quality/finish · Documentation |
| Sanitation and Product Safety Check | Safety audit | 15% | 100% on all critical-safety behaviors; any single failure results in immediate remediation and a second check required before course credit is awarded | An unannounced or scheduled direct observation in which the instructor uses a standardized checklist to verify that the student correctly reads and applies an SDS for a spa product, sets up and sanitizes equipment to established standards (including stone heater, linens, and reusable tools), dispenses products into single-use containers rather than double-dipping, and disposes of waste materials in accordance with facility and OSHA-aligned procedures. Standard met · Safety · Time · Quality/finish · Documentation |
HLT-MASS35-06 Trade course
Professional Ethics and Scope of Practice for Massage Therapists
48 hr · $690 COMPLIMENTARY
This course develops the ethical reasoning, professional boundaries, and legal literacy massage therapists need to practice safely and lawfully. Students examine the therapeutic relationship, scope of practice, informed consent, confidentiality, and mandatory reporting obligations, applying these concepts to realistic clinical scenarios. Lesson content maps directly to the Ethics, Boundaries, Laws, and Regulations domain of the MBLEx and to the conduct standards required for state licensure.
Outcomes- Define the dual role of the MBLEx Ethics domain and state licensing conduct requirements and explain how each governs daily practice.
- Identify and maintain appropriate professional boundaries, recognizing and responding to transference, countertransference, and dual-relationship risks.
- Apply the informed-consent process correctly, including documenting client rights, contraindications, and scope-of-practice limitations in written intake forms.
- Explain HIPAA-aligned confidentiality duties, mandatory reporting obligations, and the conditions under which client information may be disclosed.
- Recognize situations that constitute sexual misconduct, discrimination, or unprofessional conduct and articulate the correct reporting pathway in their state.
- Demonstrate a written professional code of ethics and a self-care plan that supports long-term ethical practice and therapist wellness.
Course text
This course develops the ethical reasoning, professional boundaries, and legal literacy massage therapists need to practice safely and lawfully. Students examine the therapeutic relationship, scope of practice, informed consent, confidentiality, and mandatory reporting obligations, applying these concepts to realistic clinical scenarios. Lesson content maps directly to the Ethics, Boundaries, Laws, and Regulations domain of the MBLEx and to the conduct standards required for state licensure.
How the course runs. 5 blocks: Foundations of Ethics: The Therapeutic Relationship and Professional Boundaries; Informed Consent, Confidentiality, and HIPAA-Aligned Record Keeping; Scope of Practice, Diagnosis Prohibition, and Referral Protocol; Sexual Misconduct, Discrimination, Harassment, and Mandatory Reporting; Personal Code of Ethics, Self-Care, and Long-Term Professional Wellness.
What competent looks like. Define the dual role of the MBLEx Ethics domain and state licensing conduct requirements and explain how each governs daily practice. Identify and maintain appropriate professional boundaries, recognizing and responding to transference, countertransference, and dual-relationship risks. Apply the informed-consent process correctly, including documenting client rights, contraindications, and scope-of-practice limitations in written intake forms. Explain HIPAA-aligned confidentiality duties, mandatory reporting obligations, and the conditions under which client information may be disclosed. Recognize situations that constitute sexual misconduct, discrimination, or unprofessional conduct and articulate the correct reporting pathway in their state. Demonstrate a written professional code of ethics and a self-care plan that supports long-term ethical practice and therapist wellness.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Foundations of Ethics: The Therapeutic Relationship and Professional Boundaries | 10 | theory | Students will accurately define the therapeutic relationship, explain power imbalance, and correctly classify at least eight common boundary scenarios as appropriate or a violation, matching established FSMTB ethics standards. |
| FSMTB MBLEx Content Outline (current version), Associated Bodywork and Massage Professionals (ABMP) Code of Ethics, American Massage Therapy Association (AMTA) Code of Ethics, printed scenario cards, professional ethics textbook (e.g., Sohnen-Moe 'Business Mastery' or equivalent), whiteboard, student journals | Instructor-graded scenario card debrief: student must correctly classify at least 16 of 20 cards (80%) and provide a sound rationale; journal entry reviewed for depth using a 4-point rubric with a minimum score of 3. |
| 2 | Informed Consent, Confidentiality, and HIPAA-Aligned Record Keeping | 10 | demo | Students will complete a legally compliant intake and informed-consent process—including verbal explanation, written documentation, and client signature—without omitting any required element, as verified by a structured checklist. |
| Sample SOAP note forms, state-board-approved intake and informed-consent templates, HIPAA plain-language summary handout, instructor-created case-study packets, pens, red-pen correction sets, printed FSMTB content outline pages for the Laws and Regulations domain | Checklist evaluation of each student's role-play intake session: all 10 required elements (service description, client rights, draping policy, contraindication screening, scope-of-practice disclosure, voluntary consent, signature, date, therapist name, session plan) must be present; 9/10 (90%) required to pass. |
| 3 | Scope of Practice, Diagnosis Prohibition, and Referral Protocol | 10 | practice | Students will correctly identify scope-of-practice limits in at least 10 of 12 written clinical scenarios and write a compliant referral statement without using diagnostic or prescriptive language. |
| State massage practice act (printed excerpt or official PDF), model state practice act from FSMTB website, individual student whiteboards and markers, referral-letter rubric, professional dictionary, AMTA scope-of-practice position statement | Whiteboard scenario sprint scored in real time: minimum 10 of 12 correct (83%); referral letter evaluated against a 5-criterion rubric (no diagnostic language, professional tone, factual observation only, correct recipient format, student signature block)—all 5 criteria must pass. |
| 4 | Sexual Misconduct, Discrimination, Harassment, and Mandatory Reporting | 10 | lab | Students will accurately describe the definitions, consequences, and correct reporting pathways for sexual misconduct and discriminatory conduct, and draft a formal complaint-response protocol for a hypothetical workplace situation that meets all required steps. |
| State licensing board public disciplinary records (printed or projected), FSMTB model law resources, AMTA and ABMP sexual misconduct position statements, hypothetical scenario handouts, mandatory-reporting flowchart template, student laptop or printed drafting worksheets | Protocol document evaluated against an instructor rubric: must include all six required steps (immediate safety action, session termination procedure, documentation language, internal reporting, board reporting, self-care/debriefing); passing = 5 of 6 steps present and correctly described. |
| 5 | Personal Code of Ethics, Self-Care, and Long-Term Professional Wellness | 8 | practice | Students will produce a written personal code of ethics with at least six enforceable commitments and a corresponding self-care plan that addresses physical, emotional, and professional sustainability, receiving a passing peer and instructor evaluation. |
| Professional-values inventory worksheet, ABMP and AMTA codes of ethics (printed), self-care plan template, peer-feedback forms, timer for presentations, personal ethics code grading rubric | Personal code of ethics rubric: minimum six commitments, each stated in first person, specific, and actionable—score 4 of 6 or more at the 'specific and enforceable' level (67%); self-care plan must include all three required domains with at least one measurable goal each; peer feedback recorded and submitted. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Ethics and Law Knowledge Examination | Written exam | 25% | 75% (38 of 50 questions correct) | A 50-question multiple-choice examination covering all five lesson areas: therapeutic relationship and boundaries, informed consent and confidentiality, scope of practice and referral, sexual misconduct and mandatory reporting, and professional codes of ethics. Questions are written to mirror the MBLEx item style and are drawn from FSMTB content outline categories for Ethics, Boundaries, Laws, and Regulations; students have 60 minutes to complete. Standard met · Safety · Time · Quality/finish · Documentation |
| Informed-Consent and Boundary-Response Skills Demonstration | Skills demonstration | 45% | Minimum 90% on the 10-element checklist AND all boundary-response steps rated 'competent' by the evaluating instructor | Each student conducts a complete intake and informed-consent interaction with a volunteer peer acting as a new client presenting a scripted complex scenario (a chronic health condition plus an attempted dual-relationship request); the evaluator uses a standardized 10-element checklist and observes how the student identifies and responds to the boundary challenge in real time. Standard met · Safety · Time · Quality/finish · Documentation |
| Ethics Case-Log Portfolio | Log | 15% | Average rubric score of 3.0 out of 4.0 across all five entries, with no single entry below 2.0 | Students maintain a cumulative case-log portfolio throughout the course containing five written entries, one per lesson unit; each entry presents a real or realistic scenario, identifies the ethical principle at stake, describes the correct response citing a specific code or law provision, and reflects on how the situation relates to their personal code of ethics. The portfolio is submitted at the end of the course. Standard met · Safety · Time · Quality/finish · Documentation |
| Scope-of-Practice and Confidentiality Safety Check | Safety audit | 15% | Zero critical errors; non-critical errors corrected within one attempt on the same day | A live, unannounced or minimally announced practical check in which the instructor presents the student with a verbal client scenario containing a clear scope-of-practice violation and a confidentiality breach; the student must verbally and in writing identify both issues, state the correct action, and produce compliant documentation language without coaching. Any response that would cause patient harm or legal liability is a critical error and requires remediation before clinical practicum begins. Standard met · Safety · Time · Quality/finish · Documentation |
HLT-MASS35-07 Capstone
Capstone Project: Integrated Massage Therapy Case Study and Practice Defense
72 hr · $720 COMPLIMENTARY
Students design, execute, and document a complete massage therapy treatment series for a real or simulated client, integrating anatomy, Swedish and deep tissue technique, sports and spa modalities, ethics, and professional communication into a single cohesive case. The capstone culminates in a structured oral defense before a faculty panel, demonstrating readiness for clinical practicum and licensure. All work must reflect scope-of-practice boundaries, SOAP documentation standards, and MBLEx content domains.
Outcomes- Conduct a thorough client intake, health history review, and contraindication screening and document findings using accurate SOAP notation.
- Design a multi-session massage treatment plan that selects and justifies techniques from Swedish, deep tissue, sports, and spa modalities based on client assessment data.
- Perform all selected techniques with correct body mechanics, draping, pressure adjustment, and safety protocol across a minimum of three documented practice sessions.
- Apply ethical decision-making frameworks to at least two scenario-based challenges embedded in the case, including informed consent, dual-relationship awareness, and scope-of-practice limits.
- Compile a complete client case portfolio including intake forms, SOAP notes, treatment plan, self-evaluation, and a reflective summary aligned with MBLEx content domains.
- Present and defend case decisions orally before a faculty panel, responding to probing questions with evidence-based rationale drawn from anatomy, kinesiology, and professional standards.
Course text
Students design, execute, and document a complete massage therapy treatment series for a real or simulated client, integrating anatomy, Swedish and deep tissue technique, sports and spa modalities, ethics, and professional communication into a single cohesive case. The capstone culminates in a structured oral defense before a faculty panel, demonstrating readiness for clinical practicum and licensure. All work must reflect scope-of-practice boundaries, SOAP documentation standards, and MBLEx content domains.
How the course runs. 4 blocks: Client Intake, Assessment, and SOAP Documentation; Treatment Plan Design and Technique Justification; Supervised Capstone Practice Sessions; Portfolio Compilation and Oral Defense Preparation.
What competent looks like. Conduct a thorough client intake, health history review, and contraindication screening and document findings using accurate SOAP notation. Design a multi-session massage treatment plan that selects and justifies techniques from Swedish, deep tissue, sports, and spa modalities based on client assessment data. Perform all selected techniques with correct body mechanics, draping, pressure adjustment, and safety protocol across a minimum of three documented practice sessions. Apply ethical decision-making frameworks to at least two scenario-based challenges embedded in the case, including informed consent, dual-relationship awareness, and scope-of-practice limits. Compile a complete client case portfolio including intake forms, SOAP notes, treatment plan, self-evaluation, and a reflective summary aligned with MBLEx content domains. Present and defend case decisions orally before a faculty panel, responding to probing questions with evidence-based rationale drawn from anatomy, kinesiology, and professional standards.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Client Intake, Assessment, and SOAP Documentation | 16 | lab | Students will complete a full client intake and health history screening, identify at least three relevant findings, and produce a correctly formatted SOAP note that reflects those findings with no critical omissions. |
| Client health history intake forms, SOAP note templates, anonymized case vignette handouts, peer-review rubric, Mosby's Fundamentals of Therapeutic Massage (current edition), instructor-provided contraindication reference card | Instructor scores the final SOAP note against a 20-point rubric covering accuracy of subjective data, objective observations, assessment reasoning, and plan specificity; passing score is 16/20 (80%). Any critical safety error (missed absolute contraindication) requires immediate revision and resubmission before the student advances. |
| 2 | Treatment Plan Design and Technique Justification | 18 | theory | Students will construct a written three-session treatment plan for their capstone client that selects at least four distinct techniques from across course modalities and provides anatomy- and evidence-based justification for each selection. |
| Treatment plan template, Trail Guide to the Body (current edition), modality reference summaries from Courses 3–5, whiteboard and markers, structured feedback cards, MBLEx content outline (FSMTB publicly available document) | Instructor evaluates the finalized treatment plan on a 25-point rubric assessing client goal alignment, technique selection rationale, anatomical accuracy, safety provisions, and professional language; passing score is 20/25 (80%). Plans with missing informed-consent provisions are returned for mandatory revision. |
| 3 | Supervised Capstone Practice Sessions | 26 | practice | Students will execute all three planned treatment sessions on a peer or supervised model client, maintaining correct body mechanics, adaptive pressure, proper draping, and professional communication throughout, as observed and scored by the instructor. |
| Fully equipped massage tables, linens and draping supplies, bolsters and positioning aids, massage lubricant, hand sanitizer and PPE supplies, competency observation checklist, post-session self-evaluation form, SOAP update template | Instructor scores each session with a 30-point performance checklist covering setup and draping (6 pts), technique execution and sequencing (10 pts), body mechanics (6 pts), client communication and adaptation (4 pts), and session closure and hygiene (4 pts). Students must pass two of three sessions at 24/30 (80%) or above; a session score below 80% triggers a remediation plan and one additional observed session before the portfolio is submitted. |
| 4 | Portfolio Compilation and Oral Defense Preparation | 12 | lab | Students will assemble a complete capstone portfolio in prescribed order and rehearse an oral defense presentation that summarizes their case, defends at least two clinical decisions, and responds to simulated panel questions with accurate, professionally framed answers. |
| Portfolio checklist and assembly guide, reflective summary template, MBLEx content outline, probing question bank, peer feedback reflection cards, folder or binder for physical portfolio submission, word-processing software for digital version | Instructor reviews the assembled portfolio against the checklist for completeness before the student is cleared to defend; any missing required document delays the defense. During the mock drill, peers and instructor score the student's clarity, accuracy, and composure on a 10-point scale; students scoring below 7/10 receive targeted coaching before the formal defense. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Capstone Case Project | Project | 60% | 80% aggregate score across all three observed practice sessions (minimum two sessions at 24/30) plus a passing SOAP documentation score of 16/20; any unresolved safety violation results in an incomplete until remediated | The project encompasses the full arc of client care: intake and contraindication screening, written treatment plan, three executed and documented massage sessions, and post-session self-evaluations. Instructors assess both the written documentation and the live technique performance using the lesson-level rubrics, and scores are averaged into a single project grade that must meet 80% to qualify the student for portfolio submission and defense. Meets specification · Within estimate · Workmanship · Safety · Documentation |
| Capstone Portfolio | Portfolio | 20% | All required documents present and complete; reflective summary scores at least 32/40 on the portfolio rubric; no document may contain an uncorrected critical safety or ethics error | The portfolio collects every artifact from the capstone in a single organized submission: health history and intake forms, informed consent documentation, three SOAP notes, the treatment plan, three post-session self-evaluations, and a reflective summary that explicitly maps case decisions to MBLEx content domains. A faculty reviewer scores the reflective summary on accuracy, depth of domain mapping, professional writing, and ethical reasoning using a 40-point rubric, and verifies completeness of all supporting documents before the student is cleared to defend. Completeness · Organization · Evidence quality |
| Oral Defense | Oral / panel | 20% | Score of 28/35 or higher on the defense rubric; student must answer at least one contraindication or scope-of-practice question correctly without prompting; a panel majority vote of 'not ready' triggers a single re-defense within two weeks | The student presents a seven-to-ten minute structured summary of the capstone case to a two- or three-member faculty panel, then responds to ten minutes of panel questions drawn from MBLEx content domains including anatomy and physiology, pathology and contraindications, massage benefits, and professional ethics. The panel scores the defense on accuracy of content knowledge (15 pts), quality of clinical reasoning (10 pts), professional communication and composure (6 pts), and appropriate scope-of-practice awareness (4 pts), using a 35-point rubric. Explains decisions · Answers technical questions · Professional communication |
HLT-MASS35-08 Externship / clinical
Clinical Practicum: Supervised Massage Therapy Externship
108 hr · $430 COMPLIMENTARY
Students complete 108 hours of supervised, hands-on massage therapy practice at an approved clinical or employer site, integrating all prior coursework under the direct oversight of a licensed massage therapist supervisor. Learners deliver full client sessions across a range of populations, maintain professional documentation, and demonstrate entry-level competency in safety, draping, intake, technique, and scope of practice. Performance is measured through employer evaluation and a complete clinical log reviewed by program faculty.
Outcomes- Deliver a complete, client-centered massage therapy session—including intake, assessment, technique selection, draping, and post-session communication—that meets site supervisor standards for safety and professionalism
- Accurately complete SOAP notes and all required client documentation for every session, using correct anatomical and clinical terminology
- Identify and appropriately respond to contraindications, adverse reactions, and scope-of-practice boundaries by modifying or terminating a session and communicating findings to a supervisor
- Demonstrate professional workplace conduct—punctuality, hygiene, client confidentiality, and ethical interaction—as rated satisfactory or above on the employer evaluation rubric
- Apply Swedish, deep tissue, and at least one spa or sports modality technique correctly and safely on diverse client populations encountered at the externship site
- Self-assess session quality using reflective journal entries and incorporate supervisor feedback to improve technique and client communication across the practicum period
Course text
Students complete 108 hours of supervised, hands-on massage therapy practice at an approved clinical or employer site, integrating all prior coursework under the direct oversight of a licensed massage therapist supervisor. Learners deliver full client sessions across a range of populations, maintain professional documentation, and demonstrate entry-level competency in safety, draping, intake, technique, and scope of practice. Performance is measured through employer evaluation and a complete clinical log reviewed by program faculty.
How the course runs. 4 blocks: Externship Orientation: Site Protocols, Documentation Standards, and Professional Expectations; Supervised Client Sessions: Intake, Assessment, and Full-Session Delivery; Scope of Practice and Clinical Decision-Making Under Supervision; Final Session Demonstration and Practicum Reflection.
What competent looks like. Deliver a complete, client-centered massage therapy session—including intake, assessment, technique selection, draping, and post-session communication—that meets site supervisor standards for safety and professionalism. Accurately complete SOAP notes and all required client documentation for every session, using correct anatomical and clinical terminology. Identify and appropriately respond to contraindications, adverse reactions, and scope-of-practice boundaries by modifying or terminating a session and communicating findings to a supervisor. Demonstrate professional workplace conduct—punctuality, hygiene, client confidentiality, and ethical interaction—as rated satisfactory or above on the employer evaluation rubric. Apply Swedish, deep tissue, and at least one spa or sports modality technique correctly and safely on diverse client populations encountered at the externship site. Self-assess session quality using reflective journal entries and incorporate supervisor feedback to improve technique and client communication across the practicum period.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Externship Orientation: Site Protocols, Documentation Standards, and Professional Expectations | 12 | field | Students will correctly complete all site-specific onboarding requirements and demonstrate understanding of documentation, confidentiality, emergency, and professional-conduct protocols before delivering any unsupervised client contact. |
| Site orientation packet, blank SOAP note forms, client intake and health history templates, facility emergency action plan, HIPAA/confidentiality policy document, site safety checklist, pen | Supervisor signs off on completed site safety checklist and correctly filled sample SOAP note; student must have zero errors on the confidentiality policy quiz (5-item scenario quiz, 100% required) before first client contact is permitted |
| 2 | Supervised Client Sessions: Intake, Assessment, and Full-Session Delivery | 72 | practice | Students will deliver complete massage therapy sessions to real clients under supervisor observation, correctly performing intake screening, contraindication identification, technique application, draping, and post-session communication across a minimum of 36 documented sessions. |
| Massage table, bolsters, face cradle, professional linens, lubricant (lotion/oil), hot-stone unit or spa tools if site-appropriate, SOAP note forms, client intake forms, pen, hand sanitizer, personal protective equipment per site policy, FSMTB MBLEx Content Outline (student reference copy) | Supervisor uses the site's session observation rubric (minimum 75% score across six domains: intake/screening, draping and positioning, technique correctness, pressure adaptation, post-session communication, SOAP note accuracy) on at least four observed sessions distributed across the practicum; all SOAP notes must be signed as acceptable by the supervising LMT |
| 3 | Scope of Practice and Clinical Decision-Making Under Supervision | 16 | lab | Students will correctly identify at least five contraindication or scope-of-practice scenarios encountered or simulated at the site and document appropriate clinical decisions, including session modification, referral communication, or termination. |
| Clinical decision log template, FSMTB MBLEx Content Outline, pathology reference (such as Tracy Walton's Medical Conditions and Massage Therapy or equivalent), scenario-response worksheets, debrief discussion guide | Clinical decision log must contain a minimum of five documented entries with supervisor sign-off on each; all three scenario worksheets must score 80% or above; supervisor confirms participation in all scheduled debrief sessions |
| 4 | Final Session Demonstration and Practicum Reflection | 8 | field | Students will complete a final observed client session evaluated by the site supervisor using the standardized employer evaluation rubric and submit a reflective summary that identifies areas of demonstrated growth and remaining development needs. |
| Employer evaluation rubric (program-standard form), massage table and full session supplies, SOAP note form, reflective journal template, clinical log (complete), pen | Final employer evaluation must score 75% or above overall with no individual domain scored below 60%; reflective journal entry must be submitted to program faculty and accepted as complete; exit meeting must be documented with supervisor signature on the evaluation form |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Employer Clinical Evaluation | Clinical evaluation | 70% | Overall score of 75% or above on the standardized employer evaluation rubric, with no single domain below 60%, and supervisor attestation that the minimum session count was completed | The supervising licensed massage therapist at the externship site evaluates the student using the program's standardized rubric across six domains: client intake and contraindication screening, draping and positioning, technique correctness and adaptability, pressure and pacing judgment, post-session client communication, and SOAP note quality. Scores are drawn from a minimum of four formally observed sessions plus the final demonstration session, and the completed, signed rubric is submitted to the program director as the primary evidence of clinical competency. Competency · Safety · Attendance · Conduct · Initiative |
| Clinical Practicum Log | Log | 30% | Log accepted by program faculty: minimum required session hours met, all SOAP notes present and supervisor-signed, clinical decision log containing at least five entries with supervisor sign-off, and reflective journal entry graded complete | The student submits a comprehensive binder or digital portfolio containing: a session log listing date, client initials, session length, and modalities used for every session; all completed and supervisor-signed SOAP notes; the clinical decision log with a minimum of five documented scope-of-practice or contraindication entries; the three scenario-response worksheets; and the final reflective journal entry. Faculty review the log for completeness, accuracy of terminology, and consistency between session records and supervisor sign-offs; any missing signatures or incomplete SOAP notes must be corrected before the course is marked complete. Complete · Verified |
HLT-MASS35-09 Exam prep
Certification Exam Preparation: MBLEx and State Licensure
30 hr · $300 COMPLIMENTARY
This course systematically reviews all content domains tested on the MBLEx and prepares students to meet state licensure application requirements through structured content review, test-taking strategy instruction, and full-length timed mock examinations. Students identify personal knowledge gaps, practice under realistic timed conditions, and build the procedural knowledge needed to submit a complete licensure application. Emphasis is placed on accurate recall, clinical reasoning under pressure, and professional readiness to enter the workforce as a licensed massage therapist.
Outcomes- Accurately recall anatomy, physiology, kinesiology, and pathology content aligned with MBLEx domain weighting at a level consistent with a passing score.
- Apply ethical decision-making frameworks and scope-of-practice boundaries to scenario-based exam questions with at least 75% accuracy.
- Demonstrate correct test-taking strategies—including question dissection, elimination, and time management—across full-length timed practice exams.
- Identify contraindications, endangerment sites, and client safety protocols as tested in MBLEx client assessment and treatment planning domains.
- Complete and verify a checklist of state licensure application requirements including documentation of supervised hours, background check, and exam registration steps.
- Score at or above the MBLEx target passing standard on at least one full-length mock examination before the program end date.
Course text
This course systematically reviews all content domains tested on the MBLEx and prepares students to meet state licensure application requirements through structured content review, test-taking strategy instruction, and full-length timed mock examinations. Students identify personal knowledge gaps, practice under realistic timed conditions, and build the procedural knowledge needed to submit a complete licensure application. Emphasis is placed on accurate recall, clinical reasoning under pressure, and professional readiness to enter the workforce as a licensed massage therapist.
How the course runs. 4 blocks: MBLEx Domain Mapping and Knowledge-Gap Diagnosis; Content Review: Anatomy, Physiology, Kinesiology, Pathology, and Client Assessment; Content Review: Ethics, Scope of Practice, Guidelines, and Licensure Application Process; Full-Length Timed Mock Examinations and Test-Strategy Debrief.
What competent looks like. Accurately recall anatomy, physiology, kinesiology, and pathology content aligned with MBLEx domain weighting at a level consistent with a passing score. Apply ethical decision-making frameworks and scope-of-practice boundaries to scenario-based exam questions with at least 75% accuracy. Demonstrate correct test-taking strategies—including question dissection, elimination, and time management—across full-length timed practice exams. Identify contraindications, endangerment sites, and client safety protocols as tested in MBLEx client assessment and treatment planning domains. Complete and verify a checklist of state licensure application requirements including documentation of supervised hours, background check, and exam registration steps. Score at or above the MBLEx target passing standard on at least one full-length mock examination before the program end date.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | MBLEx Domain Mapping and Knowledge-Gap Diagnosis | 6 | theory | Students will identify their personal weak content domains by scoring a diagnostic practice set and mapping results to published MBLEx content outline categories. |
| FSMTB MBLEx Candidate Handbook (current edition, free download from fsmtb.org); 100-question diagnostic practice set (instructor-prepared, aligned to domain weights); blank domain mapping worksheet; highlighters; student notes and textbooks from Courses 2–8. | Student submits a completed domain score sheet and a written personal study plan identifying at least two specific content areas for priority review; both must be complete and plausible to earn credit for this lesson. |
| 2 | Content Review: Anatomy, Physiology, Kinesiology, Pathology, and Client Assessment | 10 | theory | Students will correctly answer scenario-based review questions covering the science and client assessment domains of the MBLEx at a rate of at least 75% during guided in-class practice. |
| Course textbooks from Anatomy (Course 2) and Swedish/Deep Tissue (Course 3); pathology reference list from Ethics (Course 6); instructor-prepared rapid-review slide deck; fill-in reference card templates; case-study scenario packets; answer keys. | End-of-lesson 40-question written quiz drawn from anatomy, physiology, kinesiology, pathology, and client assessment domains; pass mark is 75% (30/40 correct); students scoring below 75% receive a targeted remediation reading assignment before the next lesson. |
| 3 | Content Review: Ethics, Scope of Practice, Guidelines, and Licensure Application Process | 6 | theory | Students will correctly apply ethical principles and scope-of-practice boundaries to MBLEx-style scenario questions and complete a checklist confirming readiness to submit a state licensure application. |
| State massage therapy licensing board official website and application checklist (current); Ethics course notes from Course 6; MBLEx Candidate Handbook ethics and guidelines section; instructor-prepared ethics scenario drill packet; student supervised-hours logs from Clinical Practicum. | Students score at least 75% (15/20) on the ethics scenario drill and submit a completed, signed licensure readiness checklist showing all documentation accounted for or a written plan with specific deadlines for any missing items; both components required for lesson credit. |
| 4 | Full-Length Timed Mock Examinations and Test-Strategy Debrief | 8 | lab | Students will complete two full-length timed mock MBLEx examinations under standardized conditions and demonstrate a score of at least 75% on at least one attempt, applying documented test-taking strategies throughout. |
| Two distinct 100-question mock examination sets (instructor-prepared, aligned to current FSMTB MBLEx content outline and domain weights); printed bubble-sheet answer documents; timing device; quiet examination room; domain score report template; pencils; student personal study plans from Lesson 1. | Student scores at least 75% (75/100) on at least one of the two mock examinations; students who do not reach 75% on either attempt receive a written remediation plan and are encouraged to complete additional FSMTB-authorized practice resources before scheduling the official MBLEx. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| MBLEx Full-Length Mock Examination | Mock certification exam | 100% | A score of 75% or higher (75 out of 100 questions correct) on at least one of the two administered full-length mock examinations constitutes a passing result for program completion purposes. | Students sit two complete 100-question multiple-choice mock examinations administered under timed, proctored, closed-note conditions that replicate the MBLEx testing environment, with questions distributed across all FSMTB content domains including anatomy, physiology, kinesiology, pathology, client assessment, treatment planning, ethics, and guidelines for professional practice. Domain-level score reports are returned after each attempt so that students and the instructor can confirm readiness or identify remaining content gaps before the student registers for the official MBLEx. Score · Time management |
Program completion
External credential: MBLEx; State Massage License
Students sit the MBLEx, administered by the Federation of State Massage Therapy Boards, to earn a portable industry credential recognized across the country. After passing the MBLEx, graduates apply to their state licensing board for a State Massage License, which is the legal authorization required to practice massage therapy professionally. Pass standard: Credential issued by the body.
Back to Massage Therapy · How the school gets authority to award these credentials
