Decision-making skills: Your clients might not exactly know what they want from a session. They may not know what technique they want to be performed or might not be aware of the location of their pain. Professional massage therapists should help their clients by helping determine what massage will help improve their physical condition. This is where your training comes in. Good decision-making skills can come in handy when determining the best type of therapy for a client.
Massage has been shown to reduce neuromuscular excitability by measuring changes in the Hoffman's reflex (H-reflex) amplitude. A decrease in peak-to-peak H-reflex amplitude suggests a decrease in motoneuron excitability. Others explain, "H-reflex is considered to be the electrical analogue of the stretch reflex...and the reduction" is due to a decrease in spinal reflex excitability. Field (2007) confirms that the inhibitory effects are due to deep tissue receptors and not superficial cutaneous receptors, as there was no decrease in H-reflex when looking at light fingertip pressure massage. It has been noted that "the receptors activated during massage are specific to the muscle being massaged", as other muscles did not produce a decrease in H-reflex amplitude.