Test Only (Without Course Materials)

Course by mail with online test.
The online test for this course contains  79  multiple choice questions.

Massage Therapy CEs | Research

Outcome Based Massage

Massage Therapy continuing education CEs earned: This course was archived as of 1/1/2016 and is no longer valid for CEs.

Course classification: Research

Approved by: Institute of Somatic Therapy (Judith Koch) is approved by the NCBTMB (Provider #280672-00) as a continuing education Approved Provider. Institute of Somatic Therapy is approved by Florida (#MCE-326), and New York (#0019). Our courses are also valid for AMTA, ABMP, and most individual states. Some states limit how many hours can be done online or by home study. Please refer to our State Guidelines section for specific information about your state. Laws can and do change, and your state will hold you responsible for knowing the laws that apply to you.

Attention Florida licensees:  Institute of Somatic Therapy will automatically report your hours to CE Broker ONLY IF you have provided your Florida license number in your online account with us. You can verify your license information by logging on to our website, and reviewing your account information that appears on the left side of the page. If your license is not shown there, please select “edit” to include it.


  1. Test only: You must obtain your own textbook elsewhere, and enroll for just the online test for $129. There are no additional materials that you will receive by mail or online. The "test only" option is just that - you are only getting the online test that you will complete based on your study of the textbook, so that you can earn continuing education credits from a book that you already own.

Testing: You complete your test online, and immediately upon passing, print your own certificate.  To see how our online courses and testing work, we invite you to take our free sample course.

Approved by NCBTMB, Florida, and Alabama, and is valid for AMTA, ABMP, and most states. Please refer to our state guidelines page for specific information about massage therapy CEUs for your state.

Course Materials: Outcome Based Massage, 3rd Edition, by Carla-Krystin Andrade

Course Description: This comprehensive home study course is designed to help massage therapists develop a strategy for which modality to integrate into each session and how to determine the best sequencing of those techniques, although it really goes much farther. The foundation includes a four phase decision making model to evaluate, plan, and carry out treatment. This also extends to ethics in several categories - Roles and Boundaries, Professionalism, and Prevention of Sexual Misconduct. But the bulk of the course studies six general categories of techniques by looking at evidence from controlled studies for a musculoskeletal, neurological, and physiological perspectives, including cautions and contraindications for three different superficial reflex techniques, two superficial fluid techniques, three neuromuscular techniques, four connective tissue techniques, three passive movement techniques, and variations on percussive techniques. The course does have very brief instructions for each technique, but is not meant to try to teach you these 15 different modalities, but rather to help you either decide which of them you want to learn in more detail, or help you decide which of the ones you already know are most appropriate based on the needs of each individual client.

Publisher's Description of Textbook: Outcome-Based Massage: Putting Evidence into Practice (3rd edition) goes beyond an update of the content of the second edition. In this book, Dr Andrade and a team of contributors who represent the fields of massage therapy, physical therapy, athletic training, education, psychology, medicine, and physiology take the student or practicing clinician to the next level of using Outcome-Based MassageTM in daily clinical practice. This edition enhances and builds upon the strengths of the first two editions as follows:
·         Fully updated chapters provide a comprehensive approach to assessment, treatment design, and treatment delivery
·         Streamlined presentation of theory and practice enhances the teaching and learning experience
·         Quick Treatment Guides provide a colorful, immediate reference for anatomy, pathophysiology, impairments, and wellness goals for 16 musculoskeletal conditions
·         New section on the scientific basis of soft-tissue examination provides students and practitioners with the very latest understanding of the emerging body of knowledge in this field
·         Review sections in each chapter provide Takeaways that summarize key concepts, critical thinking questions, and clinical cases that illustrate the practical application of the concepts discussed in the chapter
·         Precise, instructive photographs and videos give students and practitioners clear, direct guidance for using the techniques presented in this text


Learning Objectives guide students' engagement with each chapter
Examining the Evidence teaches students how to read and use research in their practice.
Practice Sequences provide a starting point for massage, with encouragement for students to explore variations on their own.
"Takeaways" summarize essential points in each chapter to help students review and retain principles discussed.
Clinical Cases describe a case in terms of clinical findings (subjective and objective) and treatment approach (outcomes desired and practice)
Critical Thinking Questions further encourage students' engagement with the material in the chapter.
Extensive references and reading lists serve to validate the approach presented and to give readers directions for exploring further.
4-color Quick Treatment Guides in Chapter 14 are an at-your-fingertips resource for quickly refreshing your understanding of affected anatomy, physiology, and contraindications, and suggests massage techniques relevant to different conditions.

Table of Contents:

Part I. Principles of Outcome-Based Massage
Chapter 1        Principles of Outcome-Based Massage
Chapter 2        Interpersonal and Ethical Issues for Massage
Chapter 3        Evidence for Massage
Chapter 4        Client Examination for Outcome-Based Massage
Chapter 5        Outcome-Based Massage Clinical Decision-Making

Part II. Application of Outcome-Based Massage to Clinical Conditions and Wellness
Chapter 6        Preparation and Positioning for Outcome-Based Massage
Chapter 7        Superficial Reflex Techniques
Chapter 8        Superficial Fluid Techniques
Chapter 9        Neuromuscular Techniques
Chapter 10      Connective Tissue Techniques
Chapter 11      Passive Movement Techniques
Chapter 12      Percussive Techniques
Chapter 13      Sequencing Massage Techniques for Outcome-Based Massage
Chapter 14      Application of Outcome-Based Massage to Clinical Conditions and Wellness

If you are interested in this massage therapy CEU course, other courses that might be of interest to you are: Musculoskeletal Pain, Anatomy Fascial Lines


Can I review the test after I’ve completed the test? Yes. Even after completing the test, you will always have the option to print another certificate or review your test results.

Can I print the online test to work on it at my convenience? No. When you take the test, one question at a time will come up, and you must answer it before going to the next question. The test will be different each time you take it. To maintain the highest level of integrity with our testing process, with most of our online courses we have written more test questions than you are required to answer. When you click to take the test, the computer will randomly pick the number of question s that you have to answer. For example, we may have 50 questions banked and you only have to answer 30 for your test. The computer will pick 30 questions from the 50. The next time, it will again pick 30 questions from the 50, so some will be the same as before and some will be different. This way, if two students are sitting side-by-side taking the same course together, each one will have a different test.

What happens if I fail the test? Do I have to pay again? No. If you happen to fail our test, you can continue to retest until you do pass at no additional charge. With most of our courses, as noted above, the test will be different each time you take it. You can print out your test results to use as a reference for studying before taking the test again.

Is online testing the only testing option you have available? If you enroll online, you will automatically be set up to take the online exam. If you prefer to have a paper test we are happy to accommodate that. There is a $20 fee for processing paper testing, which includes the premium, gold-embossed sealed certificate (online testers also have the option to purchase a premium certificate for $15).

What is the difference between cognitive and kinesthetic courses? Cognitive courses are those that teach concepts related to massage therapy, but do not teach specific hands-on techniques. Courses such as ethics, pathology, anatomy, and research are classified as cognitive. Kinesthetic courses are those that teach specific hands-on techniques that you can use on clients during a massage therapy session. Some states limit how many kinesthetic courses can be completed in an online or home study setting. Refer to our state guidelines page for specifics about your state.


To contact the Institute of Somatic Therapy about this or any other massage therapy CEU course, please go to the "contact" link above. Thank you.