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Massage Therapy
Continuing Education

CONTINUING COMPETENCY:  Each licensee is responsible for maintaining certificates or records of continuing education; the Licensure Unit does not maintain the hours you completed.

General Requirements:  On or before November 1 of each odd numbered year, each licensed massage therapist who is in active practice in the State of Nebraska must complete 24 hours of approved continuing competency hours/credits during the preceding 24 month period. Additional hours earned during this period which are above and beyond the required 24 hours can not be utilized for subsequent renewals.

Types of Activities:  Licensees must earn 24 hours/credits through a combination of the following types of activities.

1.  Mandatory Hands-on Hours:  A licensee must complete at least 14 hours of hands-on continuing education through workshops each renewal period (1 hour of attendance = 1 credit). A licensee may earn all 24 hours through hands-on workshops. These hours must meet the following:

a.  The content of the workshop(s) must include at least 75% HANDS-ON technique which is the physical, mechanical, or electrical manipulation of soft tissue for the therapeutic purposes of enhancing muscle relaxation, reducing stress, improving circulation, or instilling a greater sense of well being and may include the use of oil, salt glows, heat lamps, and hydrotherapy; up to 25% may be theory related to hands-on technique; and

b.  The agenda must reflect a set period of time for class participation (hands-on practice).

2. Mandatory Ethics Hours:   Each licensee must obtain at least 3 hours in ethics; and

3.  Optional Hours: A licensee may earn the remaining credits in one or a combination of the following continuing competency activities:

a.  National Examination. 7 credits will be granted for licensees who successfully pass the examination;

b.  Publication. 7 credits will be granted for an article published in a professional health related journal; a newsletter article or letter to the editor does not meet this requirement;

c.  Jurisprudence Examination on State Laws (50 question take home test). 3 credits will be granted for licensees who receive a score of 75% or above;

d.  Instructor at a Massage Therapy School. 1.5 credits will be granted for each hour of teaching up to a maximum of 7 hours;

e.  Practical Examination (must be administered by a Nebraska Licensed Massage Therapy School). 3 credits will be granted;

f.  Massage School Training / College or University Coursework (resident/distance). 1 hour of training = 1 credit, 1 semester college credit hour = 15 credits, 1 quarter college credit = 10 credits, up to a maximum of 7 credits;

g.  Workshops and Lectures (Continuing Education Programs). 1 credit will be granted for each 50 minutes of participation up to a maximum of 7 credits;

h.  Homestudy Programs: Only homestudy programs relating to ethics will be acceptable for renewal. Up to a maximum of 7 credits will be granted.

4.  Presenter Credit: If the licensee is a presenter, s/he must maintain documentation of his/her presentation of continuing competency activity. A presenter may receive credit for only the initial presentation during a renewal period.

Acceptable Topic Areas:

Hands-on or Non Hands-on Workshops: The following are the acceptable topic areas for continuing competency that may or may not apply to the mandatory 14 hours of continuing education earned through hands-on workshops. The method of delivery of the program determines hands-on or non hands-on.

1.  Hydrotherapy - May include, but is not limited to, history, benefits of water treatment, cryotherapy, body wraps/masks, salt glows, body scrubs, body shampoos, moisturizers, hot packs, steam cabinets, dry brushing, therapeutic water modalities, methods of cold application, heat therapy, contrast baths, skin contra-irritants, spas, etc.;

2.  Massage - May include, but is not limited to, history of massage, benefits of massage, physiology of massage, equipment and procedures, psychology of massage, interpersonal client contact, relaxation and visualization, proper draping techniques, general guidelines for massage, principles of body massage, reflexology, deep tissue massage, Swedish massage, sports massage, pregnancy & infant massage, etc.; or

3.  Other Topic Areas - May include topics covered on the NCBTMB, NCETM, ACE or MBLEx examination, such as but not limited to: western, non-western, energy work, Chinese medicine, holistic principles, stress management, CPR, first aid, and acupressure therapy.

Non Hands-on Workshops:   The following are the acceptable topic areas for continuing competency (these do not apply to the mandatory 14 hours of continuing education earned through hands-on workshops):

1.  Anatomy - May include, but is not limited, to structure of the human body, study of cells, tissues, bones, muscles, organ systems, histology, embryology, kinesiology, biomechanics, etc.;

2.  Health Service Management - May include, but is not limited to, professional ethics, Nebraska Massage Therapy statutes and regulations, legalities of massage, business practices, promotion, employment opportunities, oral presentations, telephone techniques, marketing plan, sales techniques, resumes, bookkeeping, financial management, insurance coverage, networking, interview techniques, etc.;

3.  Hygiene - May include, but is not limited to, physiology of digestion, weight control, herbal therapy, nutrition, food combining, supplementation, wellness, hygiene principles and practices, CPR, first aid, equipment and sanitation, infectious and contagious disease control, etc.;

4. Pathology - May include, but is not limited to, definition of pathology and disease, pharmacology, pathology of body systems, disease entities including cause and effect, blood pressure, pulse monitoring, injury and soft tissue disfunction, etc.;

5.  Physiology - May include, but is not limited, to endocrinology, biochemistry, interaction of hormones to the body’s balance and metabolism, function of human body, and organ systems, kinesiology, biomechanics, etc.;

6.  Ethics - Must include massage practice related ethics. Programs relating to ethics may be earned through workshops or homestudy programs.

Acceptable Continuing Competency Programs/Activities: The Board or Department does not approve continuing competency programs/activities. In order for a continuing competency activity/program to be accepted for renewal or reinstatement of a license, the activity must meet the following criteria:

1.  The program must be at least 50 minutes in duration;

2.  The program topic must relate to the topic areas listed in 172 NAC 81-006.03A, except that the 14 mandatory hours must be HANDS-ON massage which is the physical, mechanical, or electrical manipulation of soft tissue for the therapeutic purposes of enhancing muscle relaxation, reducing stress, improving circulation, or instilling a greater sense of well being and may include the use of oil, salt glows, heat lamps, and hydrotherapy;

3.  The program's objectives must relate to the specified topic areas;

4.  The presenter of the program must be qualified by education, experience, or training;

5.  Programs must be open to all massage therapists licensed in Nebraska;

6.  The program sponsor must employ a system to obtain feedback and knowledge obtained by the licensee; and

7.  The Program Sponsor must issue proof of licensee attendance. Such proof must include:

a.  Name of the program;

b.  Date of the program;

c.  Location of the program;

d.  Name of the licensee who attended the program; and

e.  Name of the program sponsor.

Publications: In order for a publication to be accepted for renewal or reinstatement of a license, the publication/article objectives must relate to topic areas defined in 172 NAC 81-006.03B of the regulations.

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