Cancer guidelines regarding SMR usage specify that SMR should be used when?

• A. Never used
• B. Only if tolerated
• C. Always used
• D. Not specified

Answer: (B)

The main idea is that using self-myofascial release (SMR) in cancer care is conditional on how well the person tolerates it. SMR can help ease tight muscles and improve movement, but cancer patients may have sensitive tissues, neuropathy, swelling, or healing considerations from surgery or treatment. Guidelines emphasize starting with very light pressure and short sessions, avoiding areas with healing incisions, wounds, implanted devices, or known metastasis risk, and watching closely for any negative response. If the client can tolerate it without increased pain, fatigue, or dizziness, SMR can be incorporated and gradually progressed. If intolerance or adverse symptoms occur, discontinue and reassess.