CMTO has received several questions about Registered Massage Therapists/Massage Therapists (RMTs/MTs) using headphones or earbuds while providing Massage Therapy care to clients. RMTs/MTs must refrain from using headphones or earbuds to listen to audible content or engage in phone conversations while conducting Massage Therapy. 

CMTO’s Standards on Consent and Client-Centred Care state that all RMTs/MTs must provide care that revolves around the best interests and unique needs, views, and preferences of each client. This means that RMTs/MTs must actively:  

• Develop a treatment plan for each client based on the assessment and the client’s goals for treatment.  
• Monitor the client throughout assessment and treatment for new cues and requests.  
• When appropriate, RMTs/MTs should reverify consent and/or modify treatment. 

RMTs/MTs must remain fully present and attentive to the client’s requests throughout the appointment and ensure they treat each client with dignity and respect. Using headphones or earbuds during treatment is unprofessional and may distract an RMT/MT from meeting their client’s needs.  

If an RMT/MT requires headphones/earbuds or has other accessibility needs for hearing assistance during treatment, they should inform the client before starting the session. This will help avoid any misconceptions about the Massage Therapist’s use of these devices during an appointment. 

If you have questions about this topic, please contact CMTO’s Practice Specialist at practicespecialist@cmto.com.