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Relaxation-focused massage (e.g., slow effleurage, gentle petrissage) is associated with a shift toward parasympathetic activity: reduced heart rate, lowered blood pressure, and enhanced vagal tone, contributing to decreased perceived stress and improved relaxation. Option B accurately summarizes these effects, consistent with applied physiology content for massage. Option A describes stimulating responses more associated with anxiety, pain, or vigorous activity. Option C is physiologically impossible; the autonomic nervous system continually modulates both branches. Option D contradicts numerous observations in clinical contexts where clients report and demonstrate reduced arousal (breathing patterns, muscle tone). Practically, therapists can facilitate parasympathetic dominance by using slow pacing, warm environment, diaphragmatic breathing cues, and predictable transitions. Contraindications and client-specific considerations still apply—e.g., monitor those with orthostatic tendencies, and transition positions slowly to avoid lightheadedness.

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