Licensing requirements vary per state, and often require additional criteria be met in addition to attending an accredited massage therapy school and passing a required state specified exam (basically the certification requirements in many states). The History of Massage: An Illustrated Survey from Around the World. Retrieved 26 February 2013. 64 Swedish massage has shown to be helpful in reducing pain, joint stiffness, and improving function in patients with osteoarthritis of the knee over a period of eight weeks. 105 South Africa edit In South Africa, massage is regulated, but enforcement is poor. Only someone who has completed 3,200 hours of training (theoretical and practical) can use the professional title "Masseur und Medizinischer Bademeister" or Medical Masseur and Spa Therapist. It was also once used for medical purposes as well for the treatment of " female hysteria " and "womb disease". Annals of Emergency Medicine.
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