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In 2007, the Troy, Ohio, branch opened offering courses in medical assisting, massage therapy, cosmetology and esthetics. In 2008, The Academy of Court Reporting in Columbus and Cincinnati, Ohio, also acquired by Delta Career Education Corporation, changed its name to Miami-Jacobs Career College.
A massage therapist may be certified, but not licensed. 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.
Manual therapy, or manipulative therapy, is a treatment primarily used by physical therapists and occupational therapists to treat musculoskeletal pain and disability. It mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation .
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Physical therapists can provide various modalities of treatment for the patient. The modalities include: ultrasound, electrical stimulation, traction, joint mobilization, massage, heat, ice, kinesiology taping, and many more. Forms of treatment depends on the therapist's preference of treatment and the clinics equipment availability.
Although the Legislature of the Kingdom of Hawaiʻi banned curing through "superstitious methods" in 1886, massage was not subject to legislation until 1945. In 1947, the Board of Massage was established to regulate lomilomi and massage. The law required practitioners to pass a written test on anatomy, physiology and massage theory.