The prevalence of low back pain among rowers seems to be comparable to the one of the general population, even if the recovery appears to be faster. The risk of developing LBP is associated with the rowing typology and the gender, but a prospective study with an adequate sample size is necessary to clearly identify risk factors for LBP in rowers and to implement effective prevention strategies.
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[Purpose] To present legislation comparing direct and referred access—or other
measures—to physical therapy. The focus is on the management of the most burdensome
musculoskeletal disorders in terms of regulations, costs, effectiveness, safety and
cost-effectiveness. [Methods] Main biomedical databases and gray literature were searched
ranging from a global scenario to the analysis of targeted geographical areas and
specifically Italy and the Region Piedmont. [Results] legislation on Direct Access
highlights inconsistencies among the countries belonging to World Confederation for
Physical Therapy. Direct Access could be an effective, safe and efficient organization
model for the management of patients with musculoskeletal diseases and seems to be more
effective safer and cost effective. [Conclusion] Direct Access is a virtuous model which
can help improve the global quality of physical therapy services. Further studies are
required to confirm this approach and determine whether the findings of the present
overview can be replicated in different countries and healthcare systems.
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