Electrical stimulation can be used to keep pain from being felt through the nervous system. It is used for tennis elbow and many other sports injuries. Massage and manual therapy can also be used for physiotherapy. Massage is one of the forms of soft tissue manipulation. However, soft tissue manipulation is to muscles what chiropractic is to bones. Part of this plan for patients with neurological conditions would include balance training and coordination training. With these two skills in place, the patient will have a more advanced ability to do aerobic and other exercises. Aquatic exercise is also used. Patients with neurological conditions must live with many problems of lack of movement and function. The massage used must be done by someone well-versed in the treatment of lower back pain. A massage done by an untrained person may do more harm than good. These methods are called passive therapies, or modalities. They are done to the patient and not by the patient. There are other modalities that are commonly used. What Spinal Cord Injury Patients Can Accomplish with Physiotherapy Sports injuries and car accidents, among other injuries, can cause spinal cord injury. The range of spinal cord injury is wide. Some of these injuries are fairly minor and will heal well with a limited amount of physiotherapy, while others need physiotherapy for the rest of their lives. Using Physiotherapy to Deal with Occupational Injury There is less occupational injury going on in the last few years than before. This is partly because of the influence of physiotherapy on the workplace. Physiotherapy principles are being used to design better work places and work habits. They are also important in dealing with the occupational injury that does happen. People with rheumatoid arthritis can benefit from manual procedures, such as massage. A person with the stiffness that accompanies rheumatoid arthritis can be very limited in how far he can move his joints. Massage improves movement and increases this range dramatically. One of the most important functions a physiotherapist serves for patients with rheumatoid arthritis is as a motivational coach.