These problems can be addressed by reconditioning through range-of-motion exercises and other exercises. Another category geriatric physiotherapy deals with is cardiovascular disease, like heart disease and stroke. The physiotherapy professional has an array of tools at her disposal to work with these conditions. 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. It deals not only with muscle, but with tendons and connective tissue as well. This will allow patients with spinal cord injury to stay in good physical condition where they can. That way, if a cure becomes available, they will not be too weakened to benefit from it. Every exercise the physiotherapy personnel go through with the spinal cord injury patient should be video-taped. She will ask you just how much it hurts, having you grade your pain on a scale of one to ten. One means no pain and ten means the worst pain you can imagine. The physiotherapy assessment will go on with your hypotheses of what caused it all. The accuracy of your physiotherapy assessment rests on the precision with which you answer these questions. Alzheimer's disease takes away the declining years of many older people. It is surprising to note that it can occur in people 40 years old or younger. ALS or Lou Gehrig's disease is a disease that robs the brain and spinal cord of the ability to move. Both of these are neurological diseases that can be helped by physiotherapy. 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.