Along with that, geriatric physiotherapy is responsible for preventing many falls because of work with balance and gait. Some clinics focus entirely on balance issues for the elderly. Much of the work of geriatric physiotherapy is not aimed at returning patients to their earlier states of health. The most important goals are to be able to function at their best abilities. One needs to learn the proper movements to get the job done. If it seems that it is impossible, it is a legal right to call for an ergonomics study. Another thing to consider is to make sure you use all the ergonomic equipment that is already available in your office or workplace. There may be ergonomic keyboards in a storage room, if you would only ask. Heat and ice packs are a well-known form of passive physiotherapy. They can be used separately, or they can be used alternately by a person who is suffering from acute lower back pain. A transcutaneous electrical nerve stimulator (TENS) can be used as another modality for lower back pain. The patient will feel the sensation of the stimulator instead of his pain. 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. It is a specialized field of physiotherapy that has been used for people with sports injuries on many occasions. If the patient will not easily participate in active range of motion exercises, passive ones can be used where the physiotherapist moves the limb herself. Other times, the patient will try to use the affected limb but will naturally fall back on the limb that is functioning well. In this case, stroke rehabilitation may involve gently restraining the healthy limbs. College coursework beyond the bachelor's degree is required for good physiotherapy credentials. If a physiotherapy candidate meets all the requirements, a master's degree with advanced training will prepare her for work in the field. Physiotherapy credentials to look for are: Foreign Credentialing Commission on Physical Therapy (FCCPT), International Education Consultants (IEC), International Consultants of Delaware, Inc.