Nurses in hospitals and clinics who are trained to deal with these areas of rehabilitation for cardiac surgery will do the work. However, physiotherapists sometimes help, and the principles are the same. The physiotherapist will instruct the patient about what activities are acceptable in the weeks and months after surgery. One or two times a week will usually suffice for four to eight weeks. However, a chronic condition may need much more work. Physiotherapy costs can be financially crippling, or small change. It depends upon the existence of insurance or the ability of the patient to pay out of pocket. Insurance covers most physiotherapy costs, but if there is any doubt, do not be afraid to ask. Many of the patients with neurological conditions cannot carry on daily functions such as caring for themselves and their homes. It is not uncommon for these people to be unable to work. They may even have trouble walking or getting up and down stairs at all. Difficulty swallowing or breathing; dizziness, poor balance and falls, and a total lack of endurance plague many of these patients who have neurological conditions. It can mean less stress on your bones and muscles. Therefore, diet can play an important role in prevention after physiotherapy. It does not have to be an elaborate diet; just a simple diet that limits foods, especially the carbohydrates and fats. Other preventative features of life after physiotherapy involve the workplace. The final step before getting that first job to start a physiotherapy career is accreditation. The Commission on Accreditation in Physical Therapy Education (CAPTE) is tasked with ensuring that physiotherapists are fit for the licensing exam. At that point, the licensure exam must be taken and passed. Spinal cord injuries as pediatric disorders are difficult to treat. Children often do not want to do the work that is required to stay ahead of the deterioration that can be caused by this condition. Physiotherapy personnel are challenged to keep the child's spirits up as they teach them how to exercise with and without special equipment.