Abstract
Introduction
The rehabilitation effect by the bilateral exercise is clarified in foreign countries. The studies of bilateral exercise are not for lower extremities, but upper extremities to range over the related field of learning. This research evaluated the influence on the brain by the passive exercise, resistance exercise, active exercise, active assistive exercise and bilateral exercise such as motivative exercise at the convalescence rehabilitation hospital. The randomized controlled trial was enforced for the motivative exercise additional group with 6 subjects and non- additional group with 6 subjects at the time of the study. Since obtaining the results, we have reported the study.
Purpose
The purpose is to clarify the peculiarity of the cerebral function activation by comparing the passive exercise to the motivative exercise that is specified by the bilateral exercise with unaffected side exercise taking the lead in affected side exercise and to active it.
Subject and Method
The subjects were 9 cerebral infarction sequelae, 5 cerebral hemorrhage sequelae and 4 disuse syndromes including pneumonia. The subjects were 14 men and 4 women and age 60-88 (the average age 71.6 years old). The tests were done from 2010.9 to 2011.1.
We evaluated the patient’ body functions with the ROM of lower extremities, and ADL evaluation.
We evaluated the activation part of the brain at the exercise time of the passive exercise, resistance exercise, active exercise, active assistive exercise and motivative exercise with using the NIRS equipment, FOIRE-3000 by Shimadzu Corp.
Result
By many subjects, we understood that brain activity is broadly active by the motivative exercise than the passive exercise by a physiotherapist. We understood that brain activity was broadly active by the resistance exercise, active exercise and active assistive exercise than the passive exercise. And the motivative exercise was broadly active in brain activity than active exercise and active assistive exercise but the resistance exercise. There were no changes in the randomized controlled trial by the motivative exercise additional group and non- additional group. Therefore, there was no bad influence of the motivative exercise from RCT. Furthermore, there were many numbers of times to train of the motivative exercise more than others significantly.
Consideration
This research showed that the motivative exercise, the resistance exercise, active exercise and active assistive exercise look effective for brain activity active. From a result, it seems that it is important to examine the change in the rehabilitation medical treatment technique to the motivative exercise center from the passive exercise by a physiotherapist center.
