Abstract
The role of the medical faculty has been classified to main three types, an acute hospital, a sub acute ward in hospital, and a chronic hospital or nursing home since 2000 in Japan. The concepts of these classifications are reduction of medical expenses. The shorter the better in acute phase, the concentrated rehabilitation iｎ sub acute phase only, and then in chronic phase the man power including nursing care and rehabilitation staffs declines rapidly. To keep the rehabilitation program in longer period we have recommended the Motivative exercise since two decades. This exercise can continue by themselves with small staffs. We tried to verify the usefulness of this exercise by Functional Near Infrared Spectroscopy (f-NIRS) compared with the passive manual ROM exercise by physical therapists. And we have got the advantageous results that this exercise activates brain function better than passive ROM exercise by f-NIRS.
