Motivative exercise was introduced into the Geriatric Health Services Facilities and the evaluation of both motivative exercise and passive exercise were compared by functional Near-InfraRed Spectroscopy (fNIRS) in 11 subjects in March, 2010. Moreover, the randomized controlled trial (RCT) in two groups: 13 subjects with motivative exercise and 15 subjects without it for three months. In the brain fNIRS, motivative exercise for both knee extension and plantar flexion showed a significantly more activation than passive exercise (p<0.05). Though the effect on the lower limb ROM was seen in two cases, there was not any significant difference between the motivative exercises introduced and not introduced groups by RCT showing improvement within muscular force and contracture, lower limb ROM, MMT, Barthel Index, Hasegawa screening test and the Brunnstrom stage.
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