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This article describes the steps we should undertake to establish a sustainable super-aged society. The article consists of the following chapters: 1. Foreword 2. The motive, process and progress of the approach 3. The reports on the established Takizawa Method and Motivative Exercise 4. Present social structure of Japan and the world 5. Features of the current rehabilitation medicine and medical treatment 6. Our studies 7. Results of studies 8. Conclusions, References and Acknowledgments. The research findings about the brain functional activation by functional magnetic resonance imaging (fMRI) and functional Near-Infrared Spectroscopy (fNIRS) are shown. It is concluded that a clear verification of brain functional improvement and the randomized controlled trial (RCT) of the current method of rehabilitation against the Takizawa method are necessary from now on. 1. Foreword Japan is a country where many people live to advanced age. This results from the development of medical treatment, hygiene, health and welfare. There are firm regulations in Japan which have helped obtain such a result. The rule-based control also concerns the rehabilitative medical treatment. However, the treatment result has inconsistency. Under the universal coverage of public health insurance of all the Japanese, the number of people who require care, based on the elderly care insurance, was 5 million in October, 2010. That was an increase by 680000 from 4320000 people at the end of March, 2006. All the people requiring such care received a treatment based on rehabilitation medicine. On the other hand, the analysis of the claim data of Medicare in a rehabilitation hospital in the USA from 1987 through 1994 shows the fact that the spinal cord injury, brain injury, stroke, femoral neck fracture, arthritis and other joint diseases made people stay longer in the hospital and increased the costs 1). The author of this article began to research the possibility of restructuring this ineffective rehabilitation medicine from 1987, almost 24 years ago. Once Dr. Kunihiko Fukui who worked in rehabilitation medicine for 50 years as a pioneer of rehabilitative medical treatment in Japan said 2), 3) , "It comes to nothing; waste the time and effort without effect for the patients to continue the current rehabilitation medical treatment especially for the elderly." At the congress of the Japanese
This article describes the steps we should undertake to establish a sustainable super-aged society. The article consists of the following chapters: 1. Foreword 2. The motive, process and progress of the approach 3. The reports on the established Takizawa Method and Motivative Exercise 4. Present social structure of Japan and the world 5. Features of the current rehabilitation medicine and medical treatment 6. Our studies 7. Results of studies 8. Conclusions, References and Acknowledgments. The research findings about the brain functional activation by functional magnetic resonance imaging (fMRI) and functional Near-Infrared Spectroscopy (fNIRS) are shown. It is concluded that a clear verification of brain functional improvement and the randomized controlled trial (RCT) of the current method of rehabilitation against the Takizawa method are necessary from now on. 1. Foreword Japan is a country where many people live to advanced age. This results from the development of medical treatment, hygiene, health and welfare. There are firm regulations in Japan which have helped obtain such a result. The rule-based control also concerns the rehabilitative medical treatment. However, the treatment result has inconsistency. Under the universal coverage of public health insurance of all the Japanese, the number of people who require care, based on the elderly care insurance, was 5 million in October, 2010. That was an increase by 680000 from 4320000 people at the end of March, 2006. All the people requiring such care received a treatment based on rehabilitation medicine. On the other hand, the analysis of the claim data of Medicare in a rehabilitation hospital in the USA from 1987 through 1994 shows the fact that the spinal cord injury, brain injury, stroke, femoral neck fracture, arthritis and other joint diseases made people stay longer in the hospital and increased the costs 1). The author of this article began to research the possibility of restructuring this ineffective rehabilitation medicine from 1987, almost 24 years ago. Once Dr. Kunihiko Fukui who worked in rehabilitation medicine for 50 years as a pioneer of rehabilitative medical treatment in Japan said 2), 3) , "It comes to nothing; waste the time and effort without effect for the patients to continue the current rehabilitation medical treatment especially for the elderly." At the congress of the Japanese
Biophilia Rehabilitation Academy, A managing director and chairman of the International Affairs Department Germany's nursing care insurance which was carried out in 1995 preceded Japanese one done in 2000. According to the report of the federal Social Insurance Agency, nursing-care-insurance accounts will fall into a deficit in 1999, and ā deficit is expanded after that, and it is expected that the reserve (allowance) for securing mobility at the end of 2006 hits bottom. It was driven into the state where a radical reformation is not avoided after 10 years from a foundation. Japanese baby boomers born 8 million and 7 million or more are alive even now. It was said that a life expectancy becomes aged 90 and over in Japan by the US study. All the social welfare systems where do not predict the growth of a life expectancy would go to collapse. In the present estimate, the numbers of the elderly will be 31.8 million people and about 25% in 2015 (estimation of the National Institute of Population in 2005). It will increase more. It is important for the people to enable to live the disabled elderly indecently, to decrease a social security expenditure, and to live for all human beings comfortably in the unprecedented society in the situation of the inversion of an age pyramid. It is important to establish the new life culture by enabling the disabled elderly independence life. The idea which resulted from the described Japanese kindness written in "Possibility of the Biophilia Rehabilitation" in 2002 by Long-Term Care Insurance be a source of the following; It becomes profitable to care reliance and bedridden. Everything goes well by relying on care. We must convert the described Fukuzawa definition written in this edition in 2002 into the Independent citizens living society. We need the further research indeed to provide the measure is offered as "innovation of rehabilitation medicine" in order to make society sustainable without being over-dependent on to the next generation. Moreover, we need the restructuring of the social consciousness of people, and on the assumption not to hang a too heavy burden on the next generation. Rehabilitation medicine has a concept of "acceptance of disability" in a part of the primary purposes. It differs from the expected an extensive medicine of diagnosis, medical treatment, and prevention of the illness and injury, although a name called the medicine being entitled. On the other hand, we are expecting to establish the rehabilitation medicine and medical treatment which can re-acquire a physical activity although it does not result in a cure but improve the activity of the encephalic damaged area. The foundation of innovation of rehabilitation medicine is based on the fact 1) and the following description; Many outpatients who joined at the functional training meeting "Re-acquired Walking is Possible" written in 1998 overcame disability and also returned to the workplace held in 1987. Although there were the circumstances agreed to "those who are never cured" being accepted between F...
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