Exercise therapy should be used for the frail elderly requiring a high level of care.

Elderly cases offered Takizawa method as one of the rehabilitation techniques were evaluated statistically. Initially we clarified the characteristics of the total FIM (Functional Independent Measure) score and the relation between the number of improved items and of worsened ones. Furthermore, we investigated the multidimensional relevance of 18 FIM items to explain the characteristics of improvement or aggravation clear, and obtained four factors by factor analysis and classified into six groups by cluster analysis, and then extracted some specific cases. Finally, we statistically verified the effect about the 18 FIM evaluation items using the t-test, a sign test and the Wilcoxon signed rank sum test, and several items in the FIM were turned out to be significantly effective.

No abstract

This development has double-sided. The development of a new good is one. Based on the patent, the authors developed product acting on a patent. A development of 4 wheels' walking frame with sleds by the grant of the New Energy and Industrial Technology Development Organization (NEDO) shows this one surface. A method development or a use development is the other. It is the example of this surface that Henry Ford made the vehicle which was a region of the hobby till then the popular transportation and carriage device. Probably, a business-model patent in recent years will also be the same. As a method development or a use development to aim at us, the author proposed to change the myth of "people walk on 3 legs with a cane" from the Greek era to "people walk on 6 legs used a walking frame". This is a great transformation of the way of thinking. We described the necessity and possibility, and the feasibility which the present study of 4 wheels' walking frame with sleds induced about the possibility of a use development.

The policy has been changing from the medical care based on institutions to the place of living. The medical rehabilitation staff engaged in local business performs rehabilitation in medical facilities in a given area. We conducted the opinion poll in the members of Toyohashi home rehabilitation liaison committee whether they can observe a difference between the community rehabilitation and rehabilitation in medical facilities. They did not find a big difference concerning the goal of rehabilitation but they did feel a difference about the purpose of it. There was a "watching until the lifeend" approach regionally. And the concept of "watching" "continuation of a life watches" was drawn. The medical rehabilitation staff has received the education as medical science technicians. It is necessary to carry out the improvement in general "QOL" and assisted living, which include "mental QOL" by using own educated experience in a given area, especially home visit rehabilitation. It is necessary to develop a concrete policy, which would decrease the rehabilitation effort in medical facilities and tie it up more to local rehabilitation at home including "what is the functional maintenance for life maintenance?" and "what is the "Watching" for actually doing?"