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1 NPO

2 Topics

3 Topics

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5 5 74

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16 21.3% 2007/6/1 22.1% 2008/9/15

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19 51.9% 2006

20 65

21 65

22 60

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24 70% 80%

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28 16.6% 20.6

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36 aging

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39 O 2 ml/kg/min( % % 25 5

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41 mm mm mm mm mm mm mm

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52 Vo2max ml/kg min ml/kg/min/year

53 atrophy

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55 Rehabilitation of people with disabilities is a process aimed at enabling them to reach and maintain their optimal physical, sensory, intellectual, psychological and social functional levels. Rehabilitation provides disabled people with the tools they need to attain independence and self-determination.

56 International Classification of Functioning Disability and Health Health condition Disorder/Decease Body Function&Structure Activity Participation Environmental Factors Personal Factors

57 3

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66 CVA

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68 Nudo RJ et al Role of adaptive plasticity in recovery of function after damage to motor cortex. Muscle Nerve 24: ,2001

69 Topics 2005 LiC-SR et al Neuronal correlates of motor performance and motor learning in the primary motor cortex of monkeys adapting to an external forcefield.neuron30: ,2001 learned non use 2005

70 NARUSE WADA

71 Berstein 1930y Synergy Engram

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74 1) Starkstein SE, Fedoroff JP, Price TR, Leiguarda R, Robinson RG. Apathy following cerebrovascular lesions. Stroke 1993;24: ) Schwartz JA, Speed NM, Brunberg JA, Brewer TL, Brown M, Greden JF. Depression in stroke rehabilitation. Biol Psychiatry 1993;33: ) Fuh JL, Liu HC, Wang SJ, Liu CY, Wang PN. Poststroke depression among the Chinese elderly in a rural community. Stroke 1997;28: ) Neau JP, Ingrand P, Mouille-Brachet C, Rosier MP, Couderq C, Alvarez A, et al. Functional recovery and social outcome after cerebral infarction in young adults. Cerebrovasc Dis 1998;8: ) Pohjasvaara T, Leppavuori A, Siira I, Vataja R, Kaste M, Erkinjuntti T. Frequency and clinical determinants of poststroke depression. Stroke 1998;29: ) Kauhanen M, Korpelainen JT, Hiltunen P, Brusin E, Mononen H, Maatta R. Poststroke depression correlates with cognitive impairment and neurological deficits. Stroke 1999;30: ) Kim JS, Choi-Kwon S. Poststroke depression and emotional incontinence:correlation with lesion location. Neurology 2000;54: ) Starkstein SE, Robinson RG, Price TR. Comparison of patients with and without poststroke major depression matched for size and location of lesion. Arch Gen Psychiatry 1988;45: ) Morris PL, Robinson RG, Andrzejewski P, Samuels J, Price TR. Association of depression with 10-year poststroke mortality. Am J Psychiatry 1993;150: ) Ramasubbu R, Robinson RG, Flint AJ, Kosier T, Price TR. Functional impairment associated with acute poststroke depression:the Stroke Data Bank Study. J Neuropsychiatry Clin Neurosci 1998;10:26-33

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76 Apathy PVL

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80 Hippocrates

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87 Open Kinetic Chain OKC Close Kinetic Chain CKC Steindler 1955

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89 Yack et al. 1993

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93 Over-Work and Over-Reaching

94 General Safety Precautions Checklist for Warm-Ups

95 General Safety Precautions Checklist for Cool-Down

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