Background <br> Aged society is accelerating rapidly in Japan. The total population of Japan was 127.11 million and the number of people aged 65 and over was 33.92 million as of October 1, 2015. The ratio of elderly people aged 65 and over was 26.7% [1] and it is expected to extend 30% in 2025 and reach 39.9% in 2060 [2]. The number of persons needing long-term care is increasing rapidly among elderly people, and the number of people more than 65 years old who are certified as requiring long-term care is 5.84<br>million (4.6% of total population) at the end of fiscal year 2013 [3). Many elderly people their own houses and receive long term care (4]. As elderly people suffer from many diseases and experience disability in activities of daily living (ADL) due to declined functional limitations, it is necessary for health care professionals to provide interventions not only to control diseases, but to restore or maintain physical function and want to continue to live in prevent or reduce disability.
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