(1) Creation of DVDs of "Fuku-roi Song" exercises and holding training sessions to promote these exercises.

(2) Holding workshops on oral flail prevention

Oral frail (deterioration of oral function), if left unchecked, can cause eating and swallowing difficulties, leading to a decline in physical function and the need for nursing care, so early detection and appropriate measures are important. We have held a total of three Oral Frail Prevention Workshops as training sessions to learn how to check for oral frail and improve oral function.
The Oral Frail Prevention Workshop can also be viewed on YouTube.
Please watch from the URL or QR code below.

(iii) Organize events to prevent frailty in cooperation with government agencies and universities

(4) Newsletter publication

It introduces the activities of the wide-area support center and provides useful information for a wide range of people from children to the elderly.

(5) Workshop

We promote community rehabilitation so that everyone living in the community can live a lively life by having rehabilitation specialists and other professionals improve their knowledge and skills and work in collaboration with multiple professions.

Past workshops (3 years)

Fiscal year 2023
Fundamentals of Vestibular Rehabilitation
Basic knowledge of lumbar spondylolysis during growth / Case study of lumbar spondylolysis in a growing soccer player
About ICF (International Classification of Functional Factors in Living)
Managing Emotions (Anger) for a Better Work Environment

2022
Pre-graduate education of therapists and issues (from the viewpoint of a teacher at a training school)
Functional Balance Scale (FBS)
Tone Numata Rehabilitation Research Association Symposium - Training for new employees
Collaboration between nurses and rehabilitation professionals

Fiscal year 2021
Kawahira Method for Upper Limb Paralysis - Report on Treatment Experience by Severity
For people with dementia to live in a familiar knowledgeable environment: A view to support the ability to live
Promotion of Rehabilitation through Cooperation between Medical and Nursing Care - Based on the Revision of Nursing Care Compensation in FY2021

(6) Loan of equipment for body composition meter and oral motor function tests (provided by the Prefectural Health and Longevity Division)

We have started lending out body composition analyzers (Tanita innerscan dual) and mouth movement function tests (Kenkuchi-kun Handy) for use in municipal care prevention projects and in support of local community outreach. A manual is also included so that professionals and employees of municipalities and comprehensive organizations can perform the test. If you would like to borrow these instruments, please contact us at the contact information below.
(* Please note that we do not rent out the rooms to residents.)

(7) Telephone consultation and interview consultation (resolution of problems related to rehabilitation)

We provide consultation on rehabilitation in various settings in the community, including homes, facilities, hospitals, and clinics.
Please feel free to contact us at the contact information provided below.

Example of Consultation

0I would like to know about rehabilitation and care methods that can be implemented at home or taught to family members.
0I am struggling with the rehabilitation of a user and would like to receive consultation and guidance.
0To prevent back pain and other problems for staff and to improve rehabilitation techniques.
I want to consult about welfare equipment and home modification.

8) Skills training classes by professionals
　(formerly known as "on-the-job training") (knowledge and skills improvement through lectures and practical guidance by professionals)

We will provide consultation on rehabilitation and care methods for patients who are having difficulties in their daily lives, and help staff members improve their skills through lectures and practical guidance. This service is available free of charge for facilities that do not have rehabilitation staff or specialists on staff. Depending on the content of the consultation, specialists such as physical therapists, occupational therapists, speech therapists, dental hygienists, and music therapists can visit your workplace or provide non-contact consultation, lectures, and practical skills training via online (Zoom, etc.).
　Our services are utilized for consultations related to elderly facility users, skill improvement for staff, and consultations on problems related to children and how to relate to them. We accept a wide range of consultation topics and ages of the target audience. If you have any questions regarding requests or use of skill improvement classes by professionals, please contact us at the contact information below.

Examples of past instructional content

0Lecture and practical training on correct eating posture for facility staff
Lecture on intervention methods for 0 joint contracture and advice on intervention for users
0Lecture on positioning and answers to questions
0Communication of key points necessary for the child's motor development, advice on how to play and interact with the child
0I would like to know about fun recreational activities using music in salons for the elderly.

Tone Numata Regional Rehabilitation Support Center Uchida (Uchida Hospital)
Office Hours	Monday - Friday 9:00 a.m. - 4:00 p.m.
person in charge (of an area of work, but not necessarily supervising other staff)	Kasahara, Hattori
Phone number	0278-23-1231
FAX number	0278-24-5315
mail (usu. in phrases like "e-mail", "text message", etc.)	chiikiriha@taiseikai-group.com

Tone Numata Community Qualification for Rehabilitation

(as of September 30, 2024)

The Japan Physical Therapists Association focuses on two measures, "community care conference" and "care prevention," to promote the "community comprehensive care system" and to develop human resources. The leader for promotion of community care conference is required to participate in the conference based on the purpose of the community care conference and be able to give advice that leads to support for self-reliance. In addition, the Care Prevention Promotion Leader is required to be able to plan and propose effective prevention programs in collaboration with other professions and residents, as well as assessments based on his/her expertise. In addition, in October 2020, a new qualification of manager for the promotion of measures against frailty was established in order to train personnel who can handle the integrated implementation of health projects and care prevention for the elderly. The manager is required to provide a wide range of support, including nutritional support and community development, management that links to medical and nursing care services as needed in cooperation with related organizations, and consultation support and training sessions related to frailty prevention.
The Japan Association of Occupational Therapists recommends the use of the "Management to Improve Lifestyle Activities" as a tool for training and practicing occupational therapists who can contribute to a "community-based comprehensive care system". Certified occupational therapists are able to provide advice at community care meetings and other forums on care management for individual subjects from the perspective of supporting their independence and enabling them to perform the activities of daily living that they desire.

PT: physical therapist, OT: occupational therapist, ST: speech therapist
Figures in parentheses for number of students enrolled and number of students obtaining certifications are year-on-year comparisons.

1) Community Rehabilitation

Community rehabilitation refers to all activities in which all people, institutions, and organizations involved in daily life, including health, medical care, welfare, nursing care, and local residents, cooperate with each other from the standpoint of rehabilitation, so that children, adults, and elderly people with disabilities and their families can live in their own way and safely for the rest of their lives in their familiar places of residence. It refers to all activities conducted in cooperation from the standpoint of rehabilitation by all people, institutions, and organizations involved in daily life, including health, medical care, welfare, nursing care, and local residents.

(Japanese Association of Rehabilitation Hospitals and Facilities, 2016 revision)

(2) Flail and Flail Prevention

Frail is defined as a state of increased vulnerability to stress and poor health due to a decline in physiological reserve, and is "a state that is likely to lead to the need for nursing care or death. In other words, it is positioned as a state between the need for nursing care and normal health, and while the risk of needing nursing care in the near future is high, it is a reversible state with prospects for improvement.
Frail has three components: physical, cognitive, and social, each of which has a different frequency of onset, but approximately 10% of the population is classified as frail. Physical frailty is defined by the CHS criteria as weight loss, muscle weakness, fatigue, reduced ability to walk, and reduced activity. Cognitive frailty is the coexistence of physical and cognitive decline, and is determined using the criteria for physical frailty and a Clinical Dementia Rating (CDR) of 0.5. Social frailty focuses on social aspects and is defined by various factors such as satisfaction of social needs, social resources, general resources, and social activities.
Frail is expected to improve physical functions and even to break free from frailty through appropriate intervention.

• Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G et al: Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001, 56(3):M146-156.
• Statement on Frail from the Japan Geriatrics Society [https://jpn-geriat-soc.or.jp/info/topics/pdf/20140513_01_01.pdf]
• 3. Kelaiditi E, Cesari M, Canevelli M, van Kan GA, Ousset PJ, Gillette-Guyonnet S, Ritz P, Duveau F, Soto ME, Provencher V et al: Cognitive frailty: Rational and definition from an (I.A.N.A./I.A.G.G.) international consensus group. J Nutr Health Aging 2013, 17(9):726-734.
• Fairhall N, Sherrington C, Kurrle SE, Lord SR, Lockwood K, Cameron ID: Effect of a multifactorial interdisciplinary intervention on mobility- related disability in frail older people: randomised controlled trial. BMC Med 2012, 10:120.