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The International Biophilia Rehabilitation Academy defined the motivative exercise as the self-exercise for the bilateral and simultaneous moving affected and unaffected extremities with using the device. 

By our approach, 30% patients with disuse atrophy from bedridden state recovered to walk in our previous study. 

Distinct from the conventional protocol, in our approach group of patients are guided by one therapist with assisting devises for the individual motivative exercise.