(Note)
This document has been translated from the Japanese original for reference purposes only. In the event of any
discrepancy between this translated document and the Japanese original, the original shall prevail.

NEWS RELEASE
・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・

To members of the press:
October 28, 2015
TSUKUI CORPORATION

Start of Functional Training to Prevent Dementia
at TSUKUI Day Services
New introduction of “Cognibike” ergometer based on the concept of “cognicise*”TSUKUI CORPORATION (head office: Konan-ku, Yokohama-shi; President andRepresentative Director: Hiroshi Tsukui; hereinafter “the Company”) has introduced the“Cognibike” ergometer jointly developed by the National Center for Geriatrics and Gerontology
and Inter Reha Co., Ltd. based on the concept of “cognicise” at 94 of its day service locations
and has launched full-scale functional training to prevent dementia in its day service
operations.
As Japan becomes a super-aged society, the Ministry ofHealth, Labour and Welfare estimated in 2012 that thenumber of elderly people with dementia was around 4.62million, and the number with the previous stage,mild-cognitive impairment (MCI), stood at around 4.00 million,
approximately one in four of the population aged 65 or over.
As Japan’s society continues to age, the number of elderly
people with dementia is predicted to rise, making dementia
prevention an issue to be addressed.
In its day services, the Company has examined various
initiatives to prevent dementia. Risk factors for dementia
include lifestyle diseases and smoking, depression, and lackof exercise, and it is important to eliminate these factors.
Among them, eliminating lack of exercise is said to beeffective for maintaining and improving cognitive function.
For mild-cognitive impairment (MCI), dual task training thatuses the brain while exercising is considered to be aneffective prevention measure.
The Company has introduced the “Cognibike” ergometerat 94 of its day service locations. The Cognibike is a dual task ergometer where users can use
both their body (pedal load and pedaling) and their brain (memory and mathematic tasks, etc.),
based on the concept of “cognicise” promoted by the National Center of Geriatrics andGerontology as an exercise program to prevent dementia. The Cognibike is a variation ofcognicise, requiring little space and having almost no risk of overturning. Even users with weakphysical strength can use it to enjoy effective exercise.
The Cognibike usage data from the Company’s day services will be analyzed with theassistance of the National Center for Geriatrics and Gerontology, leading to development of new
programs, and the continued use of the machine by many users is expected to advance research-1-

on dementia prevention further. The Company will also work to verify the effectiveness ondementia prevention among elderly people in need of long-term care.

The Company employs a total of 237 therapists as of September 30, 2015, comprising 138
physical therapists, 81 occupational therapists, and 18 speech-language-hearing therapists, andconducts functional training at its day services and so forth throughout Japan. The introduction of
the Cognibike is expected to promote proactive participation in individual functional training in day
services and a further expansion of the customer base.
The Company will continue to approach dementia prevention from various perspectives, and tosupport customers’ activities at home through “maintaining and improving mental/physicalfunctions and daily-living functions” by providing functional training.
[Reference]
Cognicise is a neologism and a general expression for initiatives to prevent dementia that combine exercise andcognitive tasks (mathematics, word-chain games and the like) developed by the National Center of Geriatrics andGerontology. The word “cognicise” is made up from the words “cognition” and “exercise.” Cognition refers tovarious cognitive tasks that place a cognitive load on the brain, and exercise refers to various physical tasks. There
are various similar words associated with different types of exercise, such as cognistep, cognidance, cogniwalking,and cognibike. Cognicise is a general term to include all of these. (Translation of citation from the website of theNational Center of Geriatrics and Gerontology)* Cognicise is a registered trademark of the National Center of Geriatrics and Gerontology.
(Reg. No. 5733131)

End-2-