exercise group will receive acupunch exercise

control group will maintain the regular activities of their original daily lives

The acupunch exercise program was developed based on Jing-Luo theory of tranditional Chinese Medicine. The experiment group will receive Acupunch exercise for 40 minute sessions, 3 times a week, for 24 weeks

handgrip strength measured by the Digital Handgrip Dynamometer (in kilograms)

upper limb muscle endurance measured by the Arm Curl Test in times per 30 seconds

lower limb muscle endurance measured by the Chair-to-Stand Test in times per 30 seconds

lung function measured by Peak Flow Meter (in liters)

upper body flexibility measured by the Back Scratch Test( in centimeters)

forward flexion measured by the Chair Sit-and-Reach Test( in centimeters)

shoulder joint flexion measured by protractor( in degree)

shoulder joint abduction measured by protractor( in degree)

evaluated based on the guidelines of the SOF Research Group