patients were asked about the lack of continuing training They responded that they had no enough time to do exercises and some others also stated that they forgot that they need exercises. Due to the fact that approximately 65% of the subjects in this study were housewives or retired and performing this exercise protocol takes approximately 30 to 40 minutes a day, We can propose that they did not have enough motivation Therefore, further studies on the effects of motivation on performing exercise and exercise continuous supervision by the thera pist are recommended