diff --git a/packages/generator/__tests__/__image_snapshots__/nenkin-shougai-limb-shindansho-1.png b/packages/generator/__tests__/__image_snapshots__/nenkin-shougai-limb-shindansho-1.png
new file mode 100644
index 00000000..c4adf6ca
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diff --git a/packages/generator/__tests__/__image_snapshots__/nenkin-shougai-limb-shindansho-2.png b/packages/generator/__tests__/__image_snapshots__/nenkin-shougai-limb-shindansho-2.png
new file mode 100644
index 00000000..4c283366
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diff --git a/packages/generator/__tests__/__image_snapshots__/nenkin-shougai-respiratory-shindansho-1.png b/packages/generator/__tests__/__image_snapshots__/nenkin-shougai-respiratory-shindansho-1.png
new file mode 100644
index 00000000..085d971a
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diff --git a/packages/generator/__tests__/__image_snapshots__/nenkin-shougai-respiratory-shindansho-2.png b/packages/generator/__tests__/__image_snapshots__/nenkin-shougai-respiratory-shindansho-2.png
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diff --git a/packages/generator/__tests__/integration-playground.test.ts b/packages/generator/__tests__/integration-playground.test.ts
index ceac1e30..ddf20cd3 100644
--- a/packages/generator/__tests__/integration-playground.test.ts
+++ b/packages/generator/__tests__/integration-playground.test.ts
@@ -35,7 +35,9 @@ const GENERATOR_BENCHMARK_RUN_COUNT = 6;
 const GENERATOR_BENCHMARK_WARMUP_RUN_COUNT = 1;
 const ADDRESS_LABEL_BENCHMARK_INPUT_COUNT = 20;
 const PLAYGROUND_TEMPLATE_PERFORMANCE_THRESHOLDS: Record<string, number> = {
+  'nenkin-shougai-limb-shindansho': 5,
   'nenkin-shougai-seishin-shindansho': 5,
+  'nenkin-shougai-respiratory-shindansho': 5,
 };
 const generatorPlugins = {
   text,
diff --git a/playground/public/template-assets/nenkin-shougai-limb-shindansho/template.json b/playground/public/template-assets/nenkin-shougai-limb-shindansho/template.json
index 29ca84f4..ed153516 100644
--- a/playground/public/template-assets/nenkin-shougai-limb-shindansho/template.json
+++ b/playground/public/template-assets/nenkin-shougai-limb-shindansho/template.json
@@ -1284,24 +1284,10 @@
         "name": "p1_paralysis_spastic",
         "type": "circleMark",
         "position": {
-          "x": 91.02,
+          "x": 102.6,
           "y": 292.1
         },
-        "width": 14.82,
-        "height": 4.94,
-        "color": "#000000",
-        "borderWidth": 0.4,
-        "opacity": 0.6,
-        "content": "false"
-      },
-      {
-        "name": "p1_paralysis_ataxic",
-        "type": "circleMark",
-        "position": {
-          "x": 105.83,
-          "y": 292.1
-        },
-        "width": 17.64,
+        "width": 15.2,
         "height": 4.94,
         "color": "#000000",
         "borderWidth": 0.4,
@@ -1323,7 +1309,7 @@
         "content": "false"
       },
       {
-        "name": "p1_paralysis_apical",
+        "name": "p1_paralysis_ataxic",
         "type": "circleMark",
         "position": {
           "x": 162.45,
@@ -1337,13 +1323,13 @@
         "content": "false"
       },
       {
-        "name": "p1_paralysis_strength",
+        "name": "p1_paralysis_rigidity",
         "type": "circleMark",
         "position": {
-          "x": 186.7,
+          "x": 184.9,
           "y": 291.75
         },
-        "width": 13.23,
+        "width": 15.5,
         "height": 5.03,
         "color": "#000000",
         "borderWidth": 0.4,
@@ -1351,13 +1337,13 @@
         "content": "false"
       },
       {
-        "name": "p1_paralysis_flaccid_spastic",
+        "name": "p1_paralysis_tremor",
         "type": "circleMark",
         "position": {
-          "x": 230.92,
-          "y": 292.02
+          "x": 211.5,
+          "y": 291.75
         },
-        "width": 23.55,
+        "width": 21.3,
         "height": 5.03,
         "color": "#000000",
         "borderWidth": 0.4,
@@ -1437,20 +1423,6 @@
       {
         "name": "p1_paralysis_sensory_loss",
         "type": "circleMark",
-        "position": {
-          "x": 76.91,
-          "y": 301.88
-        },
-        "width": 23.64,
-        "height": 4.8,
-        "color": "#000000",
-        "borderWidth": 0.4,
-        "opacity": 0.6,
-        "content": "false"
-      },
-      {
-        "name": "p1_paralysis_sensory_blunt",
-        "type": "circleMark",
         "position": {
           "x": 100.54,
           "y": 301.88
@@ -1463,7 +1435,7 @@
         "content": "false"
       },
       {
-        "name": "p1_paralysis_sensory_hyper",
+        "name": "p1_paralysis_sensory_blunt",
         "type": "circleMark",
         "position": {
           "x": 113.94,
@@ -1477,7 +1449,7 @@
         "content": "false"
       },
       {
-        "name": "p1_paralysis_sensory_abnormal",
+        "name": "p1_paralysis_sensory_hyper",
         "type": "circleMark",
         "position": {
           "x": 131.85,
@@ -1491,18 +1463,34 @@
         "content": "false"
       },
       {
-        "name": "p1_paralysis_sensory_motor_present",
+        "name": "p1_paralysis_sensory_abnormal",
         "type": "circleMark",
+        "position": {
+          "x": 149.45,
+          "y": 302.14
+        },
+        "width": 12.3,
+        "height": 4.76,
+        "color": "#000000",
+        "borderWidth": 0.4,
+        "opacity": 0.6,
+        "content": "false"
+      },
+      {
+        "name": "p1_paralysis_motor_detail",
+        "type": "text",
         "position": {
           "x": 200.38,
           "y": 301.61
         },
         "width": 31.75,
         "height": 4.8,
-        "color": "#000000",
-        "borderWidth": 0.4,
-        "opacity": 0.6,
-        "content": "false"
+        "fontName": "NotoSansJP",
+        "fontSize": 6.8,
+        "alignment": "left",
+        "verticalAlignment": "middle",
+        "readOnly": false,
+        "content": "あり"
       },
       {
         "name": "p1_reflex_lower_right_upper",