1. Author: Mihaila Ion Daniel Coauthor: Voda Tudor Coordinator: Copotoiu Monica

2. Introduction

3. This paper aims to make a brief introduction to geriatrics. Aging is a wonderful and unique experience. The world wonderful should not imply that aging includes only good things but rather that it is extraordinary and remarkable. Even though most of us want to be young forever unfortunately this is almost impossible.

4. Introduction The concept of quality of life is very broad and dynamic. One can find diverse definitions for this term in the literature, but all of them take cultural, social and environmental individuality consideration. According to the World Health Organization it is the perception of the individuals position in life, expectation, standards and concerns.

5. History Geriatrics, term introduced in 1909 by I. Nascher is the science that deals with the study aspects anornale, possible reversible pathological elderly. Romanian researchers have prestigious and valuable contributions to the knowledge of this field. Among these are distinguished: Gh.Marinescu, BC Parhon A.Aslan, C. B ă l ă ceanu-Stolnici name in the country.

6. History In 1952 was founded the Institute of Gerontology and Geriatrics (world's first) in 1974 became the National Institute of Gerontology şiGeriatrie and 1992 scientist named Ana Aslan. In the period 1952-1988 the Institute was headed by Academician Prof. Dr. Ana Aslan.the Institute of Geriatrics in Bucharest as a model for other countries.

7. Objective Geriatric rehabilitation offers a huge challenge of talent and creativity of each therapist. Geriatric population is a unique group that can work due to age and associated diseases interact to produce variations of each man.

8. Objective The aim of the study is to analyse the beneficials of kinetotherapy in improving the risk of falling of the geriatric patients, and such their quality of life. Evaluation of integrated dynamic mobility among the elderly population using Tinetti scale Evaluation of patients using the Berg scale (functional mobility assessment)

9. Material and method This is a prospective study performed on 10 geriatric patients between 1 st of November 2013 till 1 st of March 2014. The Tinetti and the Berg scales were used in order to assess the gait. All the patients followed a physical rehabilitation programme and were reevaluated after one week, a month, and three month.

10. Material and method Tinetti scale that assesses balance and gait: Total score of -16 points balance Walk-Total score -12 points Total score -28 points Interpretation: 25-28 points: decreased risk of falls 19-24 points: average risk of falls Under 19 points: high risk of falls

11. Material and method Scala Berg: evaluating functional mobility; Total score 56 points Interpretation : 56-41 points: decreased risk of falls (patient independent) 40-21 points: average risk of falls (patient requires assistance from another person) 0-20points: patient at increased risk of falling (wheelchair needs)

12. Results The mean age of the subjects involved in the study was 70.10 +/- 8.55 years old. Six were females and 4 males. Half of them were diagnosed with hypertension and one with atrial fibrillation. Three patients were obese and one suffered of osteoarthritis. At the initial evaluation four out of ten patients presented with medium risk for fall, three with high risk of falling and three with low risk of fallling according with the Tinetti scale. The Berg scale noticed 2 persons in need of an assissted device for walking,and 3 persons dependent of another one. The mean value of Berg scale at the beginning of the study was 37.40 +/- 19.11, unchainged after 3 months of physical exercise. The Tinetti scale’s mean values at the beginning were 18.70+/-8.17 and at the 3 months of 20.78+/- 5.16.; but one patient died during the study.

18. Conclusions Despite the new rehabilitation programme imposed, none of the subjects involved in the study improved their outcome in terms of risk of falling and regaining independence. Although there were no visible results from the first evaluation the rehabilitation program should be continued and patients will be reassessed in a month. The elderly often react slower rehabilitation program due to associated comorbidities.

19. Thank you!