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baseline (V0) and at the end of intervention (V1) into two groups: high

risk (HR) (two or more falls in the previous year or an index lower

Tinetti 17 points) (n 22) and low risk (LR) (n 15).


The group of HR has a FES-IV0 of 32.14 and the group of BR of

23.8 (p = 0.008). The FES-IV1 is of 30.45 in the group of HR and 20.72 in

the group of BR (P = 0.004). Two other groups are analyzed according

towhether it has reached the goal of preventing falls: is prevent (n 32),

FES-IV0 28.63, versus not prevented (n 5) 29.6 (p = 0.69). After the

intervention the group that was prevented has FES-IV1 of 24.22 and

the group was not prevented has 39.8 (p = 0.048). In the whole study

European helps to reduce the fear of falling into the physical therapy

group, but not in our group. When comparing different groups

compared to placebo found no significant differences in the evolution

of fear of falling.


The fear of falling tends to decrease in all study groups

except those who fail to prevent new episodes of falls. Both the initial

group at highest risk of falling, such as patients in which episodes of

falls are not prevented fear of falling is not reduced, so we believe that

should be the target groups to strengthen and monitor in handling.


Indoor geriatric early rehabilitation; a randomised outcome study

of 2,308 patients

C. Angleitner, P. Heise, P. Golmayer, S. Traussnigg, I. Reiter, U. Ewerth.

Department of Geriatrics and Remobilisation

Introduction and aims of the study:

Stationary geriatric early

rehabilitation is very well implemented and sufficiently standardized

in many countries. But is stationary geriatric early rehabilitation suffi-

ciently in functional outcome for patients from all assigning specialist

departments? Purpose: Is it possible to reach for all stationary geriatric

early rehabilitation patients no matter from which department they

come from a sufficient therapeutic progress in functional outcome?


The retrospective study includes all the patients from 2008

to 2014 which our department of Geriatrics and Remobilisation took

over from the neurologic, traumotologic, orthopaedic and internal/

cardiological departments. The development was measured with the

FIM (functional independence measure). The take over FIM was taken

inside 72 hours after arriving and the discharge FIM was taken inside

the last 48 hours before leaving.


The study contains 2.308 patients, 753 orthopaedic patients

with an average age of 76,59 years, a residence time from 17,43 days

and a FIM development from 98 to 113 points; 637 traumatological

patients with an average age of 81,89 years, a residence time from

18,78 days and a FIM development from 83 to 103 points; 632

neurological patients with an average age of 76,62 years, a residence

time from 19,22 days and a FIM development from 73 to 90 points as

well as 286 cardiological/internal patients with an average age of 80,02

years a residence time from18,23 days and a FIMdevelopment from 77

to 96 points. The IM development of all patient groups is 1,22 (+/


points) per therapeutic day. The recommended aim value of the

American Rehabilitation Counselling Association (ARCA) amounts to1

FIM point per therapeutic day.


It is possible to obtain a sufficient functional progress for

all patients in stationary early geriatric rehabilitation independently

from which specialist department they were overtaken from.


early geriatric rehabilitation; functional outcome; FIM.


Functional decline in hospitalized elderly patients: a prospective

study with 6 months follow-up

A. Araujo


, P. Aroso


, D. Oliveira


, P. Dias


, A. Simao


, A. Carvalho




Centro Hospitalar e Universitário de Coimbra


Previous studies demonstrate that 30 to 60% of the

elderly develop new limitations performing activities of daily living

(ADLs) after hospitalization.


To evaluate variability and associated factors of functional

decline after acute care hospitalization (ACH).


We performed an observational, prospective study, of a

sequent sample with patients >65 years with a Katz index (KI) >0

admitted to a hospital ward. Evaluation of functional capacity (FC) was

performed using modified KI and Barthel Scale (BS) in 2 moments. The

first evaluation of FC was carried out up to 24 hours after admission

and the second at time of discharge. Sociodemographics and clinical

data were collected. After discharge patients were evaluated for

hospital readmission and mortality rate at 6 months.


55 patients satisfied the established criteria (median age of

81 years). Previous to admission, 65% (KI) and 84% (BS) presented

some degree of limitation performing ADLs. During hospitalization,

16% of the patients were referred to evaluation by Physical and

Rehabilitation Medicine, a median of 3 days prior to discharge. At

discharge, 44% (KI) and 62% (BS) of the patients presented functional

decline in at least one ADLs relatively to admission (p < 0,001).

Transfers, gait and climbing stairs were the ADLs with greater

functional decline. The age of patients and residence in health care

institutions were associated with functional decline after hospitaliza-

tion (p < 0,05). At 6 months follow-up, 29% rehospitalization rate and

9%mortality ratewas observed. Between thosewith functional decline

during hospitalization, 33% were rehospitalized and 12% mortality rate

was found, however between those without functional decline 24%

rehospitalization rate and 5% mortality rate was noticed.


ACH represents an important risk factor for elderly to

develop new functional limitations. The activities related to mobility

are most affected.


Berg balance scale and timed up and go test as suitable measures

for monitoring rehabilitation in fallers

M. Arrain


, M. Carter


, T. Masud




Sheffield Hallam University,


Nottingham University Hospitals NHS Trust, UK


Falls in older people are common and are associated

with significant morbidity. Multifaceted interventions can reduce falls

rates. Berg Balance Scale (BBS) and Timed Up and Go test (TUG) are

commonly used to assess balance and mobility respectively, and

poor performance in both predict falls. This service evaluation

explored if these tests were responsive to change in a falls intervention



Consecutive patient referred to a secondary care falls unit,

who underwent strength and balance exercises as part a multifaceted

falls prevention intervention were evaluated. Patient records were

used to ascertain the patients

age, sex, BBS and TUG scores at the first

and last visits. The mean changes in BBS and TUG were determined.


Seventy patients (58.6% women, mean age = 78.5, range = 55

98 years) were evaluated. Baseline BBS score (/56) and TUG (seconds)

were 36.0 (SD = 11.5) and 27.8 (SD = 16.1) respectively. Mean changes

in BBS and TUG were +9.1 (95%CI = 7.7

10.5) and

7.3 seconds (95%

CI =

4.3 to

10.3) respectively. With the BBS, only 5.7% showed either

a negative or no change, whereas with the TUG 25.4% showed no

change or a change in the wrong direction (mainly because the

requirement for walking aids subsided).


Both BBS and TUG showed good responsiveness in the

majority of patients undergoing a rehabilitation intervention in falls

patients. Where patients improve and no longer require walking aids

that were previously used, then the change in TUG scores were less

useful. Both BBS and TUG provided objective evidence for improve-

ment in patients

balance and mobility respectively.


The positive experience of geriatric unit pioneer in Portugal

Arsenio Paula Ribeiro, Silva Iwona Tonzakc, Clara João Gorjão.


Universitária de Geriatria do Hospital Pulido Valente


Portugal is one of two countries in Europe where there

is still a lack in the specialty of geriatrics. The first unit of Geriatrics in

Portugal was created in the Pulido Valente hospital in Lisbon in 2010.

The model of the unit implemented was based on international

Poster presentations / European Geriatric Medicine 7S1 (2016) S29