Aging of population leads to limitations in functional abilities and in activities of daily living (ADL) which are the essential elements of independent care of oneself. Limitations in performing these activities result in increasing need for assistance and institutionalizing of the elderly. The aim of this study was to investigate the influence of fear of movement, or kinesiophobia, on ADL in elder institutionalized people with chronic pain. The research included 60 individuals older than 65 suffering from chronic musculoskeletal pain, institutionalized in Gerontoloski Centar Nis. The participants` fear of movement was assesed by Tampa Scale of Kinesiophobia, performing ADL was assesed by Katz index and pain intensity was evaluated by Numerical Rating Scale. We found that a large number of participants had high degree of kinesiophobia (63%), as well as that there is statistically significant negative correlation between the values of Katz index and Tampa Scale (r=-0.583, p<0.01). There is no statistically significant negative correlation between the values of Numerical Rating Scale and Katz index (r=0.139, p<0.289). There is no statistically significant positive correlation between the values of Numerical Rating Scale and Tampa Scale (r=0.215, p=0.098). The research showed that kinesiophobia has influence on ADL in elder institutionalized people with chronic pain. Higher degree of fear of movement corresponds to greater dependence of the participants in performing ADL. Pain intensity influenced neither the fear of movement nor the dependence/independence in performing ADL.

Fear of falling (FOF) is a significant health problem that can be present in the elderly, both in those that had experienced falling and in those that hadn`t. The aim of the study was to establish correlation of FOF with the following characteristics of the participants: sex, age, education, marital status and the number of falls in the previous year. Performed from October to December 2014, the research included 100 participants from general population older than 65 and covered by health visiting service of Dom Zdravlja Nis. The questionnaire for assessment of FOF - Falls Efficacy Scale (FES) and the epidemiological questionnaire were used in all participants. We established that there is statistically significant difference of FES values (hi-kvadrat=7.668, p<0.05) between different age groups. It was found that median value of FES questionnaire is statistically significantly higher in participants living as singles in relation to those living in a community (U=828.0, p<0.05). There is satistically significant medium correlation between FES values and the number of falls in the previous year (r=0.661, p<0.01). This research established that FOF is associated with age and the number of falls in the previous year, that implies the need for prevention of FOF, especially in elder people and in people that experienced one or more falls. Implementation of prevention is also important in people living alone because FOF is excessive in their case.

Meniscus injuries occupy an important place among damages to the knee joint and are crucially important for athlets. Arthroscopy is a method of choice in both diagnostic as well as therapeutic treatment. After the intervention, it is necessary to start physical tretmeant as soon as possible. The study presents the treatment of 14 year old female patient, who started physical therapy five days after the removal of part of the lateral meniscus. Procedures involved electrical and kinesy therapy. Within the kinesy treatment static contractions were included, lymphatic drainage, and also passive exercises in order to increase range of motion. In the end, exercises against resistance were conducted to strengthen the musculature. After one month of therapy the treatment was completed, and patient was advised to continue strengthening the musculature at home. During the last examination the absence of swelling was noted, with painful sensitivity and limited motion in the knee. The MMT score for qvadriceps femoris was 4. The patient was advised to start with the lighter recreative activities. Arthroscopic meniscotomy is relatively rare intervention with adolescents, which was the motive for displaying this case. Applying early rehabilitation is fully exploited regenerative potential of this age and the optimal time for patients to return completely to usual activities.