In this study we will observe the reliability and validity of Tinetti Balance assessment scale,(POMA) in Urdu language in Pakistani geriatric population with balance impairment. Also, check the improvement in assessment and rehabilitation in geriatrics with balance problem.

The aim of study is to translate and culturally adapt Tinetti balance assessment scale (POMA) into Urdu language and secondly to investigate the reliability and validity of Tinetti Balance assessment scale (POMA) in geriatrics Pakistani population.This study will be cross sectional survey study in which convenience sampling technique will be used. Two scales will be performed by patient Tinetti Balance assessment scale and Berg Balance Scale (evaluate balance), Timed Up and Go Test (TUGT) (measure functional mobility) for comparison and data will be collected. The results of study will help to know the validity and reliability of Tinetti Balance assessment scale (POMA) in Urdu version with balance impairments in geriatric population.

Inclusion Criteria:

• ability to walk a minimum of 6m with or without a walking Aid
• observed balance impairment evaluated subjectively by a physical therapist during the initial training session (Berg Balance scale and time up and go test )

Exclusion Criteria:

• people with amputated lower extremities using prosthetic leg
• those who underwent orthopedic surgery within the last 6 weeks
• Dependent on wheel chairs and bed ridden patients
• Dementia and Alzheimer's patients
• illiterate people

older people,especially age-related impairments in balance and postural control that effect the performance of everyday activities, which are primary reasons for falls. about 28-35% of older people (65 years) are experiencing falls. the prevalence increases to 50%up to 80 years of age