The invention discloses a geriatric rehabilitation exercise device. The geriatric rehabilitation exercise device comprises a base, wherein the left side of the top part of the base is fixedly connected with a substrate; a leftward position of the top part of the substrate is fixedly connected with a backrest plate; the right side of the top part of the substrate is fixedly connected with a seat; handrail stands are arranged at two sides of the seat. According to the geriatric rehabilitation exercise device disclosed by the invention, different using demands of a user can be met, the practicability is stronger, the back of the user can be pressed, and meanwhile, different positions of the back of the user can be massaged, so that the comfort level of using exercise equipment can be increased, the back fatigue of the user can be relieved, the back of the user can be fully in contact with the backrest plates under the action of a safety belt, the straightness of the back of the user can be increased, meanwhile, the compactness during massaging can be increased, and convenience is provided for the user to force; the geriatric rehabilitation exercise device is simple in structure and convenient to use, is more energy-saving and environment-friendly, is more convenient for the aged having difficulty in walking to do aerobic exercise, and the obstacle in walking of the aged having difficulty in walking is reduced.