Clinical trial NCT05134038: Association Between Fear of Falling and Spinal Stiffness.
Official title: L'impact De La Raideur Articulaire Pelvienne Sur La Peur De Chuter Du Sujet Âgé Hospitalisé Ou En Institution.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Joint(S) Degeneration
Old Age; Atrophy
Fear of Injury
Lead sponsor: Hopital of Melun
Sponsor class: OTHER
First posted: 2021-11-24
Enrollment: 100
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: \> 75 ans, in any geriatric department of the hospital

Brief summary: 1. / evaluation of the fear of falling using an FES-I questionnaire, distribution of subjects according to the score into 3 groups (16-19: little concerned by the fear of falling, 20-27 moderately concerned, 28-64 very concerned by fear of falling)
2. / evaluation of lumbar articular mobility by the schober index, coxofemoral by hip goniometry in flexion and extension (no evaluation of other amplitudes because lack of abduction / abduction / external and internal rotation of the hip remain functional in walking and the balance)

Detailed description: 1. / evaluation of the fear of falling using an FES-I questionnaire, distribution of subjects according to the score into 3 groups (16-19: little concerned by the fear of falling, 20-27 moderately concerned, 28-64 very concerned by fear of falling)
2. / evaluation of lumbar articular mobility by the schober index, coxofemoral by hip goniometry in flexion and extension (no evaluation of other amplitudes because lack of abduction / abduction / external and internal rotation of the hip remain functional in walking and the balance)

Eligibility criteria: Inclusion Criteria:

* over 75 years old,
* Ability to understand and answer a questionnaire in French
* Ability to stand up
* Patient from the Melun hospital (santé pole center + nursing home of the GHSIF)
* Affiliated with a social security scheme

Exclusion Criteria:

* mental disorders,
* lumbar surgery

Primary outcomes:
measure: Association FES and goniometry
timeFrame: 15 minutes
measure: Association FES-I (continuous scale without unit) and Schober index (centimeter)
timeFrame: 15 minutes
Secondary outcomes:
Other outcomes:
Locations:
city: Melun
country: France
facility: GH Sud Ile-de-France, CH Melun-Sénart
Study officials:
affiliation: GHSIF MELUN
name: SEBASTIEN JOCHMANS, M.D.
role: STUDY_DIRECTOR
References:
citation: Tinetti ME, Powell L. Fear of falling and low self-efficacy: a case of dependence in elderly persons. J Gerontol. 1993 Sep;48 Spec No:35-8. doi: 10.1093/geronj/48.special_issue.35. No abstract available.
citation: Kendrick D, Kumar A, Carpenter H, Zijlstra GA, Skelton DA, Cook JR, Stevens Z, Belcher CM, Haworth D, Gawler SJ, Gage H, Masud T, Bowling A, Pearl M, Morris RW, Iliffe S, Delbaere K. Exercise for reducing fear of falling in older people living in the community. Cochrane Database Syst Rev. 2014 Nov 28;2014(11):CD009848. doi: 10.1002/14651858.CD009848.pub2.
citation: Delbaere K, Close JC, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR. The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age Ageing. 2010 Mar;39(2):210-6. doi: 10.1093/ageing/afp225. Epub 2010 Jan 8.