Clinical trial NCT07023718: Impact of Pelvic Joint Stiffness on the Fear of Falling in Subjects Aged Over 75 Years
Official title: Study of a Cohort of 100 Patients on the Impact of Pelvic Joint Stiffness on the Fear of Falling in Subjects Aged Over 75 Years, Hospitalized or in Institution
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Fear of Falling
Pelvic Joint/Ligament Damage
Keywords: pelvic joint;
fear of falling
ankylosis
Lead sponsor: Groupe Hospitalier Sud Ile-de-France
Sponsor class: OTHER
First posted: 2025-06-17
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: Male and Female Subjects aged over 75 years old being hospitalized or in institution.

Brief summary: The pelvic girdle is the mechanical structure at the center of the balance and walking systems. The lack of amplitude of the joints that compose it could induce a fear of falling, common in the geriatric population and often underdiagnosed with poorly identified risk factors. This study seeks to highlight an association between fear of falling and lack of amplitude of the different joints of the pelvic girdle in order to identify predisposed patients and to set up preventive measures and better medical care.

Detailed description: The pelvic girdle is the mechanical structure at the center of the balance and walking systems. The lack of amplitude of the joints that compose it could induce a fear of falling, common in the geriatric population and often underdiagnosed with poorly identified risk factors. Fear of falling is defined as the enduring preoccupation with falling, leading the person to avoid activities that they are capable of doing. It modifies its behavior and affects its quality of life, its well-being and increases the risk of developing pathologies linked to the lack of physical activities. Joint stiffness is a major disorder in the elderly linked to bone and joint aging, but also to lack of mobilization. The pelvic girdle is the mechanical structure at the center of the balance and gait systems. The lack of amplitude of the joints that compose it could induce a fear of falling.

This study seeks to highlight whether there is an association between the fear of falling and the lack of amplitude of the different joints of the pelvic girdle.

Eligibility criteria: Inclusion Criteria:

* Subjects aged over 75 years hospitalized or in institution in the geriatric department of GHSIF (Groupe Hospitalier Sud -Ile-de France)

Exclusion Criteria:

* Patients that have undergone a lumbar surgery
* Patients with hospital diagnosed cognitive troubles

Primary outcomes:
measure: Association between fear of falling and articular stiffness
timeFrame: At inclusion
Secondary outcomes:
measure: Validity of 3 FES-I categories based on anthropometric measurements
timeFrame: At inclusion
Other outcomes:
Locations:
city: Brie-Comte-Robert
country: France
facility: EHPAD Brie Comte Robert
state: Ile De France
city: Melun
country: France
facility: Centre Hospitalier Melun
state: Ile De France
Study officials:
affiliation: Groupe Hospitalier Sud Ile-de-France
name: sylvie Aufaure, MD
role: PRINCIPAL_INVESTIGATOR
References: