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Impact of Pelvic Joint Stiffness on the Fear of Falling in Subjects Aged Over 75 Years

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

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07023718
Acronym
RAAPC
Enrollment
100
Registered
2025-06-17
Start date
2021-12-01
Completion date
2022-05-31
Last updated
2025-06-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fear of Falling, Pelvic Joint/Ligament Damage

Keywords

pelvic joint;, fear of falling, ankylosis

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.

Interventions

None listed

Sponsors

Groupe Hospitalier Sud Ile-de-France
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
Yes

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

Design outcomes

Primary

MeasureTime frameDescription
Association between fear of falling and articular stiffnessAt inclusionThe primary outcome is the association between joint stiffness and fear of falling: * Fear of falling assessed by FES-I (score). * Joint mobility assessed by Schober goniometry (degrees). * Joint mobility assessed by Schober index (centimeters).

Secondary

MeasureTime frameDescription
Validity of 3 FES-I categories based on anthropometric measurementsAt inclusionUsing the Falls Efficacy Scale - International (FES-I) questionnaire. It is an improved version of the Fall Efficacy Scale (FES) proposed by Tinetti (18). The FES-I was developed by the Prevention of Falls Network Europe (ProFaNE) group. It is available on the ProFaNE website. The scale includes 16 items, each scored from 1 (not at all concerned) to 4 (very concerned), resulting in a total score range from 16 to 64. FES-I scores are typically categorized as follows: Low concern: 16-19 Moderate concern: 20-27 High concern: 28-64 Higher scores indicate a worse outcome, reflecting a greater fear of falling and decreased confidence in performing daily activities safely.

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026