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Completed

NCT Number: NCT07023718

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

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.

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Key information

Age range

75 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

EHPAD Brie Comte Robert, Brie-Comte-Robert, Île-de-France Region, France

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About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Primary outcomes

  1. Association between fear of falling and articular stiffness

    Time frame: At inclusion

    The 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 outcomes

  1. Validity of 3 FES-I categories based on anthropometric measurements

    Time frame: At inclusion

    Using 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.

Sponsors and collaborators

Lead sponsor

Groupe Hospitalier Sud Ile-de-France

Other

Registry information

Official study 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

Acronym: RAAPC

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jun 17, 2025
Registry last updated
Jun 17, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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