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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.
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.
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| Measure | Description | Time Frame |
|---|---|---|
| Association between fear of falling and articular stiffness | The primary outcome is the association between joint stiffness and fear of falling:
| At inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Validity of 3 FES-I categories based on anthropometric measurements | 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. |
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Inclusion Criteria:
Exclusion Criteria:
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Male and Female Subjects aged over 75 years old being hospitalized or in institution.
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| Name | Affiliation | Role |
|---|---|---|
| sylvie Aufaure, MD | Groupe Hospitalier Sud Ile-de-France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| EHPAD Brie Comte Robert | Brie-Comte-Robert | Île-de-France Region | 77000 | France | ||
| Centre Hospitalier Melun |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Oct 14, 2021 | Jun 12, 2025 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D000844 | Ankylosis |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| At inclusion |
| Melun |
| Île-de-France Region |
| 77000 |
| France |