Association Between Fear of Falling and Spinal Stiffness.

Overview

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)

Full Title of Study: “L’Impact de la Raideur Articulaire Pelvienne Sur la Peur de Chuter du Sujet âgé hospitalisé ou en Institution.”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: January 1, 2022

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)

Interventions

  • Diagnostic Test: anthropomorphic measurements
    • anthropomorphic measurements + FES questionnaire + demographic data and medications

Clinical Trial Outcome Measures

Primary Measures

  • Association FES and goniometry
    • Time Frame: 15 minutes
    • Highlight a significant positive association between hips’ goniometry (angle degree) and FES-I score (continuous scale without unit)
  • Association FES-I (continuous scale without unit) and Schober index (centimeter)
    • Time Frame: 15 minutes
    • Highlight a significant positive association between Shober index and FES-I score

Participating in This Clinical Trial

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

Gender Eligibility: All

Minimum Age: 75 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Hopital of Melun
  • Provider of Information About this Clinical Study
    • Principal Investigator: Sebastien Jochmans, MD, Head of Clinical Research Unit – Groupe Hospitalier Sud Ile-de-France
  • Overall Official(s)
    • SEBASTIEN JOCHMANS, M.D., Study Director, GHSIF MELUN
  • Overall Contact(s)
    • SEBASTIEN JOCHMANS, M.D., 33184712078, sebastien.jochmans@ghsif.fr

References

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.

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;(11):CD009848. doi: 10.1002/14651858.CD009848.pub2. Review.

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.

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