Sensitivity to change and responsiveness of the original and the shortened version of the community balance and mobility scale for young seniors

• Verfasst von: Gordt-Oesterwind, Katharina [VerfasserIn]
• Verfasst von: Nerz, Corinna [VerfasserIn]
• Verfasst von: Mikolaizak, A. Stefanie [VerfasserIn]
• Verfasst von: Taraldsen, Kristin [VerfasserIn]
• Verfasst von: Pijnappels, Mirjam [VerfasserIn]
• Verfasst von: Helbostad, Jorunn L. [VerfasserIn]
• Verfasst von: Vereijken, Beatrix [VerfasserIn]
• Verfasst von: Becker, Clemens [VerfasserIn]
• Verfasst von: Schwenk, Michael [VerfasserIn]
• Titel: Sensitivity to change and responsiveness of the original and the shortened version of the community balance and mobility scale for young seniors
• Verf.angabe: Katharina Gordt, PhD, Corinna Nerz, PhD, A. Stefanie Mikolaizak, PhD, Kristin Taraldsen, PhD, Mirjam Pijnappels, PhD, Jorunn L. Helbostad, PhD, Beatrix Vereijken, PhD, Clemens Becker, MD, Michael Schwenk, PhD
• E-Jahr: 2021
• Jahr: 29 April 2021
• Umfang: 7 S.
• Fussnoten: Gesehen am 03.05.2022
• Titel Quelle: Enthalten in: Archives of physical medicine and rehabilitation
• Ort Quelle: Philadelphia, Pa. [u.a.] : Saunders, 1985
• Jahr Quelle: 2021
• Band/Heft Quelle: 102(2021), 11, Seite 2102-2108
• ISSN Quelle: 1532-821X
• DOI: doi:10.1016/j.apmr.2021.03.036
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Aged
• Sach-SW: Patient outcome assessment
• Sach-SW: Postural balance
• Sach-SW: Rehabilitation
• K10plus-PPN: 1795580402

Abstract

Objective - To examine sensitivity to change and responsiveness of the Community Balance and Mobility Scale (CBM) and shortened CBM (s-CBM). - Design - Secondary analysis using data of a randomized controlled trial. - Setting - General community. - Participants - Young community-dwelling seniors aged 61-70 years (N=134; mean age, 66.2±2.5y). - Interventions - Participants underwent 12 months of exercise intervention. - Main Outcome Measures - CBM and s-CBM. Sensitivity to change was assessed using standardized response mean (SRM) and paired t tests as appropriate. Responsiveness was assessed using 2 minimal important difference (MID) estimates. Analyses were conducted for the full sample and for the subgroups “high-balance” and “low-balance,” divided by median split. - Results - Inferential statistics revealed a significant CBM (P<.001) and s-CBM (P<.001) improvement within the full sample and the subgroups (high-balance: P=.001, P=.019; low-balance: P<.001, P<.001). CBM and s-CBM were moderately sensitive to change (SRM, 0.48 vs 0.38) within the full sample. In the high-balance subgroup, moderate SRM values (0.70) were found for the CBM and small values for the s-CBM (0.29). In the low-balance subgroup, moderate SRM values were found for the CBM (0.67) and high values for the s-CBM (0.80). For the full sample, CBM and s-CBM exceeded the lower but not the higher MID value. In the high-balance subgroup, the CBM exceeded both MID values, but the s-CBM exceeded only the lower. In the low-balance subgroup, CBM and s-CBM exceeded both MID values. - Conclusions - The CBM is a suitable tool to detect intervention-related changes of balance and mobility in young, high-performing seniors. Both versions of the CBM scale show good sensitivity to change and responsiveness, particularly in young seniors with low balance.