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Sensitivity to Change and Responsiveness of the Original and the Shortened Version of the Community Balance & Mobility Scale for Young Seniors

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2021

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Gordt, Katharina
Nerz, Corinna
Mikolaizak, A. Stefanie
Taraldsen, Kristin
Pijnappels, Mirjam
Helbostad, Jorunn L.
Vereijken, Beatrix
Becker, Clemens

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Archives of Physical Medicine and Rehabilitation. Elsevier. 2021, 102(11), pp. 2102-2108. ISSN 0003-9993. eISSN 1532-821X. Available under: doi: 10.1016/j.apmr.2021.03.036

Zusammenfassung

Objective:
To examine sensitivity to change and responsiveness of the Community Balance & Mobility Scale (CBM) and shortened CBM (s-CBM)

Design:
Secondary analysis using data of a randomized controlled trial

Setting:
General community

Participants:
Community-dwelling seniors aged 61-70 years

Intervention:
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 two 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:
Young community-dwelling seniors (n=155, 66.2±2.5) were recruited. Inferential statistics revealed a significant CBM (p<0.001) and s-CBM (p<0.001) improvement within the full sample and the subgroups (high-balance: p=0.001, p=0.019; low-balance: p<0.001, p<0.001). 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, small values for the s-CBM (0.29). In the low-balance subgroup, moderate SRM values were found for the CBM (0.67), 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, the s-CBM 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.

Zusammenfassung in einer weiteren Sprache

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796 Sport

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sensitivity to change, responsiveness, postural balance, outcome assessment, aged

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ISO 690GORDT, Katharina, Corinna NERZ, A. Stefanie MIKOLAIZAK, Kristin TARALDSEN, Mirjam PIJNAPPELS, Jorunn L. HELBOSTAD, Beatrix VEREIJKEN, Clemens BECKER, Michael SCHWENK, 2021. Sensitivity to Change and Responsiveness of the Original and the Shortened Version of the Community Balance & Mobility Scale for Young Seniors. In: Archives of Physical Medicine and Rehabilitation. Elsevier. 2021, 102(11), pp. 2102-2108. ISSN 0003-9993. eISSN 1532-821X. Available under: doi: 10.1016/j.apmr.2021.03.036
BibTex
@article{Gordt2021Sensi-54533,
  year={2021},
  doi={10.1016/j.apmr.2021.03.036},
  title={Sensitivity to Change and Responsiveness of the Original and the Shortened Version of the Community Balance & Mobility Scale for Young Seniors},
  number={11},
  volume={102},
  issn={0003-9993},
  journal={Archives of Physical Medicine and Rehabilitation},
  pages={2102--2108},
  author={Gordt, Katharina and Nerz, Corinna and Mikolaizak, A. Stefanie and Taraldsen, Kristin and Pijnappels, Mirjam and Helbostad, Jorunn L. and Vereijken, Beatrix and Becker, Clemens and Schwenk, Michael}
}
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    <dcterms:abstract xml:lang="eng">Objective:&lt;br /&gt;To examine sensitivity to change and responsiveness of the Community Balance &amp; Mobility Scale (CBM) and shortened CBM (s-CBM)&lt;br /&gt;&lt;br /&gt;Design:&lt;br /&gt;Secondary analysis using data of a randomized controlled trial&lt;br /&gt;&lt;br /&gt;Setting:&lt;br /&gt;General community&lt;br /&gt;&lt;br /&gt;Participants:&lt;br /&gt;Community-dwelling seniors aged 61-70 years&lt;br /&gt;&lt;br /&gt;Intervention:&lt;br /&gt;Participants underwent 12 months of exercise intervention&lt;br /&gt;&lt;br /&gt;Main Outcome Measures:&lt;br /&gt;CBM and s-CBM. Sensitivity to change was assessed using standardized response mean (SRM), and paired t-tests as appropriate. Responsiveness was assessed using two 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.&lt;br /&gt;&lt;br /&gt;Results:&lt;br /&gt;Young community-dwelling seniors (n=155, 66.2±2.5) were recruited. Inferential statistics revealed a significant CBM (p&lt;0.001) and s-CBM (p&lt;0.001) improvement within the full sample and the subgroups (high-balance: p=0.001, p=0.019; low-balance: p&lt;0.001, p&lt;0.001). 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, small values for the s-CBM (0.29). In the low-balance subgroup, moderate SRM values were found for the CBM (0.67), high values for the s-CBM (0.80).&lt;br /&gt;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, the s-CBM only the lower. In the low-balance subgroup, CBM and s-CBM exceeded both MID values.&lt;br /&gt;&lt;br /&gt;Conclusions:&lt;br /&gt;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.</dcterms:abstract>
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