Sensitivity to change and responsiveness of the original and the shortened version of the community balance and mobility scale for young seniors
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 age...
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| Main Authors: | , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
29 April 2021
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| In: |
Archives of physical medicine and rehabilitation
Year: 2021, Volume: 102, Issue: 11, Pages: 2102-2108 |
| ISSN: | 1532-821X |
| DOI: | 10.1016/j.apmr.2021.03.036 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.apmr.2021.03.036 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0003999321003270 
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| Author Notes: | 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 |
| Summary: | 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. |
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| Item Description: | Gesehen am 03.05.2022 |
| Physical Description: | Online Resource |
| ISSN: | 1532-821X |
| DOI: | 10.1016/j.apmr.2021.03.036 |