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- Title
Die Lübecker Skala der Basis-Mobilität: Assessment schwer in ihrer Mobilität beeinträchtigter geriatrischer Patienten.
- Authors
Krupp, Sonja; Wentzel, Robert; Balck, Friedrich; Willkomm, Martin; Kasper, Jennifer
- Abstract
Background: In the geriatric assessment of mobility, the timed up and go (TUG) test is often used; however, many inpatients are unable to master this test. The Lübeck Scale of Basic Mobility (LSBM) was developed as a performance test for this target group. Objective: The study investigated the properties of the 7‑task LSBM, which has a scaling at item level based on the 5‑level assessment of impairments according to the ICF. Material and methods: In 77 patients who had not mastered the TUG test at acute geriatric hospital admission, the LSBM was completed at intervals of 7–18 days (t0, t1), including one rating by 2 investigators. For convergent validity, the De Morton Mobility Index (DEMMI) was used. Results: The LSBM score and DEMMI score were highly correlated (−0.880, p < 0.001). A floor effect did not occur with LSBM and occurred with DEMMI in 5 patients (6.5%). The predictive validity for predicting coping with TUG test at discharge based on the sum score at t0 was −0.577 for the LSBM, and 0.542 for the DEMMI (Spearmanʼs correlation, p = 0.001). The interrater reliability of the LSBM was 0.983 (p < 0.001), the correlation between test and retest was 0.836 (p < 0.001) and the internal consistency via Cronbachʼs α was 0.876. The effect size as a measure of change sensitivity was Cohenʼs d 0.711. Conclusion: The LSBM facilitates treatment goal setting and allows standardized documentation of even small improvements and deteriorations in patients with reduced basic mobility.
- Subjects
GERIATRIC assessment; INTER-observer reliability; PREDICTIVE validity; CLINICAL deterioration; TEST validity; KEGEL exercises
- Publication
Zeitschrift für Gerontologie und Geriatrie, 2023, Vol 56, Issue 6, p470
- ISSN
0948-6704
- Publication type
Article
- DOI
10.1007/s00391-023-02220-0