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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 1/2019

12.02.2018 | Original contributions

German version of the Community Balance and Mobility Scale

Translation and evaluation of measurement properties

verfasst von: Katharina Gordt, A. Stefanie Mikolaizak, Corinna Nerz, Carolin Barz, Thomas Gerhardy, Michaela Weber, Clemens Becker, Michael Schwenk

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 1/2019

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Abstract

Background

Tools to detect subtle balance deficits in high-functioning community-dwelling older adults are lacking. The Community Balance and Mobility Scale (CBM) is a valuable tool to measure balance deficits in this group; however, it is not yet available in the German language.

Objective

The aim was 1) to translate and cross-culturally adapt the CBM into the German language and 2) to investigate the measurement properties of the German CBM (G-CBM).

Material and methods

The original CBM was translated into the German language according to established guidelines. A total of 51 older adults (mean age 69.9 ± 7.1 years) were recruited to measure construct validity by comparing the G‑CBM against standardized balance and/or mobility assessments including the Fullerton Advanced Balance Scale (FAB), Berg Balance Scale (BBS), 3 m Tandem Walk (3MTW), 8 Level Balance Scale (8LBS), 30 s Chair Stand Test (30CST), Timed Up and Go (TUG) test, gait speed, and the Falls Efficacy Scale International (FES-I). Intrarater and interrater reliability and internal consistency reliability were estimated using intraclass correlations (ICC) and Cronbach’s alpha, respectively. Ceiling effects were calculated as the percentage of the sample scoring the maximum score.

Results

The G‑CBM correlated excellently with FAB and BBS (ρ = 0.78–0.85; P < 0.001), good with 3MTW, TUG, and FES-I (ρ = −0.55 to −0.61; P < 0.001), and moderately with 8LBS, 30CST, and habitual gait speed (ρ = 0.32–0.46; P < 0.001). Intrarater (ICC3,k = 0.998; P < 0.001) and interrater (ICC2,k = 0.996; P < 0.001) reliability, and internal consistency reliability (α = 0.998) were also high. The G‑CBM did not show ceiling effects.

Conclusion

The G‑CBM is a valid and reliable tool for measuring subtle balance deficits in older high-functioning adults. The absence of ceiling effects emphasizes the use of this scale in this cohort. The G‑CBM can now be utilized in clinical practice.
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Metadaten
Titel
German version of the Community Balance and Mobility Scale
Translation and evaluation of measurement properties
verfasst von
Katharina Gordt
A. Stefanie Mikolaizak
Corinna Nerz
Carolin Barz
Thomas Gerhardy
Michaela Weber
Clemens Becker
Michael Schwenk
Publikationsdatum
12.02.2018
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 1/2019
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-018-1374-z

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