TY - JOUR A1 - Knobe, M. A1 - Giesen, M. A1 - Plate, S. A1 - Gradl-Dietsch, G. A1 - Buecking, B. A1 - Eschbach, D. A1 - Laack, Walter van A1 - Pape, H.-C. T1 - The Aachen mobility and balance index to measure physiological falls risk: a comparison with the Tinetti POMA scale JF - European Journal Of Trauma And Emergency Surgery N2 - Purpose The most commonly used mobility assessments for screening risk of falls among older adults are rating scales such as the Tinetti performance oriented mobility assessment (POMA). However, its correlation with falls is not always predictable and disadvantages of the scale include difficulty to assess many of the items on a 3-point scale and poor specificity. The purpose of this study was to describe the ability of the new Aachen Mobility and Balance Index (AMBI) to discriminate between subjects with a fall history and subjects without such events in comparison to the Tinetti POMA Scale. Methods For this prospective cohort study, 24 participants in the study group and 10 in the control group were selected from a population of patients in our hospital who had met the stringent inclusion criteria. Both groups completed the Tinetti POMA Scale (gait and balance component) and the AMBI (tandem stance, tandem walk, ten-meter-walk-test, sit-to-stand with five repetitions, 360° turns, timed-up-and-go-test and measurement of the dominant hand grip strength). A history of falls and hospitalization in the past year were evaluated retrospectively. The relationships among the mobility tests were examined with Bland–Altmananalysis. Receiver-operated characteristics curves, sensitivity and specificity were calculated. Results The study showed a strong negative correlation between the AMBI (17 points max., highest fall risk) and Tinetti POMA Scale (28 points max., lowest fall risk; r = −0.78, p < 0.001) with an excellent discrimination between community-dwelling older people and a younger control group. However, there were no differences in any of the mobility and balance measurements between participants with and without a fall history with equal characteristics in test comparison (AMBI vs. Tinetti POMA Scale: AUC 0.570 vs. 0.598; p = 0.762). The Tinetti POMA Scale (cut-off <20 points) showed a sensitivity of 0.45 and a specificity of 0.69, the AMBI a sensitivity of 0.64 and a specificity of 0.46 (cut-off >5 points). Conclusion The AMBI comprises mobility and balance tasks with increasing difficulty as well as a measurement of the dominant hand-grip strength. Its ability to identify fallers was comparable to the Tinetti POMA Scale. However, both measurement sets showed shortcomings in discrimination between fallers and non-fallers based on a self-reported retrospective falls-status. KW - Tinetti test KW - Mobility KW - Mobility tests KW - Ground-level falls KW - Elderly KW - Fall prevention KW - Co-managed care KW - Balance Y1 - 2016 U6 - https://doi.org/10.1007/s00068-016-0693-2 SN - 1863-9941 VL - 42 IS - 5 SP - 537 EP - 545 PB - Springer CY - Berlin ER - TY - JOUR A1 - Deserno, Thomas M. A1 - Aach, Til A1 - Amunts, Katrin A1 - Hillen, Walter A1 - Kuhlen, Torsten A1 - Scholl, Ingrid T1 - Advances in medical image processing : A special Issue on the Workshop in Aachen, Germany, March 2010 JF - Computer Science - Research and Development. 26 (2011), H. 1-2 Y1 - 2011 SN - 1865-2042 SP - 1 EP - 3 PB - springer CY - Berlin ER - TY - JOUR A1 - Hillen, Walter A1 - Alper Selver, M. A1 - Fischer, Felix A1 - Kuntalp, Mehmet T1 - A software tool for interactive generation, representation, and systematical storage of transfer functions for 3D medical images / Alper Selver, M. ; Fischer, Felix ; Kuntalp, Mehmet ; Hillen, Walter JF - Computer Methods and Programs in Biomedicine. 86 (2007), H. 3 Y1 - 2007 SN - 0169-2607 SP - 270 EP - 280 PB - - ER - TY - JOUR A1 - Hillen, Walter A1 - Unglauben, F. A1 - Murdfield, M. T1 - Study of Database Connections for a Java Medical Image Viewer. Unglauben, F.; Hillen, W.; Murdfield, M. JF - Intelligente, innovative Produktentwicklung für die industrielle Praxis. Blümel, Bernd; Stenzel, Horst [Hrsg.] Y1 - 2001 N1 - Forschungsverbund Multimedia an Fachhochschulen in Nordrhein-Westfalen SP - 29 EP - 33 PB - Forschungverbund Multimedia an Fachhochschulen CY - Köln ER - TY - JOUR A1 - Hillen, Walter A1 - Unglauben, F. A1 - Murdfield, M. T1 - Evaluation of two- and three-tier database connections for a java-based medical image viewer. Unglauben, F.; Hillen, W.; Murdfield, M. JF - Bildverarbeitung für die Medizin 2000 : Algorithmen - Systeme - Anwendungen ; proceedings des Workshops [Bildverarbeitung für die Medizin] vom 12. - 14. März 2000 in München / Alexander Horsch ... [Hrsg.] Y1 - 2000 SN - 3-540-67123-4 N1 - Inhaltsverzeichnis; Workshop Bildverarbeitung für die Medizin <2000, München> SP - 203 EP - 207 PB - Springer CY - Berlin [u.a.] ER - TY - JOUR A1 - Hillen, Walter A1 - Barry, J. C. A1 - Pongs, U. M. T1 - Algorithm for Purkinje Image I and IV and Limbus Centre Location. Barry, J. C.; Pongs, U. M.; Hillen, W. JF - Computers in Biology and Medicine. 27 (1997), H. 6 Y1 - 1997 SN - 0010-4825 SP - 515 EP - 531 ER - TY - CHAP A1 - Reisgen, Uwe A1 - Schleser, Markus A1 - Scheik, Sven A1 - Michaeli, Walter A1 - Grönlund, Oliver A1 - Neuß, Andreas A1 - Wunderle, Johannes A1 - Poprawe, Reinhart A1 - Rösner, A. A1 - Bobzin, Kirsten A1 - Schläfer, Thomas A1 - Theiß, Sebastian A1 - Kutschmann, Pia A1 - Haberstroh, Edmund A1 - Flock, Dustin A1 - Bührig-Polaczek, Andreas A1 - Jakob, M. ED - Thoben, Klaus-Dieter T1 - Novel process chains for the production of plastics/metal-hybrids T2 - 17th International Conference on Concurrent Enterprising (ICE 2011) : Aachen, Germany, 20 - 22 June 2011 Y1 - 2011 SN - 978-1-457-70772-8 ; 978-3-943024-05-0 SP - 596 EP - 604 PB - IEEE CY - Piscataway, NJ ER - TY - CHAP A1 - Schnell, Michael A1 - Brandes, Sinja A1 - Gligorevic, Snjezana A1 - Walter, M. A1 - Rihacek, Christoph A1 - Sajatovic, Miodrag A1 - Haindl, Bernhard T1 - Interference mitigation for broadband L-DACS T2 - 27th IEEE/AIAA Digital Avionics Systems Conference : DASC 2008 : 26-30 Oct. 2008, St. Paul, Minn. Y1 - 2008 SN - 978-1-4244-2207-4 ; 978-1-4244-2208-1 SP - 2B2-1 EP - 2B2-12 ER - TY - CHAP A1 - Gligorevic, Snjezana A1 - Jost, T. A1 - Walter, M. T1 - Scatterer based airport surface channel model T2 - IEEE/AIAA 28th Digital Avionics Systems Conference : DASC '09 ; 23 - 29 [i.e. 25 - 29] Oct. 2009, Orlando, Fla. Y1 - 2009 SN - 978-1-4244-4078-8 SP - 4C2-1 EP - 4C2-10 ER - TY - JOUR A1 - Fischer, Felix A1 - Selver, M. Alper A1 - Gezer, Sinem A1 - Dicle, Oguz A1 - Hillen, Walter T1 - Systematic Parameterization, Storage, and Representation of Volumetric DICOM Data JF - Journal of Medical and Biological Engineering Y1 - 2015 U6 - https://doi.org/10.1007/s40846-015-0097-5 SN - 2199-4757 VL - 35 IS - 6 SP - 709 EP - 723 PB - Springer CY - Berlin ER -