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 - http://dx.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 - BOOK A1 - Elsaesser, Evelyn A1 - Klebinggat, Michael A1 - Kuhn, Wilfried A1 - Michielsens, Constant A1 - Pauels, Willibert A1 - Popkes, Enno E. A1 - Schneider, Elke A1 - Laack, Walter van A1 - Warven, Rinus van ED - Laack, Walter van T1 - Schnittstelle Tod - Ist die Menschheit zu retten ohne Vertrauen auf ein Danach Y1 - 2024 SN - 978-3-936624-58-8 N1 - 8. Tagungsband zum NTE-Seminar in Aachen am, 11.11.2023 PB - van Laack Buchverlag CY - Aachen ER - TY - BOOK A1 - Laack, Walter van T1 - Eine bessere Geschichte unserer Welt / Bd. 2. Das Leben Y1 - 2001 SN - 978-3-8311-2114-4 PB - van Laack CY - Aachen ER - TY - JOUR A1 - Laack, Walter van A1 - Refisch, A. A1 - Vogel, P. T1 - Polymyalgia rheumatica vom Beckengürteltyp: Eine seltene Differentialdiagnose der radikulären und pseudoradikulären Lumbalsyndrome. Fallbeschreibung und Literaturübersicht / Refisch, A. ; Laack, W. van ; Vogel, P. JF - Orthopädische Praxis. 23 (1987) Y1 - 1987 SN - 0030-588x SP - 567 ER - TY - JOUR A1 - Eschweiler, J. A1 - Laack, Walter van A1 - Staat, Manfred T1 - Elektromyographische Untersuchungen zur Kräftigung der Oberschenkelmuskulatur mit einem myoelektrischen Stimulator nach arthroskopischen Eingriffen am Kniegelenk JF - Orthopädische Praxis. 43 (2007), H. 10 Y1 - 2007 SN - 0030-588x SP - 539 EP - 542 ER - TY - JOUR A1 - Laack, Walter van A1 - Levers, A. A1 - Staat, Manfred T1 - Gonarthrosetherapie auf Kernspinresonanzbasis mit MBST-Vierjahresbeobachtungen JF - Orthopädische Nachrichten : Zeitung für Orthopädie und Unfallchirurgie. 2013, H. 7/8 Y1 - 2013 SN - 1437-2193 SP - 13 PB - Biermann CY - Köln ER - TY - JOUR A1 - Laack, Walter van T1 - The genetic code should be seen as a positioning code JF - British journal of arts and social sciences. Vol. 14 (2013), No. 1 Y1 - 2013 SN - 2046-9578 SP - 93 EP - 97 ER - TY - BOOK A1 - Laack, Walter van T1 - A better history of our world / Vol. 2. Life Y1 - 2002 SN - 978-3-8311-2597-5 N1 - [Eine bessere Geschichte unserer Welt ] PB - van Laack CY - Aachen ER - TY - BOOK A1 - Laack, Walter van T1 - Nobody ever dies! / 1. ed. Y1 - 2000 SN - 978-3-936624-03-8 PB - van Laack CY - Aachen ER - TY - CHAP A1 - Laack, Walter van T1 - Schnittstelle Tod: Wo stehen wir nach 40 Jahren NTE-Forschung? Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:101:1-201603132912 SN - 978-3-936624-30-4 (Print-Ausgabe) SN - 978-3-936624-32-8 (Online-Ausgabe) N1 - Tagungsbeiträge des 4. Europäischen Seminars am 07. November 2015 in Aachen zum Thema Nahtoderfahrungen mit dem Serientitel: "Schnittstelle Tod" PB - van Laack GmbH CY - Aachen ER -