Krupp Sonja, Müller Julia, Kasten Meike, Kasper Jennifer
Research Group Geriatrics Lübeck, Red Cross Hospital Lübeck Geriatrics Center, Marlistraße 10, 23566, Lübeck, Germany.
Clinic for Psychiatry and Psychotherapy, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Z Gerontol Geriatr. 2025 Aug 28. doi: 10.1007/s00391-025-02484-8.
Luebeck Scale of Basic Mobility (LSBM) assesses seven phases of mobility from the prone position to walking. It was validated on geriatric patients who were unable to complete the timed up and go test (TUG). It showed no floor effect. A ceiling effect is to be assumed for more mobile patients.
To test whether additional measurement of the time required for the transfers (→ t-LSBM) in more mobile patients results in a change-sensitive instrument and what time requirement can be expected for the individual tasks.
In geriatric patients who had completed the TUG on admission to hospital, the LSBM including the time required for the transfers and the TUG were recorded twice with an interval of at least 10 days. The correlations between severity, transfer time and TUG were calculated, as well as the effect size for sensitivity to change.
In this study 85 patients (65.9% women) aged 81.6 ± 6.0 years were recruited, 75 of whom were available for the follow-up examination after a mean of 12.9 days. The sum score of the LSBM decreased from 5.00 ± 2.94 to 3.28 ± 2.23 (p < 0.001), the cumulative time required in the t‑LSBM from 60.3 ± 26.2 to 46.2 ± 18.8 s with a nearly identical effect size of 0.77. This was 0.56 for the TUG.
The LSBM is highly sensitive to change even in patients who are able to walk. If all tasks can be completed independently, a supplementary time recording (→ t-LSBM) is recommended to prevent a ceiling effect. This creates a mobility test that is suitable for all geriatric hospital patients and provides the information on mobility in the room required for therapy and discharge planning.
吕贝克基本活动能力量表（LSBM）评估从俯卧位到行走的七个活动阶段。该量表已在无法完成定时起立行走测试（TUG）的老年患者中得到验证，未显示出地板效应。对于活动能力更强的患者，预计会出现天花板效应。
测试在活动能力更强的患者中额外测量转移所需时间（→t-LSBM）是否会产生一种对变化敏感的工具，以及各个任务的时间要求是多少。
在入院时完成TUG的老年患者中，记录包括转移所需时间的LSBM和TUG，间隔至少10天，记录两次。计算严重程度、转移时间和TUG之间的相关性，以及变化敏感性的效应大小。
本研究招募了85名年龄为81.6±6.0岁的患者（65.9%为女性），其中75名患者在平均12.9天后可进行随访检查。LSBM总分从5.00±2.94降至3.28±2.23（p<0.001），t-LSBM所需的累计时间从60.3±26.2秒降至46.2±18.8秒，效应大小几乎相同，为0.77。TUG的效应大小为0.56。
即使在能够行走的患者中，LSBM对变化也高度敏感。如果所有任务都能独立完成，建议进行补充时间记录（→t-LSBM）以防止天花板效应。这创建了一种适用于所有老年住院患者的活动能力测试，并提供了治疗和出院计划所需的病房内活动能力信息。
