@article{ref1,
title="The Community Balance and Mobility Scale: a pilot study detecting impairments in military service members with comorbid mild TBI and psychological health conditions",
journal="Journal of head trauma rehabilitation",
year="2015",
author="Pape, Marcy M. and Williams, Kathy and Kodosky, Paula N. and Dretsch, Michael",
volume="31",
number="5",
pages="339-345",
abstract="OBJECTIVE: To compare the capacity of the Community Balance and Mobility Scale (CB&M) to identify balance and mobility deficits in Service Members (SMs) with mild traumatic brain injury and comorbid psychological health conditions (mTBI/PH) to other commonly used balance assessments. SETTING: A clinical research institute that provides a 4-week, outpatient, interdisciplinary program for active-duty SMs with mTBI/PH. <br><br>DESIGN: A nonrandomized, cross-sectional design that compared multiple measures between 2 groups-active duty SMs with (n = 8) and without (n = 8) the dual diagnosis of mTBI/PH. MAIN MEASURES: Gait speed, Activities-specific Balance Confidence scale (ABC), Functional Gait Assessment (FGA), and CB&M to assess functional balance among the community-dwelling, TBI population. <br><br>RESULTS: Across all measures, the mTBI/PH group performed significantly worse (P ≤.01) with the exception of the FGA. The abilities of all objective measures to distinguish participants with mTBI/PH from healthy controls ranged from fair to excellent (area under the curve [AUC] = 0.66-0.94). However, the CB&M showed the largest group differences in effect size (d = 2.6) and had the highest discriminate ability (AUC = 0.98; sensitivity 100%; specificity 88%). <br><br>CONCLUSION: The CB&M appears to have higher sensitivity and specificity than other measures of balance in SMs with mTBI/PH. A higher cut score for the CB&M is needed for this population.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000179",
url="http://dx.doi.org/10.1097/HTR.0000000000000179"
}