TY  - JOUR
PY  - 2015//
TI  - The Community Balance and Mobility Scale: a pilot study detecting impairments in military service members with comorbid mild TBI and psychological health conditions
JO  - Journal of head trauma rehabilitation
A1  - Pape, Marcy M.
A1  - Williams, Kathy
A1  - Kodosky, Paula N.
A1  - Dretsch, Michael
SP  - 339
EP  - 345
VL  - 31
IS  - 5
N2  - 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>
LA  - en
SN  - 0885-9701
UR  - http://dx.doi.org/10.1097/HTR.0000000000000179
ID  - ref1
ER  -