{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T08:14:21Z","timestamp":1773303261422,"version":"3.50.1"},"reference-count":45,"publisher":"Oxford University Press (OUP)","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The objective of this study was to determine the utility of the Community Balance and Mobility scale (CB&amp;M) among service members presenting with mild traumatic brain injury (mTBI), to compare the results against well-established balance assessments, and to find a new military-specific CB&amp;M cut score to help differentiate those with and without mTBI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>The setting was a 4-week, intensive-outpatient, interdisciplinary program for active duty service members with mTBI. This was a nonrandomized, cross-sectional design that compared multiple measures between two groups: active duty service members with (n\u00a0=\u00a045) and without (n\u00a0=\u00a045) mTBI. The assessments, including the Activities-Specific Balance Confidence Scale, gait speed (comfortable and fast), the Functional Gait Assessment, and the CB&amp;M, were provided to both sample groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mTBI group performed significantly worse (P\u00a0\u2264\u00a00.01) across all measures. A higher cut score for the CB&amp;M of 81.5 is suggested. The CB&amp;M demonstrated the best sensitivity (78%) and specificity (91%) ratio, as well as the largest effect size and area under the curve(0.92).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>All objective measures distinguish participants with mTBI from controls, ranging from fair to excellent. The recommended CB&amp;M cut score of 81.5 allows for good variance, standard deviation, and reduced risk of ceiling or floor effects. Further examination of the recommended CB&amp;M cut score is warranted for use in the mTBI civilian populations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usz265","type":"journal-article","created":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T11:49:02Z","timestamp":1571312942000},"page":"428-435","source":"Crossref","is-referenced-by-count":11,"title":["The Community Balance and Mobility Scale: Detecting Impairments in Military Service Members With Mild Traumatic Brain Injury"],"prefix":"10.1093","volume":"185","author":[{"given":"Marcy M","family":"Pape","sequence":"first","affiliation":[{"name":"National Intrepid Center of Excellence, Walter Reed National Military Medical Center, 4860 South Palmer Road, Bethesda MD 20889"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula N","family":"Kodosky","sequence":"first","affiliation":[{"name":"National Intrepid Center of Excellence, Walter Reed National Military Medical Center, 4860 South Palmer Road, Bethesda MD 20889"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Hoover","sequence":"first","affiliation":[{"name":"National Intrepid Center of Excellence, Walter Reed National Military Medical Center, 4860 South Palmer Road, Bethesda MD 20889"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,10,17]]},"reference":[{"key":"2020040711252281100_ref1","author":"Center. 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