Purpose: Assess high level balance and mobility activities that are needed to engage in the community
Summary: During the test, a patient is asked to complete 13 tasks without the use of an assistive device (an orthotic is permitted) and is rated based on their ability. Item scoring will vary based on the task but will range on a scale from 0-5. The maximum score on the test is 96. The CB&M takes 20-30 minutes to administer and the clinician performing the test must read a manual before completing it.
Equipment: Laundry basket, 2lb and 7lb weights, a visual target, bean bag, and 8m track
ICF Category: Body structure and function
The Community Balance and Mobility Scale (CB&M) is recommended for use with patients after a brain injury who are completely independent and mildly dependent, but there is not yet enough evidence to use this test with those who are moderately dependent or severely dependent. The CB&M is recommended for use in acute care, inpatient rehabilitation, skilled nursing facilities, outpatient rehabilitation, and home health settings. This measure should be taught to students and is appropriate for use in research. Below are psychometrics for this measure:
Construct Validity:
Adequate with self-paced gait velocity (r=0.53)
Excellent with maximal gait velocity (r=0.64)
Adequate with CIQ (r=0.54)
Excellent with ABC scores
Intrarater Reliability: Excellent (I=0.977)
MCID: Excellent (I=0.977)
Mean Data:
Acute care: 30.39
Inpatient Rehabilitation: 53.59
Day hospital: 62.49
Outpatient: 41.69
MDC: 7.5 , 13.5% for school-aged children and adolescents
SEM: 3.2
Test-retest: Varies from adequate to excellent depending on the item
Excellent in school-aged children and adolescents