Abstract
Combat exposures to blast can result in both peripheral damage to the ears and eyes and central damage to the auditory and visual processing areas in the brain. The functional effects of the latter include visual, auditory, and cognitive processing difficulties that manifest as deficits in attention, memory, and problem solving-symptoms similar to those seen in individuals with visual and auditory processing disorders. Coexisting damage to the auditory and visual system is referred to as dual sensory impairment (DSI). The number of Operation Iraqi Freedom/Operation Enduring Freedom Veterans with DSI is vast; yet currently no established models or guidelines exist for assessment, rehabilitation, or service-delivery practice. In this article, we review the current state of knowledge regarding blast exposure and DSI and outline the many unknowns in this area. Further, we propose a model for clinical assessment and rehabilitation of blast-related DSI that includes development of a coordinated team-based approach to target activity limitations and participation restrictions in order to enhance reintegration, recovery, and quality of life.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1043-1058 |
| Number of pages | 16 |
| Journal | Journal of Rehabilitation Research and Development |
| Volume | 49 |
| Issue number | 7 |
| DOIs | |
| State | Published - 2012 |
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Keywords
- Auditory training
- Blast exposure
- Blast injury
- Central auditory processing disorder
- Dual sensory impairment
- Rehabilitation
- Traumatic brain injury
- Veteran
- Visual processing disorder
- Visual training
ASJC Scopus subject areas
- Rehabilitation
Cite this
Blast exposure and dual sensory impairment : An evidence review and integrated rehabilitation approach. / Saunders, Gabrielle; Echt, Katharina V.
In: Journal of Rehabilitation Research and Development, Vol. 49, No. 7, 2012, p. 1043-1058.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Blast exposure and dual sensory impairment
T2 - An evidence review and integrated rehabilitation approach
AU - Saunders, Gabrielle
AU - Echt, Katharina V.
PY - 2012
Y1 - 2012
N2 - Combat exposures to blast can result in both peripheral damage to the ears and eyes and central damage to the auditory and visual processing areas in the brain. The functional effects of the latter include visual, auditory, and cognitive processing difficulties that manifest as deficits in attention, memory, and problem solving-symptoms similar to those seen in individuals with visual and auditory processing disorders. Coexisting damage to the auditory and visual system is referred to as dual sensory impairment (DSI). The number of Operation Iraqi Freedom/Operation Enduring Freedom Veterans with DSI is vast; yet currently no established models or guidelines exist for assessment, rehabilitation, or service-delivery practice. In this article, we review the current state of knowledge regarding blast exposure and DSI and outline the many unknowns in this area. Further, we propose a model for clinical assessment and rehabilitation of blast-related DSI that includes development of a coordinated team-based approach to target activity limitations and participation restrictions in order to enhance reintegration, recovery, and quality of life.
AB - Combat exposures to blast can result in both peripheral damage to the ears and eyes and central damage to the auditory and visual processing areas in the brain. The functional effects of the latter include visual, auditory, and cognitive processing difficulties that manifest as deficits in attention, memory, and problem solving-symptoms similar to those seen in individuals with visual and auditory processing disorders. Coexisting damage to the auditory and visual system is referred to as dual sensory impairment (DSI). The number of Operation Iraqi Freedom/Operation Enduring Freedom Veterans with DSI is vast; yet currently no established models or guidelines exist for assessment, rehabilitation, or service-delivery practice. In this article, we review the current state of knowledge regarding blast exposure and DSI and outline the many unknowns in this area. Further, we propose a model for clinical assessment and rehabilitation of blast-related DSI that includes development of a coordinated team-based approach to target activity limitations and participation restrictions in order to enhance reintegration, recovery, and quality of life.
KW - Auditory training
KW - Blast exposure
KW - Blast injury
KW - Central auditory processing disorder
KW - Dual sensory impairment
KW - Rehabilitation
KW - Traumatic brain injury
KW - Veteran
KW - Visual processing disorder
KW - Visual training
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UR - http://www.scopus.com/inward/citedby.url?scp=84868117560&partnerID=8YFLogxK
U2 - 10.1682/JRRD.2010.08.0157
DO - 10.1682/JRRD.2010.08.0157
M3 - Article
C2 - 23341278
AN - SCOPUS:84868117560
VL - 49
SP - 1043
EP - 1058
JO - Journal of rehabilitation R&D
JF - Journal of rehabilitation R&D
SN - 0007-506X
IS - 7
ER -