Article

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.

Langue : ANGLAIS