Prevalence and characteristics of dual sensory impairment (hearing and vision) in a veteran population

Smith, Sherri L.; Bennett, Loren W.; Wilson, Richard H.

doi:10.1682/jrrd.2007.02.0023

Cited by 65 publications

(84 citation statements)

References 33 publications

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“…This rate increased to 17.4 percent for the subset of patients with mTBI history who experienced both nonblast and blast injuries. Smith et al's study [37] included professional assessment of sensory impairment and operationally defined DSI by using standardized clinical criteria, whereas the present study was based on patient self-report only; thus, any comparison of findings needs to be interpreted cautiously. If professional assessment of the present sample were to confirm the patient self-report of sensory impairment, these results would suggest that MSI is appearing prematurely in OIF/OEF veterans, particularly those with TBI who experienced multiple injuries.…”

Section: Discussionmentioning

confidence: 93%

“…The strongest predictor of reporting MSI was being 40 yr or older, because this age group was nearly 3 times more likely to report MSI symptoms than patients who were 18 to 24 yr. Decline in hearing and vision is common as people age [37,[39][40][41][42], but concurrent hearing and vision impairment is typically documented in patients 70 yr and older [39][40][41][42]. In one chart review of veterans who were receiving regular outpatient hearing and vision care, 0 percent of the veterans 65 yr and younger were judged to have DSI and, among those who were 75 to 84 yr, only 9 percent had documented DSI [37]. However, nearly 14 percent of the present study sample, whose average age was 31.4 yr, reported symptoms of MSI.…”

Section: Discussionmentioning

confidence: 99%

“…Normal hearing, vision, and balance and coordination are important for performing activities of daily living, psychosocial functioning, leisure activities, and employment [7,[37][38][39][40][41][42] and are necessary for communication and rehabilitation. A growing literature suggests auditory, visual, and vestibular symptoms are common among OIF/OEF veterans who have experienced TBI, but no studies to date have examined the coexistence of these symptoms in a large cohort.…”

Section: Introductionmentioning

confidence: 99%

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Multisensory impairment reported by veterans with and without mild traumatic brain injury history

Pogoda¹,

Hendricks²,

Iverson³

et al. 2012

JRRD

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Abstract-With the use of Veterans Health Administration and Department of Defense databases of veterans who completed a Department of Veterans Affairs comprehensive traumatic brain injury (TBI) evaluation, the objectives of this study were to (1) identify the co-occurrence of self-reported auditory, visual, and vestibular impairment, referred to as multisensory impairment (MSI), and (2) examine demographic, deployment-related, and mental health characteristics that were potentially predictive of MSI. Our sample included 13,746 veterans with either a history of deployment-related mild TBI (mTBI) (n = 9,998) or no history of TBI (n = 3,748). The percentage of MSI across the sample was 13.9%, but was 17.4% in a subsample with mTBI history that experienced both nonblast and blast injuries. The factors that were significantly predictive of reporting MSI were older age, being female, lower rank, and etiology of injury. Deployment-related mTBI history, posttraumatic stress disorder, and depression were also significantly predictive of reporting MSI, with mTBI history the most robust after adjusting for these conditions. A better comprehension of impairments incurred by deployed servicemembers is needed to fully understand the spectrum of blast and nonblast dysfunction and may allow for more targeted interventions to be developed to address these issues.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Multisensory impairment reported by veterans with and without mild traumatic brain injury history

Pogoda¹,

Hendricks²,

Iverson³

et al. 2012

JRRD

View full text Add to dashboard Cite

show abstract

“…Hearing loss also increases with aging. Around 30-75% of adults age 75 or over present a hearing loss, according to the definition currently in effect (Salonen et al, 2011;Smith et al, 2008). Although hearing impairment could have a significant impact on pedestrian safety, investigations are scarce compared to studies on vision.…”

Section: Impact Of Sensory Changesmentioning

confidence: 99%

Review of safety and mobility issues among older pedestrians

Tournier

Dommès²,

Cavallo³

2016

Accident Analysis & Prevention

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a b s t r a c tAlthough old people make up an extremely vulnerable road-user group, older pedestrians' difficulties have been studied less extensively than those of older drivers, and more knowledge of this issue is still required. The present paper reviews current knowledge of older-adult problems with the main components of pedestrian activity, i.e., walking and obstacle negotiation, wayfinding, and road crossing. Compared to younger ones, old pedestrians exhibit declining walking skills, with a walking speed decrease, less stable balance, less efficient wayfinding strategies, and a greater number of unsafe road crossing behaviors. These difficulties are linked to age-related changes in sensorial, cognitive, physical, and self-perception abilities. It is now known that visual impairment, physical frailty, and attention deficits have a major negative impact on older pedestrians' safety and mobility, whereas the roles of self-evaluation and self-regulation are still poorly understood. All these elements must be taken into consideration, not only in developing effective safety interventions targeting older pedestrians, but also in designing roads and cars. Recent initiatives are presented here and some recommendations are proposed.

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“…To date, the literature has not well described the occurrence of this dual sensory impairment (DSI) in TBI. One study of non-TBI VA outpatients reported an overall prevalence of DSI in patients ≥65 years old as high as 7.4 percent; in a subsample of patients <65 years old, DSI was not reported [15]. During the rehabilitation process, patients with DSI may encounter more challenges than sensory-intact patients with TBI, especially with tasks requiring visual and/or auditory communication.…”

Section: Introductionmentioning

confidence: 99%

Auditory and visual impairments in patients with blast-related traumatic brain injury: Effect of dual sensory impairment on Functional Independence Measure

Lew¹,

Garvert²,

Pogoda³

et al. 2009

JRRD

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Abstract-The frequencies of hearing impairment (HI), vision impairment (VI), or dual (hearing and vision) sensory impairment (DSI) in patients with blast-related traumatic brain injury (TBI) and their effects on functional recovery are not well documented. In this preliminary study of 175 patients admitted to a Polytrauma Rehabilitation Center, we completed hearing and vision examinations and obtained Functional Independence Measure (FIM) scores at admission and discharge for 62 patients with blast-related TBI. We diagnosed HI only, VI only, and DSI in 19%, 34%, and 32% of patients, respectively. Only 15% of the patients had no sensory impairment in either auditory or visual modality. An analysis of variance showed a group difference for the total and motor FIM scores at discharge (p < 0.04). Regression model analyses demonstrated that DSI significantly contributed to reduced gain in total (t = -2.25) and motor (t = -2.50) FIM scores (p < 0.05). Understanding the long-term consequences of sensory impairments in the functional recovery of patients with blast-related TBI requires further research.

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Prevalence and characteristics of dual sensory impairment (hearing and vision) in a veteran population

Cited by 65 publications

References 33 publications

Multisensory impairment reported by veterans with and without mild traumatic brain injury history

Multisensory impairment reported by veterans with and without mild traumatic brain injury history

Review of safety and mobility issues among older pedestrians

Auditory and visual impairments in patients with blast-related traumatic brain injury: Effect of dual sensory impairment on Functional Independence Measure

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