Acquired Central Auditory Processing Disorder in Service Members and Veterans.
Acquired Central Auditory Processing Disorder in Service Members and Veterans.
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DOI：
10.1044/2019_jslhr-19-00293
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发表时间：
2020-03
期刊：
影响因子：
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通讯作者：
Victoria Tepe;Melissa A Papesh;Shoshannah Russell;M. Samantha Lewis;Nina J. Pryor;Lisa Guillory
中科院分区：
文献类型：
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作者：
Victoria Tepe;Melissa A Papesh;Shoshannah Russell;M. Samantha Lewis;Nina J. Pryor;Lisa Guillory
研究目的越来越多的证据表明，军人和退伍军人存在中枢听觉处理缺陷的风险。危险因素包括暴露于爆炸、神经创伤、有害噪音和耳毒性物质。我们概述了这些危险因素和合并症，解决临床评估和护理的服务成员和退伍军人的中央听觉处理缺陷的影响，并指定知识差距，值得研究。方法：我们回顾了文献，以确定危险因素的研究，评估和护理的中央听觉处理缺陷的服务成员和退伍军人。我们还评估了科学的现状，以确定需要进一步研究的知识差距。这篇文献综述描述了与军事风险因素和临床考虑因素有关的主要发现，以评估和护理那些暴露。结论中枢听觉处理缺陷与暴露于已知的军事危险因素有关。需要研究来描述这一人群的机制、变异来源和鉴别诊断。现有的最佳做法没有明确考虑到军事人员面临的困惑。需要考虑到这些挑战的评估和恢复战略。最后，投资对于确保退伍军人事务部和国防部的临床工作人员获得信息、培训和装备以实施有效的患者护理至关重要。
Purpose A growing body of evidence suggests that military service members and military veterans are at risk for deficits in central auditory processing. Risk factors include exposure to blast, neurotrauma, hazardous noise, and ototoxicants. We overview these risk factors and comorbidities, address implications for clinical assessment and care of central auditory processing deficits in service members and veterans, and specify knowledge gaps that warrant research. Method We reviewed the literature to identify studies of risk factors, assessment, and care of central auditory processing deficits in service members and veterans. We also assessed the current state of the science for knowledge gaps that warrant additional study. This literature review describes key findings relating to military risk factors and clinical considerations for the assessment and care of those exposed. Conclusions Central auditory processing deficits are associated with exposure to known military risk factors. Research is needed to characterize mechanisms, sources of variance, and differential diagnosis in this population. Existing best practices do not explicitly consider confounds faced by military personnel. Assessment and rehabilitation strategies that account for these challenges are needed. Finally, investment is critical to ensure that Veterans Affairs and Department of Defense clinical staff are informed, trained, and equipped to implement effective patient care.