Auditory and visual impairments in patients with blast-related traumatic brain injury: Effect of dual sensory impairment on Functional Independence Measure
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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DOI：
10.1682/jrrd.2008.09.0129
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发表时间：
2009-01-01
影响因子：
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通讯作者：
Goodrich, Gregory L.
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文献类型：
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作者：
Lew, Henry L.;Garvert, Donn W.;Goodrich, Gregory L.
爆炸相关创伤性脑损伤（TBI）患者的听力障碍（HI）、视力障碍（VI）或双重（听力和视力）感觉障碍（DSI）的频率及其对功能恢复的影响尚未得到充分记录。在这个初步研究的175例患者入院的多发性创伤康复中心，我们完成了听力和视力检查，并获得功能独立性测量（ESTA）得分在入院和出院的62例爆炸相关的TBI。我们分别在19%、34%和32%的患者中诊断出仅HI、仅VI和DSI。只有15%的患者在听觉或视觉方面没有感觉障碍。方差分析显示，出院时总分和运动神经功能缺损评分存在组间差异（p < 0.04）。回归模型分析表明，DSI显著有助于降低总（t = -2.25）和运动（t = -2.50）评分的增益（p < 0.05）。了解爆炸相关TBI患者功能恢复中感觉障碍的长期后果需要进一步研究。
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.