This article and any supplementary material should be cited as follows: Franke LM, Walker WC, Cifu DX, Ochs AL, Lew HL. Sensorintegrative dysfunction underlying.

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Presentation transcript:

This article and any supplementary material should be cited as follows: Franke LM, Walker WC, Cifu DX, Ochs AL, Lew HL. Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review. J Rehabil Res Dev. 2012;49(7):985–94. Slideshow Project DOI: /JRRD JSP Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review Laura M. Franke, PhD; William C. Walker, MD; David X. Cifu, MD; Alfred L. Ochs, PhD; Henry L. Lew, MD, PhD

This article and any supplementary material should be cited as follows: Franke LM, Walker WC, Cifu DX, Ochs AL, Lew HL. Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review. J Rehabil Res Dev. 2012;49(7):985–94. Slideshow Project DOI: /JRRD JSP Aim – Current methods of assessing vestibular system: Describe vestibular deficits after traumatic brain injury. Differentiate blunt and blast trauma. Have not examined full range of vestibular functions that depend on cerebral structures above midbrain. Relevance – Vestibular symptoms are persistent and problematic sequelae of blast exposure. – Evidence suggests that these symptoms often stem from injury to central nervous system (CNS).

This article and any supplementary material should be cited as follows: Franke LM, Walker WC, Cifu DX, Ochs AL, Lew HL. Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review. J Rehabil Res Dev. 2012;49(7):985–94. Slideshow Project DOI: /JRRD JSP Methods Reviewed English-language articles with human participants on PubMed and Google Scholar using following search terms: – mild traumatic brain injury, blast injury, vestibular, balance, dizziness, vestibule-ocular reflex, posturography, subjective visual vertical, central nervous system, cortex, vestibular cortex, lesions, neuroimaging

This article and any supplementary material should be cited as follows: Franke LM, Walker WC, Cifu DX, Ochs AL, Lew HL. Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review. J Rehabil Res Dev. 2012;49(7):985–94. Slideshow Project DOI: /JRRD JSP Results Damage to central vestibular circuits can lead to deficits in vital processes of spatial perception and navigation, dizziness, and disequilibrium. May also affect emotional functioning, particularly noradrenergically modulated states of anxiety. Perceptual functions can be assessed to determine CNS involvement in vestibular symptoms and provide greater confidence when excluding vestibular dysfunction.

This article and any supplementary material should be cited as follows: Franke LM, Walker WC, Cifu DX, Ochs AL, Lew HL. Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review. J Rehabil Res Dev. 2012;49(7):985–94. Slideshow Project DOI: /JRRD JSP Conclusion Ability to detect central vestibular dysfunction will significantly enhance our response to dizziness and balance symptoms that are common source of distress for veterans.