scholarly journals COMMUNICATION DISORDERS OF ACTIVE MILITARY PERSONNEL WITH TRAUMATIC BRAIN INJURY - A REVIEW STUDY

2015 ◽  
Vol 84 (4) ◽  
pp. 170-176
Author(s):  
Blanka Klímová ◽  
Kamil Kuča
Author(s):  
Christine Parrish ◽  
Carole Roth ◽  
Brooke Roberts ◽  
Gail Davie

Abstract Background: Mild traumatic brain injury (mTBI) is recognized as the signature injury of the current conflicts in Iraq and Afghanistan, yet there remains limited understanding of the persisting cognitive deficits of mTBI sustained in combat. Speech-language pathologists (SLPs) have traditionally been responsible for evaluating and treating the cognitive-communication disorders following severe brain injuries. The evaluation instruments historically used are insensitive to the subtle deficits found in individuals with mTBI. Objectives: Based on the limited literature and clinical evidence describing traditional and current tests for measuring cognitive-communication deficits (CCD) of TBI, the strengths and weaknesses of the instruments are discussed relative to their use with mTBI. It is necessary to understand the nature and severity of CCD associated with mTBI for treatment planning and goal setting. Yet, the complexity of mTBI sustained in combat, which often co-occurs with PTSD and other psychological health and physiological issues, creates a clinical challenge for speech-language pathologists worldwide. The purpose of the paper is to explore methods for substantiating the nature and severity of CCD described by service members returning from combat. Methods: To better understand the nature of the functional cognitive-communication deficits described by service members returning from combat, a patient questionnaire and a test protocol were designed and administered to over 200 patients. Preliminary impressions are described addressing the nature of the deficits and the challenges faced in differentiating the etiologies of the CCD. Conclusions: Speech-language pathologists are challenged with evaluating, diagnosing, and treating the cognitive-communication deficits of mTBI resulting from combat-related injuries. Assessments that are sensitive to the functional deficits of mTBI are recommended. An interdisciplinary rehabilitation model is essential for differentially diagnosing the consequences of mTBI, PTSD, and other psychological and physical health concerns.


Brain Injury ◽  
2014 ◽  
Vol 28 (7) ◽  
pp. 896-899 ◽  
Author(s):  
Norman Jones ◽  
Nicola T. Fear ◽  
Roberto Rona ◽  
Mohammed Fertout ◽  
Gursimran Thandi ◽  
...  

2020 ◽  
Vol 140 ◽  
pp. 142-147 ◽  
Author(s):  
Elham Sabouri ◽  
Alireza Majdi ◽  
Puria Jangjui ◽  
Sepideh Rahigh Aghsan ◽  
Seyed Ahmad Naseri Alavi

2011 ◽  
Vol 176 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Kevin J. Heltemes ◽  
Amber L. Dougherty ◽  
Andrew J. MacGregor ◽  
Michael R. Galarneau

2008 ◽  
Vol 39 (8) ◽  
pp. 1379-1387 ◽  
Author(s):  
N. T. Fear ◽  
E. Jones ◽  
M. Groom ◽  
N. Greenberg ◽  
L. Hull ◽  
...  

BackgroundMild traumatic brain injury (mTBI) is being claimed as the ‘signature’ injury of the Iraq war, and is believed to be the cause of long-term symptomatic ill health (post-concussional syndrome; PCS) in an unknown proportion of military personnel.MethodWe analysed cross-sectional data from a large, randomly selected cohort of UK military personnel deployed to Iraq (n=5869). Two markers of PCS were generated: ‘PCS symptoms’ (indicating the presence of mTBI-related symptoms: none, 1–2, 3+) and ‘PCS symptom severity’ (indicating the presence of mTBI-related symptoms at either a moderate or severe level of severity: none, 1–2, 3+).ResultsPCS symptoms and PCS symptom severity were associated with self-reported exposure to blast whilst in a combat zone. However, the same symptoms were also associated with other in-theatre exposures such as potential exposure to depleted uranium and aiding the wounded. Strong associations were apparent between having PCS symptoms and other health outcomes, in particular being a post-traumatic stress disorder or General Health Questionnaire case.ConclusionsPCS symptoms are common and some are related to exposures such as blast injury. However, this association is not specific, and the same symptom complex is also related to numerous other risk factors and exposures. Post-deployment screening for PCS and/or mTBI in the absence of contemporaneous recording of exposure is likely to be fraught with hazards.


Brain Injury ◽  
2013 ◽  
Vol 27 (13-14) ◽  
pp. 1623-1630 ◽  
Author(s):  
Rocío S. Norman ◽  
Carlos A. Jaramillo ◽  
Megan Amuan ◽  
Margaret Ann Wells ◽  
Blessen C. Eapen ◽  
...  

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