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Gabrielle H. Saunders, PhD; Katharina V. Echt, PhD

Blast exposure and dual sensory impairment: An evidence review and integrated rehabilitation approach. Gabrielle H. Saunders, PhD; Katharina V. Echt, PhD. Aim Review current state of knowledge about blast exposure and dual sensory impairment (DSI). Relevance

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Gabrielle H. Saunders, PhD; Katharina V. Echt, PhD

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  1. Blast exposure and dual sensory impairment: An evidence review and integrated rehabilitation approach Gabrielle H. Saunders, PhD; Katharina V. Echt, PhD

  2. Aim • Review current state of knowledge about blast exposure and dual sensory impairment (DSI). • Relevance • Vast number of Operations Iraqi and Enduring Freedom veterans have DSI. • Currently, no established models or guidelines for assessment, rehabilitation, or service delivery.

  3. Methods • Reviewed current state of knowledge about blast exposure and DSI. • Outlined what is still unknown about blast-related DSI: • Assessment. • Rehabilitation. • Clinical service models.

  4. Results • Awareness of DSI resulting from blast-exposure is relatively recent. • Our limited knowledge about DSI in aging population may or may not apply to younger population of veterans: • Veterans’ reported functional difficulties are similar but their DSI etiology, reserve capacities, lifestyle, and needs are quite different.

  5. Proposed model for clinical assessment and rehabilitation of blast-related DSI.

  6. Conclusion • We propose a model for clinical assessment and rehabilitation of blast-related DSI that includes: • Development of coordinated team-based approach to target activity limitations and participation restrictions to enhance reintegration, recovery, and quality of life.

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