title: Characterizing self-reported dizziness and otovestibular impairment among blast-injured traumatic amputees: a pilot study.
abstract: The incidence of vestibular and audiologic injury related to blast injury remains underreported. The primary objective of this study was to document self-reported otovestibular impairment in blast-injured amputees. Secondary objectives include a description of the Walter Reed Army Medical Center Blast Injury Questionnaire and other aspects of the audiology service and amputee physical therapy section standards of care for blast injury management. A case study illustrates the application of these standards of care. Thirty-three patients were evaluated by audiologists and physical therapists using the Walter Reed Army Medical Center Blast Injury Questionnaire, followed by audiologic and vestibular screening; 24% of patients reported symptoms of vertigo or oscillopsia following blast trauma, and 51% reported subjective hearing loss. The case study subject reported an increase in function after vestibular rehabilitation therapy. Thorough screening by audiologists and physical therapists can facilitate appropriate diagnosis and management for blast-injured patients.
authors: Department of Orthopedics and Rehabilitation, Physical Therapy Service, Walter Reed Army Medical Center, Washington, DC 20307, USA.
authors: Matthew
authors: M
authors: Scherer
authors: Holly
authors: H
authors: Burrows
authors: Robin
authors: R
authors: Pinto
authors: Elizabeth
authors: E
authors: Somrack
mesh_terms: D000328:Adult; D000674:Amputees; D001298:Audiology; D001753:Blast Injuries / Q000150:complications*; D004244:Dizziness / Q000175:diagnosis / Q000209:etiology*; D004427:Ear Diseases / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening; D008887:Military Medicine; D008889:Military Personnel; D010865:Pilot Projects; D012189:Retrospective Studies; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D014481:United States; D015837:Vestibular Diseases / Q000175:diagnosis / Q000209:etiology; D014947:Wounds and Injuries / Q000150:complications*