Journal of Rehabilitation Research & Development (JRRD)

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Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review

Laura M. Franke, PhD, et al.

Figure 1. Posterior central nervous system projections of vestibular nuclei subserving spatial and emotional processing. Solid lines indicate known projections and dashed line indicates hypothe-sized projection. (1) Vestibular nuclei, (2) locus coeruleus, (3) parabrachial nucleus, (4) posterolateral thalamus, (5) pari-eto-insular vestibular cortex, (6) amygdala, and (7) hippocam-pus. Projections are stronger to nondominant hemisphere (typically right side).

This article reviews studies of vestibular effects of blast injury. We discuss specific results of vestibular tests reported in these studies and the limitations of these investigations. One limitation is that some vestibular processes of the brain are not typically evaluated; these processes include spatial orientation, navigation, and perception of selfmotion. Traumatic brain injury (TBI) leading to imbalance may also affect a person–s emotions. Further research is necessary to accurately measure these effects of injury. However, it is clear that blast injury can lead to vestibular problems and that the sources of dizziness and balance symptoms after TBI are likely to be complex.

Volume 49 Number 7, 2012
   Pages 985 — 994

View HTML  ¦  View PDF  ¦  Contents Vol. 47, No. 9

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.

ResearcherID: Laura M. Franke, PhD: F-2670-2012


1. Walker MF, Liao K, Pan T, Roenigk K, Daly J. Postural instability in blast-exposed Veterans. NATO RTO Human Factors and Medicine Panel (HFM) Symposium; 2001 Oct 3-5; Halifax, Canada.

Last Reviewed or Updated  Wednesday, October 24, 2012 12:12 PM

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