Vetro-Kalseth Danielle, Vaudreuil Rebecca, Morrison Heather, Howland Kathleen, Bronson Hannah
Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. in support of Creative Forces: NEA Military Healing Arts Network and Center for Rehabilitation Sciences Research at the Uniformed Services University of the Health Sciences, Bethesda, MD, United States.
673rd Medical Group, Joint-Base Elmendorf Richardson, Anchorage, AK, United States.
Front Neurol. 2025 Sep 1;16:1642056. doi: 10.3389/fneur.2025.1642056. eCollection 2025.
Military personnel are particularly at risk for auditory processing difficulties as their training, occupational, and combat experiences increase the likelihood of long-term damage to the auditory system as well as negatively impact physical, psychological, cognitive, and sensory functioning. This article introduces a music therapy and speech-language pathology co-treatment program, Auditory Cognition Lab (ACL), that treats auditory and cognitive deficits in military-connected populations (service members, veterans) with traumatic brain injury (TBI). ACL addresses auditory discrimination, temporal and binaural processing, and trains compensatory strategies related to auditory processing, cognition, and hearing function. ACL has been clinically implemented at multiple military treatment facilities across the United States. Preliminary outcomes have demonstrated improvement in processing speed, auditory perception, active listening, expressive and receptive language, memory encoding and retrieval, attention at varying levels (sustained, divided, alternating), and self-efficacy. Further research is warranted to learn more about the benefit of this innovative co-treatment program for military-connected individuals with auditory processing deficits and TBI. This paper provides a theoretical framework, comprehensive description and critical reflection of this intervention, and outlines a research strategy for a current feasibility and acceptability study.
随着军事人员的训练、职业和战斗经历增加了听觉系统长期受损的可能性，并对其身体、心理、认知和感官功能产生负面影响，他们尤其面临听觉处理困难的风险。本文介绍了一种音乐疗法和言语语言病理学联合治疗项目——听觉认知实验室（ACL），该项目用于治疗患有创伤性脑损伤（TBI）的军人相关群体（现役军人、退伍军人）的听觉和认知缺陷。ACL解决听觉辨别、时间和双耳处理问题，并训练与听觉处理、认知和听力功能相关的代偿策略。ACL已在美国多个军事治疗机构临床实施。初步结果表明，在处理速度、听觉感知、主动倾听、表达性和接受性语言、记忆编码和检索、不同水平的注意力（持续、分散、交替）以及自我效能方面都有改善。有必要进行进一步研究，以更多地了解这种创新的联合治疗项目对患有听觉处理缺陷和TBI的军人相关个体的益处。本文提供了该干预措施的理论框架、全面描述和批判性反思，并概述了当前可行性和可接受性研究的研究策略。
