Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special Operators

Chronic low-level blast exposure has been linked with neurological alterations and traumatic brain injury (TBI) biomarkers. Impaired smooth-pursuit eye movements (SPEM) are often associated with TBI. The purpose of this study was to determine whether long-term operators of low-level blast exposure o...

Full description

Bibliographic Details
Main Authors: Melissa Hunfalvay, Nicholas P. Murray, William T. Creel, Frederick R. Carrick
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/5/679
_version_ 1797501204243152896
author Melissa Hunfalvay
Nicholas P. Murray
William T. Creel
Frederick R. Carrick
author_facet Melissa Hunfalvay
Nicholas P. Murray
William T. Creel
Frederick R. Carrick
author_sort Melissa Hunfalvay
collection DOAJ
description Chronic low-level blast exposure has been linked with neurological alterations and traumatic brain injury (TBI) biomarkers. Impaired smooth-pursuit eye movements (SPEM) are often associated with TBI. The purpose of this study was to determine whether long-term operators of low-level blast exposure or high-caliber weapons use displayed oculomotor behaviors that differed from controls. Twenty-six members of an elite military unit performed a computerized oculomotor testing task using an eye tracker and completed a concussion assessment questionnaire. The participants were split into a blast exposure group and control group. The blast exposure group had a history of exposure to low-level blasts or high-caliber weapon use. The results revealed significant differences in SPEM, saccades, and fixations between the blast exposure group and control group. The blast exposure group’s eye movements were slower, stopped at more frequent points when following a target, traveled further from the target in terms of both speed and direction, and showed higher rates of variation and inefficiency. Poor oculomotor behavior correlated with a higher symptom severity on the concussion assessment questionnaire. Military special operators exposed to long-term low-level blasts or high-caliber weapons usage displayed an impaired oculomotor behavior in comparison to controls. These findings further our understanding of the impact of long-term low-level blast exposure on the oculomotor behavior of military special operators and may inform practical implications for military training.
first_indexed 2024-03-10T03:15:01Z
format Article
id doaj.art-dbf83c284fa646548c25fbff8c1b913b
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-10T03:15:01Z
publishDate 2022-05-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-dbf83c284fa646548c25fbff8c1b913b2023-11-23T10:18:53ZengMDPI AGBrain Sciences2076-34252022-05-0112567910.3390/brainsci12050679Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special OperatorsMelissa Hunfalvay0Nicholas P. Murray1William T. Creel2Frederick R. Carrick3RightEye LLC, 7979 Old Georgetown Rd, Suite 801, Bethesda, MD 20814, USADepartment of Kinesiology, East Carolina University, Minges Coliseum 166, Greensville, NC 27858, USANeurology Department, Adler University, 17 N Dearborn St, Chicago, IL 60602, USANeurology Department, College of Medicine, University of Central Florida, Orlando, FL 32827, USAChronic low-level blast exposure has been linked with neurological alterations and traumatic brain injury (TBI) biomarkers. Impaired smooth-pursuit eye movements (SPEM) are often associated with TBI. The purpose of this study was to determine whether long-term operators of low-level blast exposure or high-caliber weapons use displayed oculomotor behaviors that differed from controls. Twenty-six members of an elite military unit performed a computerized oculomotor testing task using an eye tracker and completed a concussion assessment questionnaire. The participants were split into a blast exposure group and control group. The blast exposure group had a history of exposure to low-level blasts or high-caliber weapon use. The results revealed significant differences in SPEM, saccades, and fixations between the blast exposure group and control group. The blast exposure group’s eye movements were slower, stopped at more frequent points when following a target, traveled further from the target in terms of both speed and direction, and showed higher rates of variation and inefficiency. Poor oculomotor behavior correlated with a higher symptom severity on the concussion assessment questionnaire. Military special operators exposed to long-term low-level blasts or high-caliber weapons usage displayed an impaired oculomotor behavior in comparison to controls. These findings further our understanding of the impact of long-term low-level blast exposure on the oculomotor behavior of military special operators and may inform practical implications for military training.https://www.mdpi.com/2076-3425/12/5/679SPEMsmooth-pursuit eye movementsoculomotorTBImilitary
spellingShingle Melissa Hunfalvay
Nicholas P. Murray
William T. Creel
Frederick R. Carrick
Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special Operators
Brain Sciences
SPEM
smooth-pursuit eye movements
oculomotor
TBI
military
title Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special Operators
title_full Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special Operators
title_fullStr Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special Operators
title_full_unstemmed Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special Operators
title_short Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special Operators
title_sort long term effects of low level blast exposure and high caliber weapons use in military special operators
topic SPEM
smooth-pursuit eye movements
oculomotor
TBI
military
url https://www.mdpi.com/2076-3425/12/5/679
work_keys_str_mv AT melissahunfalvay longtermeffectsoflowlevelblastexposureandhighcaliberweaponsuseinmilitaryspecialoperators
AT nicholaspmurray longtermeffectsoflowlevelblastexposureandhighcaliberweaponsuseinmilitaryspecialoperators
AT williamtcreel longtermeffectsoflowlevelblastexposureandhighcaliberweaponsuseinmilitaryspecialoperators
AT frederickrcarrick longtermeffectsoflowlevelblastexposureandhighcaliberweaponsuseinmilitaryspecialoperators