Pretreatment and post-treatment scores would have to differ by at least 18 points (95% confidence interval for a true change before the intervention could be said to have effected a significant change in a self-perceived handicap) If you would like to contribute a language translation to the RMD, please contact us at you see an error or have a suggestion for this instrument summary? Please e-mail us! RIC is not responsible for and does not endorse the content, products or services of any third-party website, and does not make any representations regarding its quality, content or accuracy. These translations, and links to them, are subject to the Terms and Conditions of Use of the Rehab Measures Database. A score of 4 on the combined items was approximately 4.3 times more likely to have BPPV than an individual that scored 0.ĭizziness Handicap Inventory translations:

A score of 4 on the combined above stated items was approximately 2.7 times more likely to have BPPV than an individual that scored 0. Scores of 4 and 8 on the combined items of getting out of bed and rolling over in bed were significantly related to the probability of BPPV. The BPPV five-item subscore was a significant predictor of likelihood of BPPV ( × 2 = 8.35 p<0.01) The five-item BPPV subscale is a summation of the following five items from the DHI: looking up, getting out of bed, quick head movements, rolling over in bed, and bending for a maximum score of 20 points. The scale is termed the five-item BPPV subscale of the DHI. Whitney at al., 2005 hypothesized that five items of the DHI were predictive of BPPV. With high test-retest reliability and low error of measurement scores, the DHI has become a very useful tool for measurement of dizziness handicap in individuals.

(Kammerlind et al., 2005 n = 50, males = 26 & females = 24 mean age = 63 (13) years onset of vestibular pathology 3 years.)Įlderly patients > 65 years have balance affections due to dizziness but a lower level of self perceived handicap and therefore need to treated more cautiously. The total score of DHI is more reliable than scores for any separate items recorded.

There was a higher prevalence of dizziness related episodes in women, whereas men were 2.26 times more depressed about their vertigo and dizziness problems. Since the DHI is a self-administered questionnaire, quantitative information regarding the instability episode cannot be recorded. The Dizziness Handicap Inventory has become very important to diagnose the severity of handicap in the elderly since their post-fall complications are many, but it was still only moderately sensitive in identifying fallers in the population tested. Patients with fewer dizziness attacks would report that they were severely handicapped and those that had many attacks of dizziness did not necessarily report being severely handicapped. The authors found that the frequency of dizziness attacks could not always reflect the perceived severity of the handicap. Swedish version (Jarlsäter, S., & Mattsson, E. Is additional research warranted for this tool (Y/N) Students should be exposed to tool? (Y/N)Īppropriate for use in intervention research studies? (Y/N) Students should learn to administer this tool? (Y/N) Recommendations for entry-level physical therapy education and use in research: Recommendations based on vestibular diagnosisīenign Paroxysmal Positional Vertigo (BPPV) Recommendations based on EDSS Classification: Recommendations for use based on ambulatory status after brain injury: Recommendations based on level of care in which the assessment is taken: Recommendations for use based on acuity level of the patient: Reasonable to use, but limited study in target group / Unable to Recommend These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.įor detailed information about how recommendations were made, please visit: Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below.

Dizziness handicap inventory online