Dizziness Handicap Inventory
Original Editor - Alyssa Brooks-Wells
Top Contributors - Alyssa Brooks-Wells
Objective[edit | edit source]
The Dizziness Handicap Inventory (DHI) is a patient-reported outcome measure designed to measure the disability associated with someone with complaints of dizziness, vertigo, or unsteadiness. The measure determines changes due to dizziness related to three domains: functional, emotional, and physical. [1]
Intended Population[edit | edit source]
The DHI is intended as an outcome measure for patients with primary complaints of dizziness, vertigo, unsteadiness, or related symptoms.[2]
Some pathologies or diagnoses related include:
- Benign Paroxysmal Positional Vertigo (BPPV)
- Vestibular Neuritis and Labyrinthitis
- Neurologic Disorders (such as multiple sclerosis)
- Traumatic Brain Injury or Concussion
- Meniere's Disease
- Persistent Postural-Perceptual Dizziness
- Migraine
Method of Use[edit | edit source]
The DHI is a 25-item self-reported measure with three categories, functional, emotional, and physical. The patient rates their perceived disability due to their dizziness by answering each question with - yes, sometimes, no. The measure is then scored with points for each answer: No = 0, Sometimes = 2, and Yes = 4 points. It is recommended patients with scores greater than 10 points are referred to balance specialists for further evaluation. [3]
Further classification of scoring includes:
- Mild Handicap: 16-34 Points
- Moderate Handicap: 36-52 Points
- Severe Handicap: 54+ Points[3]
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous[edit | edit source]
Links[edit | edit source]
References[edit | edit source]
- ↑ Zamyslowska-Szmytke E, Politanski P, Jozefowicz-Korczynska M. Dizziness Handicap Inventory in Clinical Evaluation of Dizzy Patients. International Journal of Environmental Research and Public Health. 2021;18(5):2210.
- ↑ Mutlu B, Serbetcioglu B. A review of the Dizziness Handicap Inventory (DHI). J Vestib Res. 2013;23(6):271-277. doi:10.3233/VES-130488
- ↑ 3.0 3.1 Jacobson GP, Newman CW. The Development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg.1990;116(4):424–427.