2004, Number 4
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An Med Asoc Med Hosp ABC 2004; 49 (4)
Application and use of Dizziness Handicap Inventory in patients with vertigo, by the Otolaryngology Department of the Hospital de Especialidades Centro Médico Nacional Siglo XXI
Ceballos LR, Vargas AAM
Language: Spanish
References: 18
Page: 176-183
PDF size: 75.15 Kb.
ABSTRACT
Background: Vertigo is the term used to describe the illusory perception of movement. This, and the dizziness, cause spatial disorientation, anxiety, anguish, depression and a perception of functional handicap which cannot be quantified with the conventional vestibulometric techniques. The impact of this symptom, especially if it’s chronic, exceeds simple organic involvement. The Dizziness Handicap Inventory (DHI) has been designed to evaluate this impact in the patient’s daily life, from his own perspective.
Methods: This is an observational, descriptive, prospective and survey study; performed between March of 2000 and October of 2003 at the Otolaryngology Department of the Centro Médico Nacional Siglo XXI. There were 159 patients with vertigo or dizziness, with a duration of at least 5 months; the questionnaire was applied to them in order to analyze their answers and obtain a final score.
Results: The physical handicap was the feature more frequently affected (82%), followed by the functional feature (55%), and finally, the emotional one (48%). The internal consistency (Cronbach’s a) was a acceptable for the sample.
Conclusion: The DHI is a useful, practical and valid instrument to evaluate the impact of vertigo in the patient’s quality of life.
REFERENCES
Jackler RK, Brackmann G. Neurotology. Philadelphia, PA: Mosby, 1994.
Sloan PD et al. Dizziness: State of the science. Ann Intern Med 2001; 134 (9 pt 2): 823-832.
University of Virginia Health System, Department of Otolaryngology - Head & Neck Surgery, Vestibular & Balance Center.
National Institutes of Health. A report of the Task Force on the National Strategic Research Plan, National Institute of Deafness and Other Communication Disorders. Bethesda, Maryland, April 1989; 12.
Yardley L, Luxon LM, Haacke NP. A longitudinal study of symptoms, anxiety and subjective well-being in patients with vertigo. Clin Otolaryngol 1994; 19 (2): 109-116.
Yardley L. Contribution of symptoms and beliefs to handicap in people with vertigo: A longitudinal study. Br J Clin Psychol 1994; 33: 101-113.
Yardley L. Prediction of handicap and emotional distress in patients with recurrent vertigo: Symptoms, coping strategies, control beliefs and reciprocal causation. Soc Sci Med 1994; 39 (4): 573-581.
Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990; 116: 424-427.
Jacobson GP, Newman CW, Hunter L, Balzer GK. Balance function test correlates of the Dizziness Handicap Inventory. J Am Acad Audiol 1991; 2 (4): 253-260.
Nunnally JC. Psychometric theory. 2nd ed. New York: McGraw-Hill, 1978.
López-Escamez JA, Gómez-Fiñana M, Fernández A, Sánchez Canet I, Palma MJ, Rodríguez J. Evaluación del tratamiento del vértigo posicional paroxístico benigno mediante el cuestionario DHI-S. Acta Otorrinolaringol Esp 2001; 52: 660-666.
Jonsson R, Sixt E, Landahl S, Rosenhall U. Prevalence of dizziness and vertigo in an urban elderly population. J Vestib Res 2004; 14 (1): 47-52.
Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci 1995; 50A (1): M28-34.
Hill KD, Schwarz JA, Kalogeropoulos AJ, Gibson SJ. Fear of falling revisited. Arch Phys Med Rehabil 1996; 77 (10): 1025-1029.
Enloe LJ, Shields RK. Evaluation of health-related quality of life in individuals with vestibular disease using disease-specific and general outcome measures. Phys Ther 1997; 77 (9): 890-903.
Cohen HS, Kimball KT, Adams AS. Application of the vestibular disorders activities of daily living scale. Laryngoscope 2000; 110 (7): 1204-1209.
Pardal RJL, Beltrán MLD, del Canizo AA. Cuestionario para la evaluación de la minusvalía en patología vestibular. An ORL Iber-Amer 1998; 25: 547-564.
Tesio L, Alpini D, Cesarani A, Perucca L. Short form of the dizziness handicap inventory. Am J Phys Med Rehabil 1999; 78 (3): 233-241.