2017, Number 3
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Otorrinolaringología 2017; 62 (3)
Validation of the Dizziness Handicap Inventory at Central Military Hospital, Mexico
Hernández-Rodríguez IY, Gallardo-Ollervides FJ, Quijada-Cruz MR, Lozano-Cuenca J, López-Canales JS
Language: Spanish
References: 19
Page: 147-155
PDF size: 353.12 Kb.
ABSTRACT
Background: Vertigo represents a vestibular disorder with a negative
impact on the activities of the patients and is a special problem
due to the difficulties in diagnosis and because it is a symptom of
difficult assessment. Vestibular rehabilitation is an effective alternative
for people suffering from vestibular disorders and have an instrument
that evaluate the perception of the patient’s disability upon admission
of their treatment will allow the design of an appropriate therapy according
to the degree of disability. The Dizziness Handicap Inventory
(DHI) is a tool of American origin, useful for measuring the disability
associated with vertigo.
Objetive: To perform the translation and validation of DHI in Central
Military Hospital patients.
Material and Method: An observational, analytical, prospective
and longitudinal study was performed from March to October 2016
with patients referred by the Otorhinolaryngology department for
vestibular rehabilitation. The translation and cultural adaptation of the
DHI was carried out and it was applied to patients upon admission to
the rehabilitation service. The internal consistency (Cronbach’s alpha
index) was assessed globally and in each of the dimensions.
Results: During the period study 73 patients were referred by
the Otorhinolaryngology department to Rehabilitation service with
symptoms of vertigo for beginning vestibular therapy, obtaining a total
Cronbach’s alpha of 0.92, for functional domain 0.83, for emotional
domain 0.81 and for physical domain 0.80. There were no differences
Conclusion: The Mexican version of the DHI is a reliable and valid
tool to evaluate the impact of the perceived disability in patients with
vertigo of the Central Military Hospital.
REFERENCES
Kroenke K, Hoffman RM, Einstadter D. How common are various causes of dizziness? A critical review. South Med J 2000;93(2):160-7; quiz 168.
Mendel B, Bergenius J, Langius A. Dizziness symptom severity and impact on daily living as perceived by patients suffering from peripheral vestibular disorder. Clin Otolaryngol Allied Sci 1999;24(4):286-293. doi:10.1046/j.1365- 2273.1999.00261.x.
Fernández L, Breinbauer H, Delano PH. Vertigo and Dizziness in the Elderly. Front Neurol 2015;6(June):144. doi:10.3389/fneur.2015.00144.
Ceballos Lizarraga R, Vargas Aguayo AM. Aplicación y utilidad del Dizziness Handicap Inventory en pacientes con vértigo del Servicio de Otorrinolaringología del Hospital de Especialidades del Centro Médico Nacional Siglo XXI. An Médicos 2004;49(4):176-183.
Neuhauser HK, Lempert T. Vertigo: epidemiologic aspects. Semin Neurol 2009;29(5):473-481. doi: 10.1055/s-0029- 1241043.
Agrawal Y, Ward BK, Minor LB. Targeted treatment. Natl Institutes Heal J Vestib Res 2014;23(3):113-117. doi:10.3233/ VES-130498.Vestibular.
Bittar RSM, Mezzalira R, Grasel SS, Oiticica J. Dizziness profile and clinical features: a population based survey in São Paulo City, Brazil. Med Express 2015;2(1):1-5. doi:10.5935/ MedicalExpress.2015.01.06.
Peña MA. Homologación lingüística nacional del Dizziness Handicap Inventory (test de discapacidad vestibular). Rev Otorrinolarigología y Cir cabeza y cuello 2011;71:85-88.
Morales-Ayala LL, Cárdenas-Velásquez MI. Evaluación de los pacientes con vértigo mediante el Cuestionario de Discapacidad por Vértigo (DHI) Assessment of Patients with Vertigo by Dizziness Handicap Inventory (DHI). An Otorrinolaringol Mex 2014;59(1):59-65.
Jacobson GP, Newman CW. The development of the dizziness handicap inventory. Arch Otolaryngol Neck Surg 1990;116(4):424-427. doi.org/10.1001/archotol. 1990.01870040046011.
Kondo M, Kiyomizu K, Goto F, et al. Analysis of vestibularbalance symptoms according to symptom duration: dimensionality of the vertigo symptom scale-short form. Health Qual Life Outcomes 2015;13:4. doi:10.1186/ s12955-015-0207-7.
Monzani D, Genovese E, Marrara A, et al. Validity of the Italian adaptation of the Tinnitus Handicap Inventory; focus on quality of life and psychological distress in tinnitussufferers. Acta Otorhinolaryngol Ital 2008;28(3):126-134.
Nyabenda A, Briart C, Deggouj N, Gersdorff M. Étude normative et de la reproductibilité d’une échelle du handicap lié aux troubles de l’équilibre et aux vertiges: «Dizziness Handicap Inventory» version française. Ann Réadaptation Médecine Phys 2004;47(3): 105-113. doi: http: //dx.doi.org/ 10.1016/j.annrmp.2003.11.002.
Georgieva-Zhostova S, Kolev OI, Stambolieva K. Translation, cross-cultural adaptation and validation of the Bulgarian version of the Dizziness Handicap Inventory. Qual Life Res 2014; 23(7):2103-2107. doi:10.1007/s11136-014-0660-5.
Ricci NA, Aratani MC, Caovilla HH, Cohen HS, Ganança FF. Evaluation of properties of the Vestibular Disorders Activities of Daily Living Scale (Brazilian version) in an elderly population. Brazilian J Phys Ther 2014;18(2):174-182. doi:10.1590/S1413-35552012005000144.
Chen W, Shu L, Wang Q, et al. Validation of 5-item and 2-item questionnaires in Chinese version of Dizziness Handicap Inventory for screening objective benign paroxysmal positional vertigo. Neurol Sci. 2016; 37(8):1241-1246. doi: 10.1007/s10072-016-2573-2.
Caldara B, Asenzo AI, Brusotti Paglia G, et al. Cross-cultural adaptation and validation of the Dizziness Handicap Inventory: Argentine version. Acta otorrinolaringológica española 2015;63(2):106-114. doi:10.1016/j.otorri.2011.09.006.
Daniel WW. Bioestadística: Base para el análisis de las ciencias de la salud/Wayne W. Daniel (4a ed.). México: Limusa Wiley, 2010.
Cruz-Zorrilla GE, Pérez-Fernández N, Hernández-Palestina MS, Carrillo-Mora P. Vértigo: correlación entre los indicadores objetivos y subjetivos de gravedad, incapacidad y limitación funcional. An Otorrinolaringol Mex 2014;59(3):181-186. Anexo 1.