Considerations
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English language.
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Spanish version (Perez et al., 2000)
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Dutch version (Vereeck et al., 2007)
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Norwegian version (Tamber et al., 2009)
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Swedish version (Jarlsäter, S., & Mattsson, E. (2003)
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Chinese version (Poon et al., 2004)
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German version (Kurre et al., 2009)
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The authors found that the frequency of dizziness attacks could not always reflect the perceived severity of the handicap. 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. (Jacobson and Newman, 1990)
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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.
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Since the DHI is a self-administered questionnaire, quantitative information regarding the instability episode cannot be recorded.
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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.
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The total score of DHI is more reliable than scores for any separate items recorded. (Kammerlind et al., 2005; n = 50, males = 26 & females = 24; mean age = 63 (13) years; onset of vestibular pathology 3 years.)
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Elderly patients > 65 years have balance affections due to dizziness but a lower level of self perceived handicap and therefore need to treated more cautiously. (Hansson et al., 2005; n = 119; males = 46 & females = 73)
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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.
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Whitney at al., 2005 hypothesized that five items of the DHI were predictive of BPPV. The scale is termed the five-item BPPV subscale of the DHI. 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.
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The BPPV five-item subscore was a significant predictor of likelihood of BPPV (×2 = 8.35; p<0.01)
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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. 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. A score of 4 on the combined items was approximately 4.3 times more likely to have BPPV than an individual that scored 0.
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Dizziness Handicap Inventory translations:
French (Appendix 1): http://www.sciencedirect.com/science/article/pii/S0168605404000029
Spanish: http://www.southamptonhospital.org/Resources/10355/FileRepository/Forms/Dizziness%20Handicap%20Inv%20%20(DHI)%20Spanish.pdf
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