Dizziness Handicap Inventory and Visual Vertigo Analog Scale in Vestibular Dysfunction

Abstract

Introduction Dizziness is one of the most common symptoms among the population, producing numerous consequences for individual's quality of life. There are some questionnaires that can trace the patient's profile and quality of life impairment from dizziness, including the Dizziness Handicap Inventory (DHI) and the Visual Vertigo Analogue Scale (VVAS).

Objective This study aims to correlate the results of the DHI and VVAS in patients with vestibular dysfunction.

Methods This is a retrospective study of medical records of patients treated in a medical school between 2006 and 2012. Results of the DHI and EVA were collected and subjected to statistical analysis using Pearson's correlation test with p < 0.001. The significance level adopted for the statistical tests was p ≤ 0.05.

Results A total of 91 records were included in this study, 72 (79.1%) from female and 19 (20.9%) from male patients, aged 23 to 86 years, with a mean age of 52.5 years. The mean score on the DHI total was 43.9 and 5.2 points for the EVA. The result of Pearson's correlation test was 0.54.

Conclusion Self-perceived dizziness measured with the Dizziness Handicap Inventory has a regular and positive correlation with the Visual Vertigo Analog Scale in patients with vestibular dysfunction. The clinical trial is registered under number UTN U1111–1170–5065.

Keywords

dizziness - survey - rehabilitation - quality of life - vestibular diseases

• References

• 1 Nishino LK, Granato L, Campos CAH. Aplicação do questionário de qualidade de vida diária em pacientes pré e pós-reabilitação vestibular. Int Arch Otorhinolaryngol 2008; 12 (4) 517-522
• 2 Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990; 116 (4) 424-427
• 3 Castro ASO, Gazzola JM, Natour J, Ganança FF. Versão brasileira do Dizziness Handicap Inventory. Pró-Fono Rev Atual Cient. 2007; 19 (1) 97-104
• 4 Whitney SL, Wrisley DM, Brown KE, Furman JM. Is perception of handicap related to functional performance in persons with vestibular dysfunction?. Otol Neurotol 2004; 25 (2) 139-143
• 5 Moreira DA, Bohlsen YA, Momensohn-Santos TM, Cherubini AA. Estudo do handicap em pacientes com queixa de tontura, associada ou não ao sintoma zumbido. Int Arch Otorhinolaryngol. 2006; 10 (4) 270-277
• 6 Morozetti PG, Ganança CF, Chari BM. Comparação de diferentes protocolos de reabilitação vestibular em pacientes com disfunções vestibulares periféricas. J. Soc. Bras. Fonoaudiol. 2011; 23 (1) 44-50
• 7 Gazzola JM, Ganança FF, Aratani MC, Perracini MR, Ganança MM. Caracterização clínica de idosos com disfunção vestibular crônica. Rev Bras Otorrinolaringol (Engl Ed) 2006; 72 (4) 515-522
• 8 Verdecchia DH, Mendoza M, Sanguineti F, Binetti AC. Outcomes after vestibular rehabilitation and Wii® therapy in patients with chronic unilateral vestibular hypofunction. Acta Otorrinolaringol Esp 2014; 65 (6) 339-345
• 9 Kurre A, Straumann D, van Gool CJ, Gloor-Juzi T, Bastiaenen CH. Gender differences in patients with dizziness and unsteadiness regarding self-perceived disability, anxiety, depression, and its associations. BMC Ear Nose Throat Disord 2012; 12: 2
• 10 Garcia AP, Ganança MM, Cusin FS, Tomaz A, Ganança FF, Caovilla HH. Reabilitação vestibular com realidade virtual na doença de Ménière. Braz J Otorhinolaryngol. 2013; 79 (3) 366-374
• 11 Ceballos R, Vargas A. 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 Med Assoc Med Hosp ABC. 2004; 49: 176-183
• 12 Bittar RSM, Ganança FF. Envelhecimento e tontura. In: Bittar RSM, Ganança FF. Tontura e outras manifestações clínicas. São Paulo: Segmento Farma; 2010: 48-52
• 13 Karapolat H, Celebisoy N, Kirazli Y , et al. Is vestibular rehabilitation as effective in bilateral vestibular dysfunction as in unilateral vestibular dysfunction?. Eur J Phys Rehabil Med 2014; 50 (6) 657-663
• 14 Tamber AL, Wilhelmsen KT, Strand LI. Measurement properties of the Dizziness Handicap Inventory by cross-sectional and longitudinal designs. Health Qual Life Outcomes 2009; 7: 101
• 15 Ekvall Hansson E, Månsson NO, Ringsberg KA, Håkansson A. Dizziness among patients with whiplash-associated disorder: a randomized controlled trial. J Rehabil Med 2006; 38 (6) 387-390
• 16 Kammerlind AS, Håkansson JK, Skogsberg MC. Effects of balance training in elderly people with nonperipheral vertigo and unsteadiness. Clin Rehabil 2001; 15 (5) 463-470
• 17 Hansson EE, Månsson NO, Håkansson A. Effects of specific rehabilitation for dizziness among patients in primary health care. A randomized controlled trial. Clin Rehabil 2004; 18 (5) 558-565