Measurement Characteristics and Clinical Utility of the Dizziness Handicap Inventory Among Individuals With Vestibular Disorders

      The Dizziness Handicap Inventory (DHI) by Jacobson and Newman1 is a 25-item self-assessment measuring the functional, emotional, and physical effects of dizziness and unsteadiness in individuals ≥19 years of age. The test can be completed in 5 to 10 minutes. Total scores range from 0 to 100 with increasing scores signifying greater perception of handicap because of dizziness. A total score of ≥16 indicates a handicap for patients with peripheral or central pathology, whereas scores >10 necessitate an examination by a balance specialist.1 The DHI can also be broken down into 3 subscales: physical (28 points), emotional (36 points), and functional (36 points). The DHI is reliable and valid for adults with peripheral and central vestibular pathology,1 multiple sclerosis,2 posttraumatic brain injury,3 whiplash-associated disorders,4 and benign paroxysmal positional vertigo.5
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