Concurrent validity of the Vestibular/Ocular Motor Screening (VOMS) tool with the Dizziness Handicap Inventory (DHI) among adolescents with vestibular symptoms/impairment following concussion

Objective To assess the presence and handicap due to vestibular symptoms in three subgroups of patients with migraine and controls. Methods Women between 18–55 years old were diagnosed by headache specialists and stratified as migraine with aura (n = 60), migraine without aura (n = 60), chronic migraine (n = 60) and controls (n = 60). Information regarding demographics, headache and vestibular symptoms were collected in this cross-sectional study. The self-perceived handicap related to vestibular symptoms was assessed through the Dizziness Handicap Inventory questionnaire. Results A total of 85% of women with migraine with aura and chronic migraine had vestibular symptoms contrasted to 70% of the migraine without aura group ( p < 0.05), and 12% of the control group reported symptoms ( p < 0.0001). Patients with migraine exhibited greater Dizziness Handicap Inventory scores than controls ( p < 0.001); and migraine with aura and chronic migraine groups reached greater scores than migraine without aura ( p < 0.01). Presence of migraine is associated with a greater risk of vestibular symptoms (migraine without aura: 5.20, migraine with aura: 6.60, chronic migraine:6.20, p < 0.0003) and with a greater risk of moderate-to-severe handicap (migraine without aura: 20.0, migraine with aura: 40.0, chronic migraine: 40.0, p < 0.0003). The presence of aura and greater migraine frequency adds to the risk of any handicap (migraine with aura: 1.9, chronic migraine: 1.7, p < 0.04) and to the risk of moderate-to-severe handicap (migraine with aura: 2.0, chronic migraine: 2.0, p < 0.0003). Migraine aura, intensity and frequency predict 36% of the dizziness handicap. Conclusion The prevalence of vestibular symptoms is increased in migraine during and between headache attacks, particularly in migraine with aura and chronic migraine along with an increased handicap due to those symptoms. Vestibular symptoms among subgroups of migraine should be considered when evaluating the functional impact of migraine.

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A factor analytic study of the dizziness handicap inventory: does it assess phobic avoidance in vestibular referrals?

Journal of Vestibular Research ◽

10.3233/ves-1999-9108 ◽

1999 ◽

Vol 9 (1) ◽

pp. 63-68 ◽

Cited By ~ 2

Author(s):

Gordon J.G. Asmundson ◽

Murray B. Stein ◽

Desmond Ireland

Keyword(s):

Functional Disability ◽

Functional Limitations ◽

General Pattern ◽

Tertiary Care ◽

Self Report ◽

Dizziness Handicap Inventory ◽

Oblique Rotation ◽

Factor Solution ◽

Valid Assessment ◽

Vestibular Symptoms

Panic disorder and agoraphobia have been associated with increased functional disability in individuals who have vestibular problems. The Dizziness Handicap Inventory (DHI), a 25-item self-report questionnaire with three rationally derived subscales, was designed to measure functional, emotional, and physical disability associated with vestibular disturbance. Despite the apparent usefulness of the DHI, there have been few studies of its psychometric properties. The primary purpose of the present study was to assess the factor structure of the DHI. A principal components analysis with oblique rotation was conducted on data collected from 95 patients referred to a tertiary-care vestibular disorders clinic for assessment of vestibular disturbance. Both 2-factor and 3-factor solutions are reported. The 2-factor solution was indicative of General Functional Limitations and Postural Difficulties. In the 3-factor solution, General Functional Limitations was split into factors indicative of Disability in Activities of Daily Living and Phobic Avoidance, while the Postural Difficulties factor remained stable. We also characterized the 3-factor solution by assessing the correlation of factor scores with measures of vestibular symptoms, mood, and anxiety. The general pattern of results does not support the validity of the original subscale structure of the DHI. Implications for revising the DHI to provide a more comprehensive and factorially valid assessment of disability associated with vestibular disturbance are discussed.

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Validation of the Italian Version of the Dizziness Handicap Inventory, the Situational Vertigo Questionnaire, and the Activity-Specific Balance Confidence Scale for Peripheral and Central Vestibular Symptoms

Frontiers in Neurology ◽

10.3389/fneur.2017.00528 ◽

2017 ◽

Vol 8 ◽

Cited By ~ 9

Author(s):

Silvia Colnaghi ◽

Cristiana Rezzani ◽

Marco Gnesi ◽

Marco Manfrin ◽

Silvia Quaglieri ◽

...

Keyword(s):

Italian Version ◽

Dizziness Handicap Inventory ◽

Balance Confidence ◽

Vestibular Symptoms ◽

Confidence Scale

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Concussion Guidelines Step 2: Evidence for Subtype Classification

Neurosurgery ◽

10.1093/neuros/nyz332 ◽

2019 ◽

Vol 86 (1) ◽

pp. 2-13 ◽

Cited By ~ 15

Author(s):

Angela Lumba-Brown ◽

Masaru Teramoto ◽

O Josh Bloom ◽

David Brody ◽

James Chesnutt ◽

...

Keyword(s):

Sleep Disturbance ◽

Prevalence Ratio ◽

Adult Patients ◽

Ocular Motor ◽

Clinical Presentations ◽

Targeted Treatments ◽

Study Characteristics ◽

Associated Conditions ◽

Vestibular Symptoms ◽

Meta Analyses

Abstract BACKGROUND Concussion is a heterogeneous mild traumatic brain injury (mTBI) characterized by a variety of symptoms, clinical presentations, and recovery trajectories. By thematically classifying the most common concussive clinical presentations into concussion subtypes (cognitive, ocular-motor, headache/migraine, vestibular, and anxiety/mood) and associated conditions (cervical strain and sleep disturbance), we derive useful definitions amenable to future targeted treatments. OBJECTIVE To use evidence-based methodology to characterize the 5 concussion subtypes and 2 associated conditions and report their prevalence in acute concussion patients as compared to baseline or controls within 3 d of injury. METHODS A multidisciplinary expert workgroup was established to define the most common concussion subtypes and their associated conditions and select clinical questions related to prevalence and recovery. A literature search was conducted from January 1, 1990 to November 1, 2017. Two experts abstracted study characteristics and results independently for each article selected for inclusion. A third expert adjudicated disagreements. Separate meta-analyses were conducted to do the following: 1) examine the prevalence of each subtype/associated condition in concussion patients using a proportion, 2) assess subtype/associated conditions in concussion compared to baseline/uninjured controls using a prevalence ratio, and 3) compare the differences in symptom scores between concussion subtypes and uninjured/baseline controls using a standardized mean difference (SMD). RESULTS The most prevalent concussion subtypes for pediatric and adult populations were headache/migraine (0.52; 95% CI = 0.37, 0.67) and cognitive (0.40; 95% CI = 0.25, 0.55), respectively. In pediatric patients, the prevalence of the vestibular subtype was also high (0.50; 95% CI = 0.40, 0.60). Adult patients were 4.4, 2.9, and 1.7 times more likely to demonstrate cognitive, vestibular, and anxiety/mood subtypes, respectively, as compared with their controls (P < .05). Children and adults with concussion showed significantly more cognitive symptoms than their respective controls (SMD = 0.66 and 0.24; P < .001). Furthermore, ocular-motor in adult patients (SMD = 0.72; P < .001) and vestibular symptoms in both pediatric and adult patients (SMD = 0.18 and 0.36; P < .05) were significantly worse in concussion patients than in controls. CONCLUSION Five concussion subtypes with varying prevalence within 3 d following injury are commonly seen clinically and identifiable upon systematic literature review. Sleep disturbance, a concussion-associated condition, is also common. There was insufficient information available for analysis of cervical strain. A comprehensive acute concussion assessment defines and characterizes the injury and, therefore, should incorporate evaluations of all 5 subtypes and associated conditions.

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The Association Between Vestibular Physical Examination, Vertigo Questionnaires, and the Electronystagmography in Patients With Vestibular Symptoms

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489417691298 ◽

2017 ◽

Vol 126 (4) ◽

pp. 315-321 ◽

Cited By ~ 4

Author(s):

Shany G. Gofrit ◽

Yulia Mayler ◽

Ron Eliashar ◽

Tali Bdolah-Abram ◽

Ophir Ilan ◽

...

Keyword(s):

Physical Examination ◽

Diagnostic Accuracy ◽

Prospective Study ◽

Inner Ear ◽

Medical History ◽

Severe Disability ◽

Dizziness Handicap Inventory ◽

Objective Testing ◽

Vestibular Symptoms ◽

A Prospective Study

Objects: Dizziness makes up a diagnostic and treatment challenge. The diagnostic accuracy of the medical history and vestibular physical examination in cases of vestibular symptoms is not clear. The aim of this study is to determine the association between vestibular physical examination, vestibular questionnaires, and electronystagmography (ENG) test in patients with vestibular symptoms. Methods: This is a prospective study of 135 adults with vestibular symptoms. The subjects underwent targeted physical examination and filled vestibular questionnaires, including the Dizziness Handicap Inventory (DHI), before ENG testing. The results of the physical examination and questionnaires were compared with the final ENG findings. Results: Of patients who had normal ENG results, 32.1% (17/52) showed abnormal physical examination, and 48.8% (40/82) of the patient who had normal physical examination showed abnormal ENG results ( P = .46). Among patients with severe disability by DHI, 46.4% (13/28) had an abnormal ENG, and 42.9% (12/28) had a normal ENG ( P = .39). Conclusions: This study did not demonstrate association between vestibular physical examination, vestibular questionnaires, and ENG results. Although history (augmented by questionnaires) and physical examination are the initial steps in the evaluation of vertigo, the current study suggests that they should be complemented by objective testing for evaluation of inner ear origin of vertigo.

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Vestibular Rehabilitation to the Patients With Vestibular Migraine and Vestibular Neuritis

10.21203/rs.3.rs-145328/v1 ◽

2021 ◽

Author(s):

Fumiyuki Goto ◽

Nagisa Sugaya ◽

Kenji Okami ◽

Masahiro Iida

Keyword(s):

Vestibular Rehabilitation ◽

Rehabilitation Program ◽

Vestibular Migraine ◽

Vestibular Neuritis ◽

Physical Component Score ◽

Dizziness Handicap Inventory ◽

Chronic Stage ◽

Significant Difference ◽

Vestibular Symptoms ◽

Anxiety Depression

Abstract BackgroundIt is not yet clarified the effect of vestibular rehabilitation on patients with vestibular migraine (VM) .Aims/Objectives In this study, we aimed to compare the effect of vestibular rehabilitation on patients with VM and those in the chronic stage of vestibular neuritis (VN). Material and Methods A total of 26 patients with VM and 31 patients in the chronic stage of VN who were treated. All patients underwent an in-hospitalized vestibular rehabilitation program. A variety of data including the Dizziness Handicap Inventory (DHI), POMS, and posturography were compared. ResultsBefore treatment, there was no significant difference in the parameters between the two groups, except for a higher confusion score of Profile of Mood States (POMS) in the VM group. In both groups, the DHI score significantly improved. In the VM group, the confusion score of POMS, physical component score (PCS) of SF-8, and some parameters in posturography significantly improved. In the VN group, anxiety, depression, and PCS of SF-8 significantly improved.Conclusions and Significance The higher confusion score of POMS in patients with VM reflects the known increased comorbidity risk of psychiatric disorders. In both groups, in-hospitalized vestibular rehabilitation was effective in alleviating the subjective and objective parameters of vestibular symptoms within a month.

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The Relation Between Linguistic Awareness Skills and Spelling in Adults: A Comparison Among Scoring Procedures

Journal of Speech Language and Hearing Research ◽

10.1044/2020_jslhr-19-00120 ◽

2020 ◽

Vol 63 (4) ◽

pp. 1240-1253

Author(s):

Victoria S. Henbest ◽

Lisa Fitton ◽

Krystal L. Werfel ◽

Kenn Apel

Keyword(s):

Phonemic Awareness ◽

Concurrent Validity ◽

Word Reading ◽

Continuous Measure ◽

Scoring Methods ◽

Syntactic Awareness ◽

Scoring Method ◽

Spelling Performance ◽

Linguistic Awareness ◽

Average Readers

Purpose Spelling is a skill that relies on an individual's linguistic awareness, the ability to overtly manipulate language. The ability to accurately spell is important for academic and career success into adulthood. The spelling skills of adults have received some attention in the literature, but there is limited information regarding which approach for analyzing adults' spelling is optimal for guiding instruction or intervention for those who struggle. Thus, we aimed to examine the concurrent validity of four different scoring methods for measuring adults' spellings (a dichotomous scoring method and three continuous methods) and to determine whether adults' linguistic awareness skills differentially predict spelling outcomes based on the scoring method employed. Method Sixty undergraduate college students who were determined to be average readers as measured by a word reading and contextual word reading task were administered a spelling task as well as morphological, orthographic, phonemic, and syntactic awareness tasks. Results All four scoring methods were highly correlated suggesting high concurrent validity among the measures. Two linguistic awareness skills, morphological awareness and syntactic awareness, predicted spelling performance on both the dichotomous and continuous scoring methods. Contrastively, phonemic awareness and orthographic awareness predicted spelling performance only when spelling was scored using a continuous measure error analysis. Conclusions The results of this study confirm that multiple linguistic awareness skills are important for spelling in adults who are average readers. The results also highlight the need for using continuous measures of spelling when planning intervention or instruction, particularly in the areas of orthographic and phonemic awareness.

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Cultural and Linguistic Adaptation of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) Into Hindi

Journal of Speech Language and Hearing Research ◽

10.1044/2020_jslhr-20-00348 ◽

2020 ◽

Vol 63 (12) ◽

pp. 3974-3981

Author(s):

Ashwini Joshi ◽

Isha Baheti ◽

Vrushali Angadi

Keyword(s):

Strong Correlation ◽

Concurrent Validity ◽

Interrater Reliability ◽

Voice Quality ◽

Weak Correlation ◽

Voice Assessment ◽

Perceptual Evaluation ◽

Severity Grade ◽

Normal Voice ◽

Group A

Aim The purpose of this study was to develop and assess the reliability of a Hindi version of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). Reliability was assessed by comparing Hindi CAPE-V ratings with English CAPE-V ratings and by the Grade, Roughness, Breathiness, Asthenia and Strain (GRBAS) scale. Method Hindi sentences were created to match the phonemic load of the corresponding English CAPE-V sentences. The Hindi sentences were adapted for linguistic content. The original English and adapted Hindi CAPE-V and GRBAS were completed for 33 bilingual individuals with normal voice quality. Additionally, the Hindi CAPE-V and GRBAS were completed for 13 Hindi speakers with disordered voice quality. The agreement of CAPE-V ratings was assessed between language versions, GRBAS ratings, and two rater pairs (three raters in total). Pearson product–moment correlation was completed for all comparisons. Results A strong correlation ( r > .8, p < .01) was found between the Hindi CAPE-V scores and the English CAPE-V scores for most variables in normal voice participants. A weak correlation was found for the variable of strain ( r < .2, p = .400) in the normative group. A strong correlation ( r > .6, p < .01) was found between the overall severity/grade, roughness, and breathiness scores in the GRBAS scale and the CAPE-V scale in normal and disordered voice samples. Significant interrater reliability ( r > .75) was present in overall severity and breathiness. Conclusions The Hindi version of the CAPE-V demonstrates good interrater reliability and concurrent validity with the English CAPE-V and the GRBAS. The Hindi CAPE-V can be used for the auditory-perceptual voice assessment of Hindi speakers.

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