scholarly journals 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

2017 ◽  
Vol 8 ◽  
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

Further evidence for age-related deficits in human postural function

1999 ◽  
Vol 9 (4) ◽  
pp. 261-264 ◽  
Author(s):  
Anna J. Matheson ◽  
Cynthia L. Darlington ◽  
Paul F. Smith
Keyword(s):  
Quality Of Life ◽  
Daily Living ◽  
Dizziness Handicap Inventory ◽  
Strong Negative Correlation ◽  
Elderly Individuals ◽  
Balance Confidence ◽  
Age Related ◽  
Tremendous Impact ◽  
Confidence Scale

Vestibular dysfunction can have a tremendous impact on an individual’s quality of life. The purpose of this paper is to determine if the level of handicap reported by individuals on the Dizziness Handicap Inventory (DHI), an inventory developed for use with individuals with complaints of dizziness symptoms, will be consistent with that reported on the Activities-specific Balance Confidence Scale (ABC), a tool developed for use with elderly individuals that attempts to assess a person’s confidence level in performing activities of daily living (ADL’s). A sample of convenience was used consisting of 71 subjects (15 males and 56 females) from a local Balance and Vestibular Clinic. The subjects ranged in age from 26 to 88 years of age. Both the DHI and the ABC were administered as part of an initial physical therapy evaluation to new patients at the clinic. A moderately strong negative correlation was found between the scores of the two inventories ( r s = − 0.6350). The results suggest that the ABC is a valid tool for use with individuals with complaints of dizziness.

The activities-specific balance confidence scale and the dizziness handicap inventory: a comparison

1999 ◽  
Vol 9 (4) ◽  
pp. 253-259
Author(s):  
S.L. Whitney ◽  
M.T. Hudak ◽  
G.F. Marchetti
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Daily Living ◽  
Dizziness Handicap Inventory ◽  
Strong Negative Correlation ◽  
Elderly Individuals ◽  
Balance Confidence ◽  
Tremendous Impact ◽  
Confidence Scale

Vestibular dysfunction can have a tremendous impact on an individual’s quality of life. The purpose of this paper is to determine if the level of handicap reported by individuals on the Dizziness Handicap Inventory (DHI), an inventory developed for use with individuals with complaints of dizziness symptoms, will be consistent with that reported on the Activities-specific Balance Confidence Scale (ABC), a tool developed for use with elderly individuals that attempts to assess a person’s confidence level in performing activities of daily living (ADL’s). A sample of convenience was used consisting of 71 subjects (15 males and 56 females) from a local Balance and Vestibular Clinic. The subjects ranged in age from 26 to 88 years of age. Both the DHI and the ABC were administered as part of an initial physical therapy evaluation to new patients at the clinic. A moderately strong negative correlation was found between the scores of the two inventories ( r s = − 0.6350). The results suggest that the ABC is a valid tool for use with individuals with complaints of dizziness.

Effect of Intermittent Hypoxia Training for Dizziness: A Randomized Controlled Trial

2019 ◽  
Vol 28 (6) ◽  
pp. 540-543
Author(s):  
Xiao Bao ◽  
Jie-Wen Tan ◽  
Ying Long ◽  
Howe Liu ◽  
Hui-Yu Liu
Keyword(s):  
Visual Analog Scale ◽  
Intermittent Hypoxia ◽  
Controlled Trial ◽  
Control Group ◽  
Analog Scale ◽  
Dizziness Handicap Inventory ◽  
Balance Confidence ◽  
Randomized Controlled ◽  
Scale Scores ◽  
Confidence Scale

Objective: To study the effect of intermittent hypoxia training (IHT) for dizziness. Design: A single-blind, randomized controlled trial. All participants were recruited from a rehabilitation department in an acute university-affiliated hospital. Intervention: Participants with dizziness were randomly assigned to 2 groups (IHT group and control group). The Dizziness Handicap Inventory, Activities-specific Balance Confidence Scale, and Vertigo Visual Analog Scale were conducted at baseline, end of the fourth week. Results: Among 52 subjects, there were18 males and 34 females, ages 35 to 62 years old (mean [SD] = 46.9 [7.93]). Time length since onset ranged from 12 to 34 months (20.2 [7.15] mo). Dizziness Handicap Inventory, Activities-specific Balance Confidence Scale, Vertigo Visual Analog Scale scores, and attack frequencies of dizziness were improved after IHT intervention in the end of the fourth week. There were significant differences between the IHT group and the control group in the Dizziness Handicap Inventory, Activities-specific Balance Confidence Scale, Vertigo Visual Analog Scale scores, and attack frequencies of dizziness at the end of the fourth week (P < .05). No adverse events occurred during the study. Conclusion: IHT could improve dizziness after intervention at the end of the fourth week. IHT could be the effective method for treating dizziness.

scholarly journals Prevalence of Cognitive and Vestibular Impairment in Seniors Experiencing Falls

2020 ◽  
pp. 1-8
Author(s):  
Brenda Varriano ◽  
Shaleen Sulway ◽  
Curtis Wetmore ◽  
Wanda Dillon ◽  
Karen Misquitta ◽  
...  
Keyword(s):  
Cognitive Assessment ◽  
Fall Risk ◽  
Subsequent Treatment ◽  
Falls Prevention ◽  
Dizziness Handicap Inventory ◽  
Targeted Interventions ◽  
Balance Confidence ◽  
Vestibular Hypofunction ◽  
History Of ◽  
Confidence Scale

ABSTRACT: Background: Falls are a growing concern in seniors (≥65 yrs). Cognitive impairment (CI) and vestibular impairment (VI) increase fall risk. The aim of this study is to assess the prevalence of CI and VI in seniors experiencing falls. Methods: Participants (≥65 yrs) with falls were recruited from Falls Prevention Programs (FPPs) and a Memory Clinic (MC). CI was assessed using the Montreal Cognitive Assessment at FPPs. VI was assessed at an MC and FFPs using the Head Impulse- (video + bedside), Headshake-, Dix-Hallpike test, and test of sensory interaction in balance. Questionnaires included Dizziness Handicap Inventory (DHI) and Activities-specific Balance Confidence Scale (ABC). Results: Of 41 participants (29 FPPs, 12 MC); mean age was 80.1 ± 7.1 years, and 58.5% were female. Overall, 82.9% had VI. At FPPs, 76.0% had CI, and 72.3% had CI + VI. Bilateral vestibular hypofunction (BVH) was more common than unilateral vestibular hypofunction (UVH) (70.6% vs. 29.4%); p = 0.016. Dizziness Handicap (DHI) was not different between those with a VI (23.5 ± 23.9) versus without VI [PVI + no impairment] (10.0 ± 15.4); p = 0.160. Balance confidence (ABC) was lowest in VI but not significantly different between those with a VI (63.4 ± 27.3) versus without VI [PVI + no impairment] (85.0 ± 16.5); p = 0.053. Conclusions: VI and CI are prevalent in seniors experiencing falls. For seniors with history of falls, both cognitive and vestibular functions should be considered in the assessment and subsequent treatment. Screening enables earlier detection, targeted interventions, and prevention, reducing the clinical and financial impact.

Virtual reality in vestibular rehabilitation: a pilot study

2019 ◽  
Vol 26 (7) ◽  
pp. 1-13 ◽  
Author(s):  
Otávio Corrêa Miziara ◽  
Vanessa Rossato de Oliveira ◽  
Andréa Licre Pessina Gasparini ◽  
Beatriz Coelho Souza ◽  
Angela Santos ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Benign Paroxysmal Positional Vertigo ◽  
Berg Balance Scale ◽  
T Test ◽  
Dizziness Handicap Inventory ◽  
Balance Confidence ◽  
Balance Scale ◽  
Positional Vertigo ◽  
Confidence Scale ◽  
Paroxysmal Positional Vertigo

Background/AimsWe evaluated the efficacy of using virtual reality with specific games for vestibular rehabilitation to treat patients with benign paroxysmal positional vertigo.MethodsThe Activity-Specific Balance Confidence Scale (ABC Scale), Dizziness Handicap Inventory, Tinnitus Handicap Inventory, Berg Balance Scale, Balancim, Romberg and Dix-Hallpike tests were used to evaluate 10 participants (5 males and 5 females; mean age 38.5 ± 14.7 years) with benign paroxysmal positional vertigo, who played 3 specific games of Nintendo Wii console (Snowboard Slalom, Tightrope Walk, Rhythm Parade) for 10 minutes twice a week for 4 weeks.ResultsThe intervention resulted in significant increases in Activity-Specific Balance Confidence Scale score (d de Cohen >0.50), decreases in Dizziness Handicap Inventory (P<0.05 in t test for all dimensions and total score) and Tinnitus Handicap Inventory (P<0.05 in Wilcoxon test for all dimensions and total score), and improvement in balance shown on Romberg test, Berg Balance Scale (P<0.05 in t test for all dimensions and total score) and Balancim (d de Cohen >0.80).ConclusionsVirtual reality with the selected games seemed to be effective on benign paroxysmal positional vertigo treatment, improving scores of tests and scales used in the assessment.

scholarly journals Measurement Precision and Efficiency of Computerized Adaptive Testing for the Activities-specific Balance Confidence Scale in People With Stroke

2021 ◽  
Author(s):  
Bryant A Seamon ◽  
Steven A Kautz ◽  
Craig A Velozo
Keyword(s):  
Rasch Model ◽  
Computerized Adaptive Testing ◽  
Adaptive Testing ◽  
Measurement Precision ◽  
Strongly Correlated ◽  
Computerized Adaptive Test ◽  
Balance Confidence ◽  
Adaptive Test ◽  
The Rasch Model ◽  
Confidence Scale

Abstract Objective Administrative burden often prevents clinical assessment of balance confidence in people with stroke. A computerized adaptive test (CAT) version of the Activities-specific Balance Confidence Scale (ABC CAT) can dramatically reduce this burden. The objective of this study was to test balance confidence measurement precision and efficiency in people with stroke with an ABC CAT. Methods We conducted a retrospective cross-sectional simulation study with data from 406 adults approximately 2-months post-stroke in the Locomotor-Experience Applied Post-Stroke (LEAPS) trial. Item parameters for CAT calibration were estimated with the Rasch model using a random sample of participants (n = 203). Computer simulation was used with response data from remaining 203 participants to evaluate the ABC CAT algorithm under varying stopping criteria. We compared estimated levels of balance confidence from each simulation to actual levels predicted from the Rasch model (Pearson correlations and mean standard error (SE)). Results Results from simulations with number of items as a stopping criterion strongly correlated with actual ABC scores (full item, r = 1, 12-item, r = 0.994; 8-item, r = 0.98; 4-item, r = 0.929). Mean SE increased with decreasing number of items administered (full item, SE = 0.31; 12-item, SE = 0.33; 8-item, SE = 0.38; 4-item, SE = 0.49). A precision-based stopping rule (mean SE = 0.5) also strongly correlated with actual ABC scores (r = .941) and optimized the relationship between number of items administrated with precision (mean number of items 4.37, range [4–9]). Conclusions An ABC CAT can determine accurate and precise measures of balance confidence in people with stroke with as few as 4 items. Individuals with lower balance confidence may require a greater number of items (up to 9) and attributed to the LEAPS trial excluding more functionally impaired persons. Impact Statement Computerized adaptive testing can drastically reduce the ABC’s test administration time while maintaining accuracy and precision. This should greatly enhance clinical utility, facilitating adoption of clinical practice guidelines in stroke rehabilitation. Lay Summary If you have had a stroke, your physical therapist will likely test your balance confidence. A computerized adaptive test version of the ABC scale can accurately identify balance with as few as 4 questions, which takes much less time.

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