![]() Helmchen C, Klinkenstein J, Machner B, Rambold H, Mohr C, Sander T (2009) Structural changes in the human brain following vestibular neuritis indicate central vestibular compensation. Vereeck L, Truijen S, Wuyts FL, Van de Heyning PH (2007) The dizziness handicap inventory and its relationship with functional balance performance. ![]() Robertson DD, Ireland DJ (1995) Dizziness Handicap Inventory correlates of computerized dynamic posturography. Shaia WT, Zappia JJ, Bojrab DI, LaRouere ML, Sargent EW, Diaz RC (2006) Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory. Vanspauwen R, Knoop A, Camp S, van Dinther J, Erwin Offeciers F, Somers T, Zarowski A, Blaivie C (2016) Outcome evaluation of the dizziness handicap inventory in an outpatient vestibular clinic. Son EJ, Lee DH, Oh JH, Seo JH, Jeon EJ (2015) Correlation between the dizziness handicap inventory and balance performance during the acute phase of unilateral vestibulopathy. Arch Otolaryngol Head Neck Surg 116(4):424–427 Jacobson GP, Newman CW (1990) The development of the Dizziness Handicap Inventory. Therefore, the DHI does not correlate with vestibular tests, and neither reflects the presence nor severity of peripheral vestibular deficits. There was no significant correlation between DHI and postural sway on posturography. DHI of patients with deficits of canal or otolith function did not differ significantly from those with no deficits ( z = 2.153, p = 0.541). Patients with central vestibular disorders had higher DHI than those with peripheral ( z = − 4.743, p = 0.001) or functional disorders ( z = − 2.902, p = 0.004). No significant correlation was found between DHI and (1) vestibulo-ocular reflex parameters: unilateral weakness r = − 0.018, total calorics r = 0.055, vHIT right r = 0.007, vHIT left r = − 0.091, vHIT asymmetry r = 0.013 (2) otolith parameters: cVEMP amplitude right r = − 0.034, amplitude left r = − 0.004, asymmetry r = 0.016 oVEMP amplitude right r = 0.044, amplitude left r = − 0.007, asymmetry r = − 0.008. We prospectively evaluated 799 patients with precise vestibular diagnoses using video head impulse testing (vHIT), caloric irrigation, and cervical/ocular vestibular-evoked myogenic potentials (c/oVEMP). We also correlated the DHI and posturography. Secondarily, we compared DHI among different vestibular disorders (central, peripheral and functional), and different types of anatomic deficits (semicircular canal vs otolithic). Our primary study objective is to evaluate the correlation between the DHI and measurable vestibular parameters. However, patients with chronic vestibular diseases may manifest various degrees of behavioural and physiological adaptation resulting in variances of the DHI. The Dizziness Handicap Inventory (DHI) is believed to quantitate the handicap related to the presence or severity of underlying vestibular dysfunction.
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