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. Author manuscript; available in PMC: 2015 Feb 1.
Published in final edited form as: Arch Phys Med Rehabil. 2014 Oct 8;96(2):357–365. doi: 10.1016/j.apmr.2014.09.017

Table 2.

Top Four Most Commonly Used Patient-Related Outcomes for Research in Vestibular Rehabilitation

Name of
Measure
Items Development Psychometric properties Number
of
Studies
Using
Scale
Initial
Development
Methods
used to
develop
instrument
Population in which
instrument was
validated
Target
Population
Test-
retest
reliability
Content validity Construct
validity
Criterion
validity
Dizziness
Handicap
Inventory
25 Jacobson and
Newman
(1990)19
Case history
reports
Initial instrument
development: 25
males and 38
females (mean age
49 years, range 21-
82) with dizziness
prior to vestibular
testing; Instrument
refinement: 40
males and 66
females (mean age
48 years, range 15-
85) with dizziness
occasionally,
frequently, or
continuously
Individuals
with dizziness
referred for
vestibular
testing
0.97 Bilateral
peripheral
vestibular loss is
associated with
lower self-
perceived
handicap in
balance
compared to
individuals with
balance
problems but
normal balance
tests28
Negative
correlation
between DHI
and ABC in the
elderly (r=0.64;
age range 26-
88 years)29
ABC (r=−
0.64)29
Short-form
36 health
survey (SF-
36; r=0.53-
0.72)30
57
Activities-
specific
Balance
Confidence
16 Powell and
Myers
(1995)20
Interviews
with physical
and
occupational
therapists
and patients
17 males and 43
females over 65
years of age with
high mobility (mean
age 71 years) or low
mobility (mean age
78 years) living in
the community
Older
individuals
with balance
impairments
0.92 Assessed as part
of development;
physical and
occupational
therapists
identified most
important
activities
applicable to
elderly persons
Falls efficacy
scale (r=−0.33)
Physical
self-
efficacy
(r=0.49)
PANAS
(r=0.12)
14
Vertigo
Symptom
Scale Short
Form
15 Yardley et al
(1992)21
Patient
interviews
and literature
review
50 males and 77
females (mean age
46.5 years, range
18-80) with a
complaint of vertigo
presenting to a
neurology neuro-
otology clinic
Individuals
with vertigo
referred to a
neurology
neuro-
otology clinic
0.89-0.98 Not reported Vestibular
Rehabilitation
Benefit
Questionnaire
(r=0.45)
Vertigo
Handicap
Questionnaire
(r=0.19-0.41)31
VSS and
Beck
Depression
Inventory
(r=0.55)
Poor in
VSS and
SF-3632
14
Vertigo
Visual
Analogue
Scale
9 Kammerlind
et al (2005)22
Based on pain
visual analog
scale
26 males and 24
females (mean age
63 years, range 29-
85) with acute
unilateral peripheral
vestibular loss or
central vestibular
dysfunction
presenting to a
neurology or
otolaryngology clinic
Individuals
with
peripheral or
central
vestibular
impairment
0.85-0.96 Not reported DHI and VAS:
r=0.67
DHI subscale
and VAS33
  1. Functional: r=0.71

  2. Emotional: r=0.65

  3. Physical: r=0.45

Not
reported
26