Table 3.
Comparison of Items in the Four Most Commonly Used Patient-Reported Instruments to Measure the Effectiveness of Vestibular Rehabilitation
| Domain | Measure | DHI | ABC | VSS | VAS |
|---|---|---|---|---|---|
| Item Inventory | 25 | 16 | 15 | 9 | |
| Activity | Difficult to walk around house/alone | X | X | ||
| Standing on chair and reaching for something or reaching overhead |
X | ||||
| Reaching at eye level or below | X | ||||
| Using an escalator holding the rail | X | ||||
| Using an escalator holding a parcel | X | ||||
| Using an elevator | X | ||||
| Walking up or down a ramp | X | ||||
| Walking on icy sidewalks | X | ||||
| Bending over | X | X | |||
| Getting into or out of a car | X | ||||
| Walking in open spaces | X | ||||
| Walking on uneven surfaces | X | ||||
| Walking on even surfaces or sidewalks | X | X | |||
| Restricts travel | X | ||||
| Being a passenger in a car | X | ||||
| Walking in crowds | X | X | |||
| Difficulty looking up | X | ||||
| Walking down grocery aisle | X | X | |||
| Difficult to walk in the dark at home | X | ||||
| Avoids heights | X | ||||
| Difficulty with quick movements | X | ||||
| Difficulty with turning over in bed | X | ||||
| Difficulty being under fluorescent lights | X | ||||
| Watching traffic at a busy intersection | X | ||||
| Walking over patterned floor | X | ||||
| Watching action TV | X | ||||
| Bumped by people while walking in crowd | X | ||||
| Walking up or down steps | X | ||||
| Difficulty getting into/out of bed | X | ||||
| Difficulty with homework/yard work/ heavy household chores |
X | X | |||
| Participation | Stress on relationships | X | |||
| Interferes with work | X | ||||
| Difficulty with sports, dancing, chores | X | ||||
| Difficulty reading | X | ||||
| Watching a movie at the theatre | X | ||||
| Restricts social activity | X | ||||
| Afraid to leave home independently | X | ||||
| Embarrassed in front of others | X | ||||
| Afraid of seeming intoxicated | X | ||||
| Afraid to stay home alone | X | ||||
| Body Functions and Structures |
Depressed | X | |||
| Frustration | X | ||||
| Difficulty concentrating | X | ||||
| Feels handicapped | X | ||||
| Vertigo < 20 min | X | ||||
| Vertigo > 20 min | X | ||||
| Nausea/vomiting | X | ||||
| Feeling dizzy, disoriented, “swimmy” lasting all day | X | ||||
| Unable to stand/walk without support or sway | X | ||||
| Feeling unsteady, about to lose balance, lasting < 20 min |
X | ||||
| Feeling unsteady, about to lose balance, lasting > 20 min |
X | ||||
| Feeling dizzy, disoriented, “swimmy” lasting < 20 min | X | ||||
| Chest pain | X | ||||
| Palpitations | X | ||||
| Headache/pressure in head | X | ||||
| Dyspnea | X | ||||
| Vomiting | X | ||||
| Diaphoresis | X | ||||
| Pre-syncopal symptoms | X |