Publication:
Dizziness handicap inventory scores in aiding the diagnosis between horizontal and posterior canal benign paroxysmal positional vertigo

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Issued Date

2018

Resource Type

Article

File Type

application/pdf

ISSN

1252208

Other identifier(s)

2-s2.0-85055450262

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Journal of the Medical Association of Thailand. Vol 101, No.10 (2018), p.1437-1442

Suggested Citation

Mahasitthiwat V. Dizziness handicap inventory scores in aiding the diagnosis between horizontal and posterior canal benign paroxysmal positional vertigo. Journal of the Medical Association of Thailand. Vol 101, No.10 (2018), p.1437-1442. Retrieved from: https://hdl.handle.net/20.500.14740/5826

Title

Dizziness handicap inventory scores in aiding the diagnosis between horizontal and posterior canal benign paroxysmal positional vertigo

Author(s)

Mahasitthiwat V.

Abstract

Objective: To identify the Dizziness Handicap Inventory [DHI] scores and items that can be differentiated in benign paroxysmal positional vertigo [BPPV] patients between posterior canal BPPV [PCB] and horizontal canal BPPV [HCB]. Materials and Methods: A prospective cross-sectional study, the study subjects were patients presented at the otolaryngological clinic at HRH Princess Maha Chakri Sirindhorn Medical Center, Srinakharinwirot University, Thailand. The setting was a tertiary otolaryngology practice. The subjects were patients diagnosed with PCB or HCB using the Dix-Hallpike test and the supine roll test. All the patients completed DHI forms at their first visit prior to consultation and at the last visit. All cases were treated with proper maneuver and followed-up until satisfactory clinical improvements and absence of positional induced nystagmus. Results: Sixty-four patients had PCB, 50 had HCB during the study period between April 2015 and March 2017. The average DHI scores for PCB and HCB were 38.91±22.21 and 48.12±19.55 (p-value 0.022), respectively. The p-values of the differences in the average functional items, emotional items, and physical items between both groups were 0.028, 0.061, and 0.026, respectively. Significant difference in the items with p-value <0.01 were item 7 (function, difficulty reading) and 23 (emotion, depression). Significant difference with p-value <0.001 was the combination of item 7 and 23. Conclusion: The DHI scores of BPPV were higher for HCB than PCB. Moreover, the patients with BPPV who had the positive values of items 7 and 23 may provide physicians with clue to look for HCB. © 2018, Medical Association of Thailand. All rights reserved.

Subject(s)

Adult
 Article
 Benign paroxysmal positional vertigo
 Cronbach alpha coefficient
 Cross-sectional study
 Diagnostic accuracy
 Dizziness Handicap Inventory Score
 Emotion
 Female
 Functional status
 Head injury
 Hemifacial atrophy
 Horizontal canal benign paroxysmal positional vertigo
 Human
 Major clinical study
 Male
 Middle aged
 Nystagmography
 Nystagmus
 Physical performance
 Positional vertigo
 Posterior canal benign paroxysmal positional vertigo
 Predictive value
 Prospective study
 Questionnaire
 Scoring system
 Sensitivity and specificity
 Supine position
 Visual analog scale

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URI

https://hdl.handle.net/20.500.14740/5826

Collections

Scopus: Year 1983-2021

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