Dizziness handicap inventory- in a group of patients undergoing customized vestibular rehabilitation

PURPOSE: to describe the results obtained from the application of the DHI, pre and post customized vestibular rehabilitation in order to verify the efficiency of rehabilitation in this population. METHODS: the sample consisted of 10 patients with symptoms caused by disorders of the vestibular system and diagnosis of chronic vestibular dysfunction. These patients were evaluated for physical, emotional and functional aspects using the Dizziness Handicap Inventory pre and post customized vestibular rehabilitation. RESULTS: on the pre Dizziness Handicap Inventory it was verified that the physical aspects was the most highly scored, followed by the emotional and functional. Vestibular rehabilitation was effective, since there was a decrease in complaints concerning quality of life and better results in all the aspects evaluated in Dizziness Handicap Inventory post rehabilitation, only one patient reported improvement in emotional and functional, and worsening of the physical aspects. CONCLUSION: The Dizziness Handicap Inventory, Brazilian version, applied pre and post customized vestibular rehabilitation proved to be an efficient test to monitor patients undergoing vestibular rehabilitation, this device was able to show significant improvement in symptoms of chronic vertigo, and improved the quality of life of the patients in this study.

【研究目的】本研究旨在描述定制化前庭康复干预前后应用眩晕残障量表（Dizziness Handicap Inventory, DHI）所得的评估结果，以验证该康复方案对目标人群的有效性。
【研究方法】本研究纳入10例因前庭系统紊乱引发症状且确诊为慢性前庭功能障碍的患者。在定制化前庭康复干预前后，均采用眩晕残障量表对受试者的躯体、情绪及功能状态进行评估。
【研究结果】干预前的眩晕残障量表评估结果显示，躯体维度得分最高，其次为情绪维度与功能维度。前庭康复干预具有显著效果：干预后受试者的生活质量相关主诉显著减少，且眩晕残障量表各维度评估结果均得到改善；仅1例患者的情绪与功能状态有所提升，但躯体维度出现恶化。
【研究结论】在定制化前庭康复干预前后应用巴西版眩晕残障量表，可有效监测接受前庭康复治疗的患者状态；本研究证实该评估工具能够准确反映慢性眩晕患者的症状改善情况，并显著提升受试者的生活质量。