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Related Experiment Video

Updated: Feb 13, 2026

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The Dizziness Handicap Inventory does not correlate with vestibular function tests: a prospective study.

Chun Wai Yip1,2, Michael Strupp3

  • 1Department of Neurology, National Neuroscience Institute, Singapore General Hospital Campus, Singapore, Singapore. yip.chun.wai@singhealth.com.sg.

Journal of Neurology
|March 21, 2018
PubMed
Summary

The Dizziness Handicap Inventory (DHI) does not correlate with objective vestibular function tests. This study found no link between DHI scores and vestibular parameters or postural sway, suggesting it may not accurately reflect vestibular deficits.

Keywords:
Caloric testingDizziness Handicap InventoryVestibular-evoked myogenic potentialVideo head impulse test

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Area of Science:

  • Otolaryngology
  • Neurology
  • Vestibular Science

Background:

  • The Dizziness Handicap Inventory (DHI) is widely used to assess handicap from vestibular dysfunction.
  • However, patient adaptation to chronic vestibular conditions may influence DHI scores.
  • The relationship between DHI and objective vestibular measurements requires further investigation.

Purpose of the Study:

  • To evaluate the correlation between the DHI and measurable vestibular parameters.
  • To compare DHI scores across different vestibular disorder types (central, peripheral, functional) and anatomical deficits (semicircular canal vs. otolithic).
  • To assess the correlation between DHI and posturography findings.

Main Methods:

  • Prospective evaluation of 799 patients with confirmed vestibular diagnoses.
  • Utilized video head impulse testing (vHIT), caloric irrigation, and vestibular-evoked myogenic potentials (c/oVEMP).
  • Posturography was performed on 84 patients; all participants completed the DHI.

Main Results:

  • No significant correlation was found between DHI scores and vestibulo-ocular reflex (vHIT, calorics) or otolith (cVEMP, oVEMP) parameters.
  • Patients with central vestibular disorders reported higher DHI scores compared to those with peripheral or functional disorders.
  • No significant correlation was observed between DHI and postural sway, nor did DHI differ significantly between patients with or without semicircular canal or otolithic deficits.

Conclusions:

  • The DHI does not correlate with objective vestibular function tests, including vHIT, caloric irrigation, and VEMPs.
  • The DHI may not accurately reflect the presence or severity of peripheral vestibular deficits.
  • Higher DHI scores in central vestibular disorders warrant further investigation into the nature of handicap in these conditions.