Abstract
IntroductionHealth-related quality of life is used to denote that portion of the quality of life that is influenced by the person's health. ObjectivesTo compare the health-related quality of life of individuals with vestibular disorders of peripheral origin by analyzing functional, emotional and physical disabilities before and after vestibular treatment. MethodsA prospective, non randomized case-controlled study was conduced in the ENT Department, between January 2015 and December 2015. All patients were submitted to customize a 36 item of health survey on quality of life, short form 36 health survey questionnaire (SF-36) and the Dizziness Handicap Inventory for assessing the disability. Individuals were diagnosed with acute unilateral vestibular peripheral disorders classified in 5 groups: vestibular neuritis, Ménière Disease, Benign Paroxysmal Positional Vertigo, cochlear-vestibular dysfunction (other than Ménière Disease), or other type of acute peripheral vertigo (as vestibular migraine). ResultsThere was a statistical significant difference for each parameter of Dizziness Handicap Inventory score (the emotional, functional and physical) between the baseline and one month both in men and women, but with any statistical significant difference between 7 days and 14 days. It was found a statistical significant difference for all eight parameters of SF-36 score between the baseline and one month later both in men and women; the exception was the men mental health perception. The correlation between the Dizziness Handicap Inventory and the SF-36 scores according to diagnostics type pointed out that the Spearman's correlation coefficient was moderate correlated with the total scores of these instruments. ConclusionThe Dizziness Handicap Inventory and the SF-36 are useful, proved practical and valid instruments for assessing the impact of dizziness on the quality of life of patients with unilateral peripheral vestibular disorders.
Highlights
Health-related quality of life is used to denote that portion of the quality of life that is influenced by the person’s health
The aim of this study was to determinate the relationship between disability and Health-Related Quality of Life (HRQoL) in patients with acute unilateral vertigo of peripheral origin by analyzing functional, emotional, and physical disabilities before and after vestibular treatment
The unilateral vestibular peripheral disorders were classified by type of peripheral vestibular disturbance in 5 groups: vestibular neuritis, Ménière disease, Benign Paroxysmal Positional Vertigo (BPPV), cochlear-vestibular dysfunction, or other type of acute peripheral vertigo
Summary
Health-related quality of life is used to denote that portion of the quality of life that is influenced by the person’s health. Objectives: To compare the health-related quality of life of individuals with vestibular disorders of peripheral origin by analyzing functional, emotional and physical disabilities before and after vestibular treatment. Vertigo or dizziness is one of the most common conditions that brings patients to emergency and its incidence increases with age.[2] Despite a lifetime prevalence of dizziness and vertigo estimated at 20---30% and 1-year prevalence estimate for vertigo of 4.9%, the healthcare burden of vertigo is still relatively under-reported due to the unpredictability of attacks and the nature of the disease.[3] An individual’s progress or lack of progress in vestibular rehabilitation is usually measured by observing changes in motion intolerance, balance, functional abilities and more recently, health-related quality of life.[4] Currently available conventional diagnostic tests (i.e. bed-side vestibular examination, videonystagmography, caloric and rotational tests, and posturography) are inadequate for evaluating the debilitating effects associated with vestibular disorders.[5] various questionnaires (such as General Depression Scale, Strait-Trait Anxiety Index, Dynamic Gait Index, the Functional Gait Assessment, the Balance Error Scoring System)[6] have been developed in an attempt to quantify the self-perceived health status in vestibular patients with dizziness and imbalance
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