Robertson D D, Ireland D J
Department of Otolaryngology, University of Manitoba, Winnipeg.
J Otolaryngol. 1995 Apr;24(2):118-24.
To assess the handicapping effect of dizziness related to posture and balance, the Dizziness Handicap Inventory (DHI) and Computerized Dynamic Posturography (CDP) were used to assess 101 consecutive patients referred for neurotologic evaluation of dizziness. Most patients, regardless of diagnosis, related some level of preexisting handicap, most often in the DHI Physical subscale. Generally, females and patients with bilateral lesions scored higher in all DHI subscales. No clinically useful correlations emerged between DHI and CDP testing, although DHI scores were marginally higher for patients failing CDP conditions. Functional balance ability could not be correlated with patient handicap, but a literature review suggests that the desynchrony between dizziness signs and symptoms may be related to underlying patient anxiety and differences in coping strategies.
为评估与姿势和平衡相关的头晕的致残效应，采用头晕残障量表（DHI）和计算机化动态姿势描记法（CDP）对101例因头晕接受神经耳科评估的连续患者进行评估。大多数患者，无论诊断如何，都存在一定程度的既往残障，最常见于DHI身体亚量表。一般来说，女性和双侧病变患者在所有DHI亚量表上得分更高。尽管在CDP测试中未通过的患者DHI得分略高，但DHI与CDP测试之间未出现具有临床意义的相关性。功能平衡能力与患者残障无关，但文献综述表明，头晕体征和症状之间的不同步可能与潜在的患者焦虑和应对策略差异有关。
