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DHI · Dizziness Handicap Inventory

25 items · 6 min · 0–100 · lower is better

1 Before you use it

What it is

Twenty-five items across physical, emotional and functional subscales, measuring the handicap dizziness imposes rather than the dizziness itself.

When to reach for it

Cervicogenic dizziness, and dizziness reported alongside a neck presentation or whiplash.

The screening question comes first, not the questionnaire. Dizziness with a cervical presentation means the CAD/VBI history and the 5 D's and 3 N's before anything else — this instrument measures a problem you have already decided is safe to treat.

2 Giving it

Scoring

Yes (4), sometimes (2), no (0), summed to 0–100. Higher means more handicap. Report the three subscales.

What it doesn’t measure

It does not distinguish cervicogenic from vestibular or central causes, and it is not a screen for anything dangerous. Do the safety work first.

3 Reading the score

Interpreting it

Interpret against baseline.

A high emotional subscale with a modest physical one is a common and important pattern — the fear of the next episode outlasting the episodes.

Is the change real?

MDC 18 points — a smaller change is measurement error. Compare the change against this patient's own baseline as well as the figure. SourceMeasured in dizziness and vestibular disorders.

Student trap. Handing this out before you've done the CAD screen. Measuring the handicap of a symptom you haven't yet made safe is the wrong order.

Official source: null. We don't host the form.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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