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- Rehabilitation Measures Database
- Disability Rating Scale / Disability Scale (Vestibular Disorders)
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Purpose
A self-report scale in which the individual is asked to rate their level of disability based on descriptions of symptoms and limited activities.
Area of Assessment
Activities of Daily Living
Balance – Vestibular
Functional Mobility
General Health
Occupational Performance
Assessment Type
Patient Reported Outcomes
Administration Mode
Paper & Pencil
Cost
Free
Diagnosis/Conditions
- Vestibular Disorders
Populations
Vestibular Disorders
Key Descriptions
- Six-point scale from 0 to 5:
A) 0 indicates no disability
B) 5 indicates long-term, severe disability - Patients asked to check one statement that best described how they felt about their symptoms.
Number of Items
6
Equipment Required
- Score Sheet
- Pen
Time to Administer
5minutes
Required Training
Reading an Article/Manual
Age Ranges
Adult
18 - 64
years
Elderly Adult
65 +
years
Instrument Reviewers
Initially reviewed byJennifer Fay, PT, DPT, NCS and Tracy Rice, PT, MPH, NCS and the Vestibular EDGE task force of the Neurology section of the APTA
Body Part
Head
ICF Domain
Activity
Participation
Measurement Domain
Activities of Daily Living
General Health
Professional Association Recommendation
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations
Abbreviations: | |
HR | Highly Recommend |
R | Recommend |
LS / UR | Reasonable to use, but limited study in target group/ Unable to Recommend |
NR | Not Recommended |
Recommendations for use based on acuity level of the patient:
Acute (CVA < 2 months post) (SCI < 1 month post) (Vestibular < 6 weeks post) | Subacute (CVA 2 to 6 months) (SCI 3 to 6 months) | Chronic (> 6 months) (Vestibular > 6 weeks post) | |
Vestibular EDGE | LS | LS | LS |
Recommendations based on level of care in which the assessment is taken:
Acute Care | Inpatient Rehabilitation | Skilled Nursing Facility | Outpatient Rehabilitation | Home Health | |
TBI EDGE | LS | R | LS | R | LS |
Recommendations for use based on ambulatory status after brain injury:
Completely Independent | Mildly dependant | Moderately Dependant | Severely Dependant | |
TBI EDGE | N/A | N/A | N/A | N/A |
Recommendations based on vestibular diagnosis
Peripheral | Central | Benign Paroxysmal Positional Vertigo (BPPV) | Other | |
Vestibular EDGE | LS | LS | LS | LS |
Recommendations for entry-level physical therapy education and use in research:
Students should learn to administer this tool? (Y/N) | Students should be exposed to tool? (Y/N) | Appropriate for use in intervention research studies? (Y/N) | Is additional research warranted for this tool (Y/N) | |
TBI EDGE | No | Yes | Yes | Not reported |
Vestibular EDGE | No | yes | No | Yes |
Considerations
There is limited evidence for reliability, validity, sensitivity/specificity for this measure.Although predictive validity not formally studied, the pre-therapy disability score can indicate prognosis for post-therapy disability score.Patients that had a pretherapy disability score of 5 showed the most resistance to change after therapy.Level of disability, as measured by the disability rating scale, decreases with vestibular rehabilitation (from 3.0 pretherapy to 1.4 posttherapy) and 80% of patients had a decrease in their disability score of at least 1 level with therapy.(Shepard et al., 1990; Shephard et al., 1993).
The mean pretherapy disability score as compared to the post-therapy score were significantly different at the p < 0.001 level (n = 94; Shepard et al., 1990)
Do you see an error or have a suggestion for this instrument summary? Pleasee-mail us!
Vestibular Disorders
back to PopulationsStandard Error of Measurement (SEM)
(Hall and Herdman, 2006)
- Calculated SEM = 0.82
Minimal Detectable Change (MDC)
(Hall and Herdman, 2006)
- Calculated MDC = 2.27
Cut-Off Scores
(Shepard et al., 1990; 1993)
- Scores of 5 correlated with poor outcome
Test/Retest Reliability
Vestibular Dysfunction:
(Hall and Herdman, 2006;n=16, mean age = 51.8 years±13.4 years)
- Excellenttest-retest reliability for Disability score (ICC = 0.96)
Bibliography
Clendaniel, R. A. (2000). "Outcome measures for assessment of treatment of the dizzy and balance disorder patient." Otolaryngologic Clinics of North America 33(3): 519-533.
Hall, C. D. and Herdman, S. J. (2006). "Reliability of clinical measures used to with peripheral vestibular disorders." Journal of Neurologic Physical Therapy 30(2): 74-81.
Shepard, N., Telian, S., et al. (1993). "Vestibular and balance rehabilitation therapy." The Annals of otology, rhinology, and laryngology 102(3 Pt 1): 198-205.
Shepard, N. T., Telian, S. A., et al. (1990). "Habituation and balance retraining therapy: a retrospective review." Neurologic Clinics.
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