Dizziness Handicap Inventory (DHI)
25-item self-report (Jacobson 1990). Functional, emotional and physical sub-scales. Each item: No (0), Sometimes (2), Yes (4). Total 0–100. Pick severity band — for full score use DHI form.
Score interpretation
→ Reassurance, education, vestibular self-rehabilitation (Cawthorne-Cooksey).
→ Vestibular rehabilitation therapy referral. Investigate cause (BPPV: Dix-Hallpike + Epley; vestibular migraine; Ménière's).
→ Urgent neuro-otology / ENT referral. Audiometry, VNG, MRI brain/IAM. Consider vestibular migraine prophylaxis, intratympanic gentamicin/steroid for refractory Ménière's, surgical options for BPPV.
Interpretation bands for the DHI. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.