Translation of Dizziness Handicap Inventory Scale Into Local Languages of Pakistan
Translation of Dizziness Handicap Inventory Scale Into Local Languages of Pakistan
The aim of the present study is to translate the Dizziness Handicap Inventory Scale into
 Urdu, Pashto, Punjabi, Sindhi and Balochi languages. Along with validation of the translated
 versions by evaluating their validity and reliability in the people of Pakistan, speaking
 respective languages and suffering from vertigo and dizziness. No such study has been
 previously conducted in the Pakistan region which translates the scale and follows the proper
 cross-culture adaptation.
Dizziness is one of the most common symptoms of many diseases that not only affects the daily
 activities of the patient but also negatively alters their jobs and functions. Moreover,
 mostly the patients having dizziness due to vestibular causes are known to face more problems
 as compared to the others. A precisely valid and reliable tool has been already designed for
 the measurement of dizziness while keeping the common complaints of patients in mind. The
 dizziness handicap inventory (DHI) was introduced in 1990 by Jacobson and Newman. The
 mentioned questionnaire comprises 25 questions that categorize the dizziness effects in three
 main areas namely; functional (9 questions, 36 points), emotional (9 questions, 36 points)
 and physical (7 questions, 28 points). The maximum score is 100 and the minimum is 0. The
 higher the score, the greater handicap is considered. It has high internal consistency. This
 tool is widely used in clinical setups to evaluate the condition of the patients and
 determine the levels to which their quality of life has been affected by dizziness.
 Additionally, it is very easy to be filled and hardly takes 10 minutes at maximum. The DHI is
 highly compatible with the international classification of functioning, disability and health
 tool, which was standardized by WHO in 2001 for measuring the effects of various diseases.
 The aim of DHI is to evaluate the self-perceived handicap effects of dizziness. The target
 population are the patients suffering from dizziness due to brain injuries, multiple
 sclerosis and vestibular disorders.

 Since 1990, the DHI has been translated into various languages in order to make its
 application better. Some examples of the translated languages include Arabic, Brazilian,
 Spanish, Chinese, Italian, Dutch, French, Norwegian, and German. All of these translated
 versions have been proved to be very useful, with high validity, reliability and internal
 consistency.

 Thus, The DHI is considered the most beneficial questionnaire for the evaluation of dizziness
 and unsteadiness, especially related to vestibular rehabilitation. However, this
 questionnaire does not have any versions that can be utilized in Pakistan such as Urdu,
 Pushto, Punjabi, Sindhi and Balochi. The purpose of this study is to translate the DHI into
 Urdu, Pushto, Punjabi, Sindhi and Balochi languages and then evaluating the validity and
 reliability of these versions in order to make this questionnaire available for research and
 clinics for the population of Pakistan.
Inclusion Criteria:

 -  The patient suffering from vertigo and dizziness for at least 1 month and

 -  The ability to walk independently or do their routine tasks will be included in the
 study.

 -  Patients should be capable to complete the questionnaire without any help.

 Exclusion Criteria:

 -  Patients suffering from blindness,

 -  musculoskeletal abnormalities,

 -  neurologic disorder, or paralysis in ENT or neurologic evaluation by ENT and

 -  neurologist will be excluded from the study.

 -  Also, if the patients are unable to cooperate then, they will also be excluded.