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Instrument Reviewers

Initially reviewed by Jennifer Fay, PT, DPT, NCS and Tracy Rice, PT, MPH, NCS and the Vestibular EDGE task force of the Neurology section of the APTA

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:  

Recommendations for use based on acuity level of the patient:

Recommendations based on level of care in which the assessment is taken:

Recommendations for use based on ambulatory status after brain injury:

Recommendations based on vestibular diagnosis

Recommendations for entry-level physical therapy education and use in research:

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)

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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.