The VAS is designed to measure perceived level of dizziness while sitting quietly and then following one minute of horizontal head movement at 1Hz.
2
Two items for each scale: sitting, and while walking.
5 minutes
Adult
18 - 64
yearsElderly Adult
65 +
yearsInitially 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.
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:
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Abbreviations: |
|
|
HR |
Highly Recommend |
|
R |
Recommend |
|
LS / UR |
Reasonable to use, but limited study in target group / Unable to Recommend |
|
NR |
Not Recommended |
Recommendations based on level of care in which the assessment is taken:
|
|
Acute Care |
Inpatient Rehabilitation |
Skilled Nursing Facility |
Outpatient Rehabilitation |
Home Health |
|
MS EDGE |
R |
R |
R |
R |
R |
Recommendations based on EDSS Classification:
|
|
EDSS 0.0 – 3.5 |
EDSS 4.0 – 5.5 |
EDSS 6.0 – 7.5 |
EDSS 8.0 – 9.5 |
|
MS EDGE |
R |
R |
R |
R |
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) |
|
MS EDGE |
Yes |
Yes |
Yes |
No |
There is very limited data regarding validity of this measure as compared to other measures used in the vestibular population. However, it does provide a scale for patients to rate how severe their symptoms are.
Do you see an error or have a suggestion for this instrument summary? Please e-mail us!
Head Movement VAS:
SEM calculated from Hall, Herdman 2006
Perceived visual blurring/Degree of oscillopsia (oVAS):
(Herdman et al, 2007):
Not Established
Disequilibrium (dVAS):
(Herdman et al, 2007)
Not Established (unable to calculate)
Visual Analog Scale (Vertigo), Visual Analog Scale (Dizziness):
(Toupet M, Ferrary E, Bozorg Grayeli A.)
Not Established
Head Movement VAS (HM VAS):
(Hall and Herdman, 2006)
Perceived visual blurring/Degree of oscillopsia (oVAS):
(Herdman et al, 2007):
Not Established (unable to calculate)
Disequilibrium (dVAS):
(Herdman et al 2007)
Not Established (unable to calculate)
Visual Analog Scale (Vertigo), Visual Analog Scale (Dizziness):
(Toupet M, Ferrary E, Bozorg Grayeli A.)
Head Movement Visual Analog Scale:
(Hall & Herdman, 2006)
Perceived visual blurring/Degree of oscillopsia (oVAS):
(Herdman et al., 2007) (Herdman et al., 2003)
Disequilibrium (dVAS):
(Herdman et al., 2007) (Herdman et al., 2003)
Visual Analog Scale (Vertigo), Visual Analog Scale (Dizziness):
(Toupet M, Ferrary E, Bozorg Grayeli A.)
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.
Herdman, S. J., Hall, C. D., et al. (2007). "Recovery of dynamic visual acuity in bilateral vestibular hypofunction." Arch Otolaryngol Head Neck Surg 133(4): 383-389.
Herdman, S. J., Schubert, M. C., et al. (2003). "Recovery of dynamic visual acuity in unilateral vestibular hypofunction." Arch Otolaryngol Head Neck Surg 129(8): 819-824.
Toupet, M., Ferrary, E., et al. (2011). "Visual analog scale to assess vertigo and dizziness after repositioning maneuvers for benign paroxysmal positional vertigo." J Vestib Res 21(4): 235-241.
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.