The VVAS is a visual analog scale that rates the intensity of visual vertigo in nine challenging situations of visual motions that typically provoke dizziness.
9
5-10 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: 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 vestibular diagnosis
|
|
Peripheral |
Central |
Benign Paroxysmal Positional Vertigo (BPPV) |
Other |
|
Vesstibular 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) |
|
Vestibular EDGE |
No |
Yes |
Yes |
Yes |
The measure has good clinical utility. However, there is limited research into the psychometric properties of this tool.
Do you see an error or have a suggestion for this instrument summary? Please e-mail us!
102 individuals with vestibulopathy (BPPV without balance impairment, BVH and central origin dizziness excluded)
Excellent Internal Consistency (Cronbach alpha = 0.94)
102 individuals with vestibulopathy (BPPV without balance impairment, BVH and central origin dizziness excluded)
Excellent predictive validity between VVAS and total DHI (r = 0.67, p < 0.0001) as well as VAS and functional (r = 0.71, p < 0.0001), emotional (r = 0.65, p < 0.0001) and Adequate predictive validity with physical DHI subscale score (r = 0.45, p < 0.0001).
Dannenbaum, E., Chilingaryan, G., et al. (2011). "Visual vertigo analogue scale: an assessment questionnaire for visual vertigo." J Vestib Res 21(3): 153-159. Find it on PubMed
Eleftheriadou, A., Skalidi, N., et al. (2012). "Vestibular rehabilitation strategies and factors that affect the outcome." European Archives of Oto-Rhino-Laryngology 269(11): 2309-2316.
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.