Background: Cervicogenic dizziness is a nonspecific sensation of disequilibrium in the space. Abnormal proprioceptive inputs from the cervical spine and neck muscles may induce cervicogenic dizziness. Trigger-point activation of the suboccipital muscles may be related to cervicogenic dizziness. This case study aimed to present a case of cervicogenic dizziness after humerus fracture. Case Report: The present case report describes a 38-year-old man who was referred for physiotherapy to restore the motion of his right shoulder after surgery for a humerus fracture. The patient reported dizziness after the shoulder surgery. The patient had no medical problems that could induce dizziness. Physical examination revealed a trigger point activation of the suboccipital muscles. Myofascial release and chin-tuck exercises were performed, and the patient reported improvement in dizziness. Trigger point activation of the suboccipital muscles in this patient may be related to abnormal head posture during shoulder surgery and/or impaired scapulohumeral rhythm and overactivity of the cervical muscles participating in shoulder elevation. Conclusion: The possibility of cervicogenic dizziness should be considered after humeral fractures.

Introduction: The present study was designed to investigate the psychometric properties of the Persian version of the Dizziness Handicap Inventory (P-DHI). In addition, this research was targeted toward assessing the association of P-DHI with Medical Outcome Study 36-Item Short Form Health Survey (SF-36) and Hospital Anxiety and Depression Scale (HADS). The current study also involved a comparison of the scores of patients and healthy participants and implementation of a factor analysis. Materials and Methods: This cross-sectional study was conducted on 113 patients with dizziness and 30 healthy individuals referring to tertiary centers for otolaryngology and neurology, affiliated to Guilan University of Medical Sciences, Rasht, Iran. The mean age of the patients was 44. 5± 13. 6 years. All patients recompleted the P-DHI after 2 weeks. Internal consistency and reproducibility of the inventory were evaluated using the Cronbach’ s alpha coefficient, Bland-Altman limits of agreement, and intraclass correlation coefficients. In addition, the relationships of the P-DHI with SF-36 and HADS were evaluated using the Spearman correlation coefficient. An exploratory factor analysis was also run to determine the factor structure of the questionnaire. Results: The Cronbach’ s alpha coefficient of P-DHI scale was obtained as 0. 86. In addition, the functional, physical, and emotional subscales of this instrument had the Cronbach’ s alpha coefficients of 0. 76, 0. 52, and 0. 80, respectively. The limits of agreement were 16 points for the total scale, and the range of intraclass correlation coefficients was 0. 90-0. 96. The P-DHI showed a fair correlation with vertigo severity which assesses functional disability subscale. This scale also demonstrated a moderate correlation with SF-36 and HADS. Factor analysis revealed a 2-factor solution which was different from the factor structure of the original DHI. Conclusion: As the findings indicated, the P-DHI had good psychometric properties; therefore, it could serve as a useful tool for measuring disability in patients with dizziness and unsteadiness.