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1

Paruchuri, Mounika* Veeragandam Satyanarayana Shaik Mabu Subhani Chevula Nikhila Gangisetty Sampath Manchala Vamsi Vardhan. "The Role of Pain Scales in The Assessment of Pain." International Journal of Pharmaceutical Sciences 3, no. 2 (2025): 322–26. https://doi.org/10.5281/zenodo.14810676.

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The purpose of this study is to examine the literature on the Visual Analogue Scale, Verbal Rating Scale, and Numerical Rating Scale—three widely used pain rating scales. The evaluation offers the details required to comprehend the scales' primary characteristics. It is easy to misinterpret data produced by pain-rating scales. Clinicians can make appropriate use of these tools by understanding their key aspects with the aid of this review.  A Medline review using PubMed was conducted without regard to the age of the papers that were retrieved. Before being included, papers were reviewed for methodological soundness. The original search terms were Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), Numerical/numeric Rating Scale (NRS), pain rating scales, pain measurement, and VAS. Additional papers and search phrases were produced using the reference lists of the articles that were obtained. Only papers written in English were looked at. Although the Visual Analogue Scale presents more practical challenges than either the Verbal Rating Scale or the Numerical Rating Scale, all three pain-rating measures are valid, dependable, and suitable for use in clinical practice. The Numerical Rating Scale produces data that can be statistically analysed  for auditing purposes and has good sensitivity for general uses. It is likely that patients who are looking for a sensitive pain rating scale would select this one. Patients like the Verbal Rating Scale for ease of use, however it is insensitive and the results it generates may be misinterpreted
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Haye, R., L. K. Døsen, M. Tarangen, and O. Shiryaeva. "Good correlation between visual analogue scale and numerical rating scale in the assessment of nasal obstruction." Journal of Laryngology & Otology 132, no. 4 (2018): 327–28. http://dx.doi.org/10.1017/s0022215118000257.

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AbstractObjective:Results from telephone interviews may be needed to supplement those from mailed questionnaires when response rates are inadequate. This study assessed the correlation between visual analogue scale ratings used in mailed questionnaires and numerical rating scale scores used in telephone interviews.Methods:Patients scheduled for nasal septal surgery routinely respond to a visual analogue scale of obstruction during the day and at night. In this study, they were also asked to verbally rate their sense of obstruction using whole numbers.Results:There was no significant difference between visual analogue scale and numerical rating scale obstruction scores.Conclusion:Ratings of nasal obstruction obtained with a numerical rating scale in telephone interviews are comparable to visual analogue scale scores in mailed questionnaires.
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Lbrahim Farooq Pasha, Atiq Ur Rehman, Asim Niaz Naqvi, Syed Junaid Ismail, Salman Ashfaq, and Muhammad Asad Qureshi. "Use of Numeric Rating Scale (NRS) as Visual Analogue Scale (VAS): Is this Clinically Significant?" Pakistan Armed Forces Medical Journal 73, no. 5 (2023): 1120–222. http://dx.doi.org/10.51253/pafmj.v73i5.4453.

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Objective: To analyze statistically significant differences between the Numeric Rating Scale (NRS) and Visual Analogue Scale (VAS) in low back pain (LBP) patients. Study Design: Prospective longitudinal Study. Place and Duration of Study: Orthopaedic and Spine Department, Combined Military Hospital, Peshawar Pakistan, from Sep 2019 to May 2020. Methodology: The study included two hundred one patients with low back pain presented to the Orthopedic and Spine OPD.All patients were asked to record their pain with a Visual Analogue Scale (VAS) at the start of the visit and a Numerical Rating Scale (NRS) at the exit, at approximately 5-7 minute intervals in the Outpatient Department. Results: Two hundred one patients were included in the study. The mean age of the patients was 41.5 years (range 15-75). Thecomparison of pain measurements with the Numerical Rating Scale (NRS) showed a mean of 7.408(SD1.853), whereas with the Visual Analogue Scale (VAS), it was 6.864 (SD1.954). This showed higher readings with NRS compared to VAS, with a mean difference of 0.544 (p-value was <0.001). Conclusion: The numerical Rating Scale (NRS) tends to produce higher pain readings than the Visual Analogue Scale (VAS). Treatment guidelines should be considered when interpreting studies that have used VAS interchangeably and wrongly reported it as NRS.
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Curtis, James A., James C. Borders, and Michelle S. Troche. "Visual Analysis of Swallowing Efficiency and Safety (VASES): Establishing Criterion-Referenced Validity and Concurrent Validity." American Journal of Speech-Language Pathology 31, no. 2 (2022): 808–18. http://dx.doi.org/10.1044/2021_ajslp-21-00116.

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Purpose: The primary aim of this study was to examine the criterion-referenced validity of the Visual Analysis of Swallowing Efficiency and Safety (VASES). As a secondary aim, we examined the concurrent validity of using verbal numerical ratings for VASES as a potential substitute for visual analog scale ratings. Method: Fifty-seven novice raters were prospectively recruited to rate 26 flexible endoscopic evaluations of swallowing (FEES) images (2 times each, randomized)—once using VASES and once using a criterion-referenced scale. Ratings were made for the valleculae, piriforms, epiglottis, laryngeal vestibule, vocal folds, and subglottis. Criterion validity was determined by examining the correlation between VASES and the criterion-referenced scales. The novice raters also provided visual analog scale ratings following verbal numerical ratings. Concurrent validity of using verbal numerical ratings as a potential substitute for visual analog scale ratings was determined by examining the correlation and absolute agreement between both rating methods. Results: Three thousand five hundred eighty-seven ratings were analyzed. Spearman's correlation revealed strong correlations between VASES ratings and criterion-referenced ratings across all anatomic landmarks (ρ = .882–.915). Lin's concordance revealed substantial agreement between numerical ratings and visual analog scale ratings (ρ c = .986). Conclusions: The strong correlations between VASES and the criterion-referenced scales suggest that VASES is a valid method for interpreting pharyngeal residue, penetration, and aspiration during FEES. Furthermore, numerical ratings exhibited substantial agreement with visual analog scales. This suggests that clinicians could provide verbal numerical ratings in lieu of visual analog scale ratings as a potential way to enhance the ease and feasibility of implementing VASES into clinical practice. Supplemental Material: https://doi.org/10.23641/asha.18737072
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Sánchez-Rodríguez, Elisabet, Elena Castarlenas, Rocío de la Vega, Roman Roset, and Jordi Miró. "On the electronic measurement of pain intensity: Can we use different pain intensity scales interchangeably?" Journal of Health Psychology 22, no. 13 (2016): 1658–67. http://dx.doi.org/10.1177/1359105316633284.

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The objective of this work was to study the agreement between four pain intensity scales when administered electronically: the Numerical Rating Scale-11, the Faces Pain Scale-Revised, the Visual Analogue Scale and the Coloured Analogue Scale. In all, 180 schoolchildren between 12 and 19 years old participated in the study. They had to report the maximum intensity of their most frequent pain using the electronic versions of the four scales. Agreement was calculated using the Bland–Altman method. Results show that the electronic versions of Numerical Rating Scale-11, Coloured Analogue Scale and Visual Analogue Scale can be used interchangeably.
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Wikström, Lotta, Mats Nilsson, Anders Broström, and Kerstin Eriksson. "Patients’ self‐reported nausea: Validation of the Numerical Rating Scale and of a daily summary of repeated Numerical Rating Scale scores." Journal of Clinical Nursing 28, no. 5-6 (2018): 959–68. http://dx.doi.org/10.1111/jocn.14705.

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McCaffery, Margo, and Chris Pasero. "Teaching Patients to Use a Numerical Pain-Rating Scale." AJN, American Journal of Nursing 99, no. 12 (1999): 22. http://dx.doi.org/10.1097/00000446-199912000-00026.

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Rayamajhi, Anuj Jung, Pawan Kumar Hamal, Rupesh Kumar Yadav, et al. "Clinical Outcome of Cooled Radiofrequency Ablation in Chronic Knee Pain Osteoarthritis: An Initial Experience from Nepal." Journal of Nepal Health Research Council 19, no. 1 (2021): 175–78. http://dx.doi.org/10.33314/jnhrc.v19i1.3450.

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Background: Cooled Radiofrequency ablation is a newer technique for management of chronic knee pain in osteoarthritis. The aim of the study is to evaluate the clinical outcomes in patients with chronic osteoarthritis in terms of pain scores for first six months of cooled radiofrequency ablation using ultrasound guidance. Methods: A cross-sectional study with retrospective review of database was evaluated to analyze the change in the Numerical Rating Scale from baseline scores at 1 day, 1 month and 6 months after the Cooled Radiofrequency ablation of genicular nerves around knee in patients with chronic knee osteoarthritis. Results: Median age was 71 years [ 61-73 years (IQR: 25-75)] with more female preponderance. Numerical Rating Scale (Mean ± S.D.) was significantly less at 1 day (1.87 ± 1.22), 1 month (3.03 ± 0.99) and 6 months (3.37 ± 1.098) from baseline values (6.77 ± 1.00). No soreness and numbness were noted.Conclusions: Cooled Radiofrequency using Ultrasound guidance for management of knee pain in chronic osteoarthritis is promising and reduces Numerical Rating Score significantly from baseline at 1 month and 6 months respectively.Keywords: Cooled radiofrequency ablation; genicular nerve; numeric rating scale
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Miles, Isabelle H., Russell D. MacDonald, Sean W. Moore, James Ducharme, and Christian Vaillancourt. "Evaluation of pain management in medical transfer of trauma patients by air." CJEM 21, no. 6 (2019): 776–83. http://dx.doi.org/10.1017/cem.2019.394.

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ABSTRACTObjectivesWith regionalized trauma care, medical transport times can be prolonged, requiring paramedics to manage patient care and symptoms. Our objective was to evaluate pain management during air transport of trauma patients.MethodsWe conducted a 12-month review of electronic paramedic records from a provincial critical care transport agency. Patients were included if they were ≥18 years old and underwent air transport to a trauma centre, and excluded if they were Glasgow Coma Scale score <14, intubated, or accompanied by a physician or nurse. Demographics, injury description, and transportation parameters were recorded. Outcomes included pain assessment via 11-point numerical rating scale, patterns of analgesia administration, and analgesia-related adverse events. Results were reported as mean ± standard deviation, [range], (percentage).ResultsWe included 372 patients: 47.0 years old; 262 males; 361 blunt injuries. Transport duration was 82.4 ± 46.3 minutes. In 232 (62.4%) patients who received analgesia, baseline numerical rating scale was 5.9 ± 2.5. Fentanyl was most commonly administered at 44.3 [25–60] mcg. Numerical rating scale after first analgesia dose decreased by 1.1 [-2–7]. Thereafter, 171 (73.7%) patients received 2.4 [1-18] additional doses. While 44 (23.4%) patients had no change in numerical rating scale after first analgesia dose, subsequent doses resulted in no change in numerical rating scale in over 65% of patients. There were 43 adverse events recorded, with nausea the most commonly reported (39.5%).ConclusionsInitial and subsequent dose(s) of analgesic had minimal effect on pain as assessed via numerical rating scale, likely due in part to inadequate dosing. Future research is required to determine and address the barriers to proper analgesia.
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Dousis, Evangelos, and Zoi Maria Fotaraki. "PAIN RATING SCALES IN CHILDREN WITH CANCER." Perioperative Nursing (GORNA), E-ISSN:2241-3634 8, no. 3 (2020): 203–15. https://doi.org/10.5281/zenodo.3631136.

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Pain in children with cancer is a subjective feeling as well as a frequent symptom that nurses have to deal with.&nbsp; Pain assessment can be done with special tools (scales). The <strong>purpose </strong>of the present study was to explore assessment of pain in children with cancer using measuring tools. <strong>Methodology:</strong> This was a review study. It was conducted a&nbsp; bibliographic review of international databases (PubMed, Google Scholar, Scopus), in English, using keywords (pain, cancer, pain scales, pain rating, children), from May to June 2019. <strong>Results:</strong> The assessment and management of pain in children with cancer is achieved by simple or more complex assessment tools depending on the age of the child. The most common pain rating scales are the face pain rating scale, the Oucher scale, the scale using poker chips as a tool, the numerical scale, the visual analogue, the verbal scale, and the tool-color method. Multidimensional pain rating scales can be used in older children and adolescents with or without chronic illness. <strong>Conclusions:</strong> Nurses should systematically assess the pain of children with cancer, use pain rating scales, and manage the child with pain effectively.
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Firdous, Shagufta, Zankhana Mehta, Carlos Fernandez, Bertarnd Behm, and Mellar Davis. "A comparison of Numeric Pain Rating Scale (NPRS) and the Visual Analog Scale (VAS) in patients with chronic cancer-associated pain." Journal of Clinical Oncology 35, no. 31_suppl (2017): 217. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.217.

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217 Background: Though numerical rating scales (NRS) are frequently used, a subset of patients do not understand the abstract nature on NRS and use quality descriptors of severity. We used a visual analog scale (VAS) using descriptors of “good day”, “average day” and “bad day” along a 10-cm line and compared it to a NRS in patients with cancer diagnosis and pain 1 month or longer. Methods: Eligible patients were verbally consented and completed the two scales. We asked patients thoughts about which they felt was the more appropriate scale to gauge their pain. The scales were compared by the distance from the extreme left of the line to the mark the patient placed on the VAS. Additional data included demographic and diagnosis information. The VAS and NRS were compared using two-sample t-tests or Wilcoxon rank-sum tests and Pearson’s chi-square or Fisher’s exact tests, as appropriate. The relationship between the numeric pain scale and the visual analog scale is described using Pearson’s correlation coefficient. Results: Full data was provided from 94 patient surveys who completed surveys. The mean age was 61 years old, 56.4% were female, and 78.0% had metastatic cancer. Numerous cancer types were reported with gastrointestinal and lung cancers being the most common (30.1% and 23.7%, respectively). The mean NRS rating reported by patients was 5.9 and for the VAS 4.9. Sixty patients (63.8%) preferred the NRS, 32 (34.0%) preferred the VAS, and 2 (2.1%) reported no preference. Patients who preferred the NRS reported a higher NRS rating than patients who preferred the VAS (mean NRS of 6.3 compared to 5.2, p = 0.0409). VAS ratings were higher among patients who preferred the NRS but the difference was not statistically significant (mean rating of 5.2 vs. 4.4, p = 0.1894). There were no differences in patient characteristics between the two groups. There was a moderate association between patients’ NRS and VAS ratings. The Pearson correlation coefficient was 0.653 (p &lt; 0.0001). Conclusions: Majority of patients of all ages and both genders prefer NRS. Future studies involving larger number of patients and adding a question about the reason of scale preference may provide better understanding for scale preference.
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Dixon, Simon, Chris D. Poole, Isaac Odeyemi, Peny Retsa, Colette Chambers, and Craig J. Currie. "Deriving health state utilities for the numerical pain rating scale." Health and Quality of Life Outcomes 9, no. 1 (2011): 96. http://dx.doi.org/10.1186/1477-7525-9-96.

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Wang, Xihui, Xiang Wang, Liang Liang, Xiaohang Yue, and Luk N. Van Wassenhove. "Estimation of Deprivation Level Functions using a Numerical Rating Scale." Production and Operations Management 26, no. 11 (2017): 2137–50. http://dx.doi.org/10.1111/poms.12760.

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Coleby, D. E., and A. P. Duffy. "A visual interpretation rating scale for validation of numerical models." COMPEL - The international journal for computation and mathematics in electrical and electronic engineering 24, no. 4 (2005): 1078–92. http://dx.doi.org/10.1108/03321640510615472.

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Ripamonti, Carla Ida, and Cinzia Brunelli. "Comparison between numerical rating scale and six-level verbal rating scale in cancer patients with pain: a preliminary report." Supportive Care in Cancer 17, no. 11 (2009): 1433–34. http://dx.doi.org/10.1007/s00520-009-0720-5.

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Eid, Marwa M., Mohamed F. Rawash, Moussa A. Sharaf, and Hadaya Mosaad Eladl. "Effectiveness of transcutaneous electrical nerve stimulation as an adjunct to selected physical therapy exercise program on male patients with pudendal neuralgia: A randomized controlled trial." Clinical Rehabilitation 35, no. 8 (2021): 1142–50. http://dx.doi.org/10.1177/0269215521995338.

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Objective: To assess the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) combined with selected physical therapy exercise program on male patients with pudendal neuralgia. Design: A double-blinded randomized controlled study. Setting: Out-patient setting. Participants: Fifty-two male participants with pudendal neuralgia (30–50 years) were allocated randomly into two groups; study and control. The same physical therapy exercises were applied to all participants, plus the same prescribed analgesic medication (Etodolac). Participants in the study group received additional TENS and sham TENS were given to those in control group. Intervention: Intervention lasted for 12 weeks, three sessions per week (60 minutes/session). Outcome measures: Numerical pain rating scale and daily Etodolac intake dose were measured before and after intervention. Results: Statistically significant differences were detected in numerical pain rating scale and daily Etodolac intake in favor of the study group ( P &lt; 0.05). After 12 weeks of intervention, the mean ± SD for numerical pain rating scale and daily Etodolac intake were 4.25 ± 1.9 and 259.25 ± 84.4 mg, in the study group, and 6.22 ± 2.22 and 355.55 ± 93.36 mg in the control group, respectively. The mean difference (95% CI) for numerical pain rating scale and daily Etodolac intake was −1.97 (−3.09: −0.83) and −96.3 (−144.9: −47.69), between groups post treatment, respectively. Conclusion: Adding TENS to physical therapy exercise program is more effective than physical therapy program alone in improving pain in male patients with pudendal neuralgia as measured by numerical pain rating scale and daily analgesic intake dose.
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Mahendra Kumar, R., Kumbar Rajeshwari, S. Sandeep, B. S. Sudarshan, and B. K. Rakshith. "Cognitive behavioral therapy (CBT) and meditation in the treatment of persistent low back pain: Interventional Study." Journal of Drug Delivery and Therapeutics 14, no. 1 (2024): 29–34. http://dx.doi.org/10.22270/jddt.v14i1.6186.

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Objective: To compare the effect of both CBT and Meditation in chronic lower back pain patients.&#x0D; Method: Participants fulfilling the exclusion and inclusion criteria and who are between the age group of 35-50 years with CLBP were included. Numerical pain rating scale and Montreal Cognitive Assessment (MOCA) was used for the participant selection. The participants were further divided into three groups and 4-week intervention of conventional physiotherapeutic exercise, meditation and CBT, was given to the participants. Numerical Pain Rating Scale and Oswestry Low Back Pain Disability Questionnaire were used as outcome measures.&#x0D; Results: 40 chronic back pain patients were enrolled and randomized. All enrolled participants completed baseline tests, providing cross-sectional data for this study. Simple randomization allocated 14 patients to the control group and 13 patients each to Experimental Group 1 and Experimental Group 2. Significant within-group improvements occurred on the Numerical Rating Scale and Oswestry scores between baseline and final visits for all groups. However, the experimental groups showed significantly greater decreases in pain intensity versus controls, evidenced by reduced mean Numerical Rating Scale and Oswestry scores at follow-up. One-way ANOVA and Welch tests revealed significantly reduced Numerical Rating Scale and Oswestry scores after treatment across groups. Both tests yielded statistically significant p-values &lt;0.01.&#x0D; Conclusion: The findings show that meditation and cognitive behavioural therapy (CBT) are beneficial in reducing pain. As a result, for patients with persistent low back pain, taking into consideration these two treatment techniques is critical.&#x0D; Keywords: Cognitive Behavioural Therapy, Chronic Pain, Oswestry Questionnaire
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Sohail, Amir, Ameer Yasser Zaid, Shizan Hamid Feroz, Mohammed Saeed, Syed Khurram Naseer, and Muhsan Sultan. "COMPARISON OF PAIN RELIEF EFFICACY OF PLATELET-RICH PLASMA VERSUS CORTICOSTEROIDS IN KNEE OSTEOARTHRITIS." PAFMJ 71, no. 5 (2021): 1764–68. http://dx.doi.org/10.51253/pafmj.v71i5.4135.

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Objective: To compare the pain relief efficacy of platelet rich plasma injection with corticosteroid injection in knee osteoarthritis using numeric rating scale.&#x0D; Study Design: Quasi experimental study.&#x0D; Place and Duration of Study: Department of Anesthesia and Pain Management, Combined Military Hospital Peshawar, from Jan 2018 to Dec 2019.&#x0D; Methodology: Total of 310 patients who underwent knee injection for osteoarthritis were included in this study. Patients were divided into two groups; group A and group B comprising of 155 patients each. Patients in group ‘A’ received intra articular corticosteroid injection while patients in group ‘B’ received intra articular platelet rich plasma injection for knee osteoarthritis. Pain assessment via numerical rating score was done at the start of the treatment and at 6 months.&#x0D; Results: In group A female to male ratio was 2.69:1 while in group B the female to male ratio was 2.78:1. Mean age of ‘group A’ was 58.52 ± 11.87 years and that of ‘group B’ was 58.79 ± 11.15 years. Numerical rating score pre-treatment in ‘group A’ vs ‘group B’ was 8.35 ± 1.17 vs 8.42 ± 1.14. While numeric rating scale post treatment in ‘group A’ vs ‘group B’ was 5.74 ± 1.37 vs 4.06 ± 1.19, respectively with p-value of 0.001, which is statistically significant.&#x0D; Conclusion: Patients who received intra-articular platelet rich plasma had significantly more pain relief as compared to patients who received intra-articular steroid on numerical rating score.
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Chen, Y. L., L. L. Chuang, A. L. Hsu, Y. C. Li, and A. M. K. Wong. "Test–retest reliability of a vertical numerical rating scale supplemented with a faces rating scale for assessing hemiplegic shoulder pain." Physiotherapy 101 (May 2015): e231-e232. http://dx.doi.org/10.1016/j.physio.2015.03.405.

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McCaffery, Margo, and Chris Pasero. "Pain Control: Teaching Patients to Use a Numerical Pain-Rating Scale." American Journal of Nursing 99, no. 12 (1999): 22. http://dx.doi.org/10.2307/3521986.

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Ständer, S., C. Zeidler, M. Pereira, et al. "Worst itch numerical rating scale for prurigo nodularis: a psychometric evaluation." Journal of the European Academy of Dermatology and Venereology 36, no. 4 (2022): 573–81. http://dx.doi.org/10.1111/jdv.17870.

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Olivella, Gerardo, David Deliz-Jimenez, Eduardo Lindsay, et al. "Assessing need for advance imaging among children with back pain using pain intensity as clinical marker." Journal of Children's Orthopaedics 16, no. 6 (2022): 461–65. http://dx.doi.org/10.1177/18632521221137392.

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Introduction: Pediatric back pain evaluation nowadays relies on patient history, physical examination, and plain radiographs to identify underlying pathologies. Constant pain, night pain, radicular pain, and abnormal neurological examination were previously recommended as clinical markers to assess the need for magnetic resonance imaging evaluation. Recent studies have challenged the use of these clinical markers, recommending further studies. This study aimed to assess pain intensity as a predictor of underlying magnetic resonance imaging pathology in children with back pain. Methods: An observational cross-sectional study of pediatric patients between 8 and 17 years with back pain for more than 4 weeks from 2009 to 2021 was conducted. A whole spine magnetic resonance imaging was performed on patients with back pain without an identifiable cause and no prior spine treatment. The numerical rating scale questionnaire was administered to each patient, and answers were divided into three groups: mild (1–3), moderate (4–6), and severe (7–10) numerical rating scale score. Student’s t-test and chi-square analysis were used to correlate differences between continuous and categorical values, respectively. Results: Of 590 patients (70% female and a mean age of 15.25 years), there were 35.1% of patients had a magnetic resonance imaging underlying pathology. No association was found between severe numerical rating scale score and the presence of underlying MRI pathology (p = 0.666). Patients with low or moderate numerical rating scale scores had similar associations to an underlying magnetic resonance imaging pathology as patients with a severe numerical rating scale score (p = 0.256; p = 0.357, respectively). Conclusions: Back pain intensity was not found to be an effective clinical marker for predicting underlying magnetic resonance imaging pathology in pediatric patients with back pain.
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Lee, Ho-Jin, Yongjung Cho, Hyundeok Joo, Jae Yeong Jeon, Young-Eun Jang, and Jin-Tae Kim. "Comparative study of verbal rating scale and numerical rating scale to assess postoperative pain intensity in the post anesthesia care unit." Medicine 100, no. 6 (2021): e24314. http://dx.doi.org/10.1097/md.0000000000024314.

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Lötsch, Jörn, Constantin A. Hintschich, Petros Petridis, Jürgen Pade, and Thomas Hummel. "Self-Ratings of Olfactory Function and Their Relation to Olfactory Test Scores. A Data Science-Based Analysis in Patients with Nasal Polyposis." Applied Sciences 11, no. 16 (2021): 7279. http://dx.doi.org/10.3390/app11167279.

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Olfactory self-assessments have been analyzed with often negative but also positive conclusions about their usefulness as a surrogate for sensory olfactory testing. Patients with nasal polyposis have been highlighted as a well-predisposed group for reliable self-assessment. In a prospective cohort of n = 156 nasal polyposis patients, olfactory threshold, odor discrimination, and odor identification were tested using the “Sniffin’ Sticks” test battery, along with self-assessments of olfactory acuity on a numerical rating scale with seven named items or on a 10-point scale with only the extremes named. Apparent highly significant correlations in the complete cohort proved to reflect the group differences in olfactory diagnoses of anosmia (n = 65), hyposmia (n = 74), and normosmia (n = 17), more than the true correlations of self-ratings with olfactory test results, which were mostly very weak. The olfactory self-ratings correlated with a quality of life score, however, only weakly. By contrast, olfactory self-ratings proved as informative in assigning the categorical olfactory diagnosis. Using an olfactory diagnostic instrument, which consists of a mapping rule of two numerical rating scales of one’s olfactory function to the olfactory functional diagnosis based on the “Sniffin’ Sticks” clinical test battery, the diagnoses of anosmia, hyposmia, or normosmia could be derived from the self-ratings at a satisfactorily balanced accuracy of about 80%. It remains to be seen whether this approach of translating self-assessments into olfactory diagnoses of anosmia, hyposmia, and normosmia can be generalized to other clinical cohorts in which olfaction plays a role.
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Taylor, Greg. "Setting a Bonus-Malus Scale in the Presence of other Rating Factors." ASTIN Bulletin 27, no. 2 (1997): 319–27. http://dx.doi.org/10.2143/ast.27.2.542055.

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The operation of a bonus-malus system, superimposed on a premium system involving a number of other rating variables, is considered. To the extent that good risks are rewarded in their base premiums, through the other rating variables, the size of the bonus they require for equity is reduced. This issue is discussed quantitatively, and a numerical example given.
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Linhares, Rafael M., Marcelo F. Souza de Lima, Carlos D. Bersot, José E. G. Pereira, and Clara A. Lobo. "Continuous sciatic nerve block as preoperative care for lower-limb revascularization surgery." Research and Opinion in Anesthesia & Intensive Care 9, no. 3 (2022): 205–10. http://dx.doi.org/10.4103/roaic.roaic_73_20.

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Background The prevalence of peripheral arterial disease increases with age and it is highly prevalent (15–20%) over 70 years. Surgery can be the best option to resolve the disabling pain. The Anesthesiology and Acute Pain Service routinely adopts continuous popliteal nerve-analgesic block as preoperative care. Patients and methods This case series analyzes the medical records of patients under continuous ultrasound-guided sciatic block, during 2 years (2017–2018) before lower-limb revascularization surgery. From a total number of 25 records identified, 15 were selected for analysis. The primary outcome was pain relief from basal line to 24 h postcatheter placement, measured by the Numerical Rating Pain Scale, and the secondary outcomes were reduction of Numerical Pain Rating Scale after 72 h, complications, and possible technical difficulties. Results We found pain reduction in the first 24 h of catheter placement, with median Numerical Rating Pain Scale reduction from 10 [interquartile range (IIQ) 10–10] to 0 (IIQ 0–2) (P&lt;0.001); and from 0 to 72 h of catheter placement, with Numerical Rating Pain Scale decreasing median from 10 (IIQ 10–9) to 2 (IIQ 0–2) (P&lt;0.0001). Four (26.7%) patients had their catheters displaced, and in another four (26.7%) patients, hyperemia was observed around the catheter’s introduction ostium on the skin. Conclusion Preoperative continuous sciatic nerve block seems to be an effective and safe approach for pain management of peripheral vascular occlusive disease patients waiting for surgery.
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Kaufman, B. J. "Can a Numerical Rating Scale Be Substituted for a Visual Analog Scale for Pain Assessment?" Academic Emergency Medicine 9, no. 5 (2002): 403—b—404. http://dx.doi.org/10.1197/aemj.9.5.403-b.

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Hasegawa, Mamoru, Suguru Hattori, Keiji Ishizaki, Shosuke Suzuki, and Fumio Goto. "The McGill Pain Questionnaire - Japanese Version, Reconsidered: Confirming the Reliability and Validity." Pain Research and Management 1, no. 4 (1996): 233–37. http://dx.doi.org/10.1155/1996/609850.

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BACKGROUND:The McGill Pain Questionnaire (MPQ) is one of the most widely used instruments in the world to evaluate patients with chronic pain. However, differences in languages and cultural backgrounds have hindered its standardization in Japan.OBJECTIVE:To standardize the MPQ in Japan.DESIGN:The reliability and validity of a Japanese version of the MPQ (JMPQ) were examined using a translation-based methodology, which followed a format similar to the original MPQ.SETTING:Multidisciplinary pain treatment centre of a university hospital in Japan.PATIENTS:Consecutive out-patients (n=152) with chronic pain.METHODS:Each patient completed the JMPQ, other pain rating scales (visual analogue scale, verbal rating scale, numerical rating scale) and the state-trait anxiety inventory. A subset of these patients (n=40) were tested again two weeks later.RESULTS:Acceptable levels of reliability and validity of the JMPQ, and independence of the JMPQ subscales from other pain rating scales were confirmed by principal component analysis. Chronic pain patients did not show marked levels of anxiety as might have been expected.CONCLUSIONS:The findings suggest that the JMPQ possesses sufficient merits as a pain rating scale from the standpoint of its reliability and validity. Furthermore, it is suggested that the JMPQ can be used to measure qualitative aspects of pain transcending differences in linguistic characteristics.
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Powers, J., and SJ Bennett. "Measurement of dyspnea in patients treated with mechanical ventilation." American Journal of Critical Care 8, no. 4 (1999): 254–61. http://dx.doi.org/10.4037/ajcc1999.8.4.254.

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BACKGROUND: Dyspnea, or difficult breathing, is common in patients receiving mechanical ventilation; however, dyspnea is not routinely or systematically measured. OBJECTIVE: The primary purpose of this methodological study was to evaluate the test-retest reliability of 5 dyspnea rating scales and the criterion validity of 4 dyspnea rating scales in patients receiving mechanical ventilation. The secondary purpose was to examine the correlations between each of these 5 rating scales and physiological measures of respiratory function. METHODS: The convenience sample consisted of 28 patients on mechanical ventilation during their hospitalization in the intensive care units of a large, inner-city hospital. Patients rated their dyspnea twice at 30-minute intervals on the visual analogue scale, the vertical analogue dyspnea scale, the modified Borg scale, the numerical scale, and the faces scale. Test-retest reliability was computed by using the intraclass correlation coefficient. Criterion validity was evaluated by using the Spearman rank-order correlation coefficient. RESULTS: The 5 rating scales had acceptable test-retest reliabilities, with intraclass correlation coefficients ranging from 0.81 to 0.97. Criterion validity of the 4 scales also was acceptable, with Spearman rank-order correlation coefficients from 0.76 to 0.96. The rating scales were not correlated with most of the physiological variables. At least half of the patients reported moderate to severe dyspnea. CONCLUSION: The scales showed acceptable reliability and validity, and they will be useful in quantifying dyspnea experienced by patients receiving mechanical ventilation. Further work is needed to evaluate the extent and the severity of dyspnea in such patients in order to evaluate the effectiveness of interventions.
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Akad, Kivanc, Dilek Solmaz, Ismail Sari, Fatos Onen, Nurullah Akkoc, and Servet Akar. "Performance of response scales of activity and functional measures of ankylosing spondylitis: numerical rating scale versus visual analog scale." Rheumatology International 33, no. 10 (2013): 2617–23. http://dx.doi.org/10.1007/s00296-013-2789-x.

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Fudalej, Sylwia A., Dries Desmedt, Ewald Bronkhorst, and Piotr S. Fudalej. "Comparison of Three Methods of Rating Nasolabial Appearance in Cleft Lip and Palate." Cleft Palate-Craniofacial Journal 54, no. 4 (2017): 400–407. http://dx.doi.org/10.1597/14-189.

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Objective To investigate which of three methods of rating nasolabial appearance—esthetic index, visual analogue scale (VAS), or numerical scale with reference photographs—is optimal. Design Experimental study. Setting Radboud University Medical Centre, The Netherlands and University of Bern, Switzerland. Subjects and Methods Cropped photographs of 60 patients with complete unilateral cleft lip and palate (mean age = 10.8 years) were used for rating. A panel of eight raters rated four components of nasolabial morphology (nasal shape, nose deviation, vermillion border, and profile view) using three methods: 5-point esthetic index, 100 mm VAS, and 0 to 200 numerical scale with reference photographs (reference scores method). Method reliability was assessed by re-evaluation of 20 images after &gt;1 month. Intraclass correlation coefficients were calculated to evaluate consistency of each method. Results Overall reference scores method always produced more reproducible results (i.e., higher ICCs) than did VAS or the esthetic index. However, statistically significant differences were found between reference scores and esthetic index in rating nasal shape, nose deviation, and vermillion border only ( P &lt; 0.001, &lt;0.001, and 0.012, respectively) and between reference scores and VAS in rating nose deviation and vermillion border ( P &lt; 0.001 and 0.017, respectively). Conclusion We recommend the use of reference photographs along with the VAS or numerical (from 0 to 200) semi-continuous scale. The esthetic index, based on a Likert-type scale, seems to produce the most variable results and, therefore, is not preferred.
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Jarm, K., K. Kovše, B. Mihevc Ponikvar, V. Škrbec, V. Kutnar, and M. Kurir Borovčić. "P154: Slovenian women’s pain perception during screening mammography using numerical rating scale." Breast 80 (February 2025): 104009. https://doi.org/10.1016/j.breast.2025.104009.

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Akhlaque, Uzma, Saeed Bin Ayaz, Khalil Ahmad, Muhammad Shoaib, Umer Younas, and Naureen Tassadaq. "The Analgesic Effect And Functional Improvement Produced by Radio-Frequency Ablation of Genicular Nerves in Patients with Advanced Knee Osteoarthritis." Pakistan Armed Forces Medical Journal 72, no. 1 (2022): 80–85. http://dx.doi.org/10.51253/pafmj.v72i1.5297.

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Objective: To study the efficacy of radiofrequency ablation for treating pain in patients with advanced knee osteoarthritis.&#x0D; Study Design: Quasi-experimental study.&#x0D; Place and Duration of Study: Pain Clinic of Armed Forces Institute of Rehabilitation Medicine Rawalpindi, from Sep 2019 to Feb 2020.&#x0D; Methodology: Patients of more than 50 years of age, with grade III and IV Kellgren-Lawrence grades of knee osteoarthritis and at least a score of 4 for three months on the numerical rating scale were included in the study. Measurements were taken on the numerical rating scale and Western Ontario and McMaster universities osteoarthritis index before and four weeks after fluoroscopy-guided radiofrequency ablation of three genicular nerves around the knee joint. .&#x0D; Results: Fifty patients (mean age: 62 ± 6.5 years) were included in the study. The median numerical rating scale scores before and after intervention were 9 (Interquartile range: 7-10) and 5 (Interquartile range: 2-8), respectively (p&lt;0.001). The mean Western Ontario and McMaster universities osteoarthritis index scores before and after intervention were 76.7 ± 13.4 and 50.3 ± 18, respectively (p&lt;0.001). No complications were reported. The reduction in numerical rating scale, Western Ontario and McMaster universities osteoarthritis index scores after the intervention were significantly better in females than in males (p=0.023 and p=0.012 respectively); however, no significant change was observed for the right and left knee or grades of knee osteoarthritis (p&gt;0.05).&#x0D; Conclusion: Radiofrequency ablation of genicular nerves around the knee joint significantly improves pain, stiffness and body function in patients with advanced knee osteoarthritis .........................
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Fani Riska Berliana and Lisa Musharyanti. "Implementasi Terapi Pijat Kombinasi Aromaterapi Inhalasi Lavender Terhadap Penurunan Skala Nyeri Pada Post Operasi Hernia Repair: Laporan Kasus." An-Najat 2, no. 2 (2024): 141–50. http://dx.doi.org/10.59841/an-najat.v2i2.1168.

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Nyeri pasca operasi hernia repair dilaporkan masih menjadi tantangan paling umum pada perawatan pasien pasca prosedur pembedahan. Hernia repair merupakan salah satu prosedur untuk mengatasi penyakit hernia inguinalis. Operasi hernia repair dianggap baik apabila tidak adanya komplikasi dan pasien bisa segera melakukan rutinitas pekerjaannya. Penelitian laporan kasus ini bertujuan pada implementasi terapi non farmakologis yakni pemberian terapi pijat yang dikombinasikan dengan aromaterapi inhalasi lavender dalam menurunkan skala nyeri post operasi hernia repair. Studi laporan kasus ini mengeksplorasi penggunaan terapi pijat kombinasi aromaterapi inhalasi lavender pada seorang pasien laki-laki berusia 51 tahun dengan nyeri pasca operasi hernia repair skala 7 yang diukur melalui Numerical Rating Scale dan Wong Baker Face Pain Rating Scale. Pasien diberikan intervensi berupa terapi pijat tangan dan kaki selama 20 menit dan aromaterapi inhalasi lavender menggunakan kassa selama 30 menit dalam 3 hari berturut-turut. Berdasarkan hasil peninjauan selama 3 hari berturut-turut menggunakan Numerical Rating Scale dan Wong Baker Face Pain Rating Scale, ditemukan skala nyeri menurun dari skala 7/10 menjadi 3/10. Laporan kasus ini membuktikan bahwa adanya penurunan nyeri sebelum dan setelah diberikan terapi pijat kombinasi aromaterapi inhalasi lavender pada pasien post operasi hernia repair.
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Thong, Ivan S. K., Mark P. Jensen, Jordi Miró, and Gabriel Tan. "The validity of pain intensity measures: what do the NRS, VAS, VRS, and FPS-R measure?" Scandinavian Journal of Pain 18, no. 1 (2018): 99–107. http://dx.doi.org/10.1515/sjpain-2018-0012.

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Abstract Background and aims: The Numerical Rating Scale (NRS), Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), and Faces Pain Scale-Revised (FPS-R) are valid measures of pain intensity. However, ratings on these measures may be influenced by factors other than pain intensity. The purpose of this study was to evaluate the influence of non-pain intensity factors on the pain intensity scales. Methods: We administered measures of pain intensity (NRS, VAS, VRS, FPS-R), pain unpleasantness, catastrophizing, depressive symptoms, and pain interference to 101 individuals with chronic lower back or knee pain. Correlation analyses examined the associations among the pain intensity scales, and regression analyses evaluated the contributions of the non-pain intensity factors (depressive symptoms, and pain unpleasantness, catastrophizing, and interference) to the VAS, VRS, and FPS-R ratings, while controlling for NRS, age, and gender. Results: Although the NRS, VAS, VRS, FPR-S, scales were strongly associated with one another, supporting their validity as measures of pain intensity, regression analyses showed that the VRS also reflected pain interference, the FPS-R also reflected pain unpleasantness, and the VAS was not associated with any of the additional non-pain intensity factors when controlling for NRS, age, and gender. Conclusions: The VAS appears to be most similar to the NRS and less influenced by non-pain intensity factors than the VRS or FPS-R. Although the VRS and FPS-R ratings both reflect pain intensity, they also contain additional information about pain interference and pain unpleasantness, respectively. These findings should be kept in mind when selecting pain measures and interpreting the results of research studies using these scales. Implications: The influence of pain interference and pain unpleasantness on VRS and FPS-R, respectively should be kept in mind when selecting pain measures and interpreting the results of research studies using these scales.
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Oh, Eun-je, Mu-jin Park, Woo-sub Song, et al. "Improvement of Functional Dyspepsia with a Herniated Intervertebral Disk through Korean Medical Treatment: A Case Report." Journal of Internal Korean Medicine 43, no. 5 (2022): 809–16. http://dx.doi.org/10.22246/jikm.2022.43.5.809.

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Objective: This study investigated the efficacy of using Korean medical treatments on a patient with functional dyspepsia.Methods: A 61-year-old female patient with functional dyspepsia and C/L-spine HIVD was treated with herbal medicine (&lt;i&gt;Gamihyangsayukgunja-tang&lt;/i&gt;), acupuncture, pharmacopuncture, chuna manual therapy, and cupping therapy for 18 days. The treatment effects on the functional dyspepsia were evaluated using the Numerical Rating Scale score, Gastrointestinal Symptom Score, and Bristol Stool Scale results.Results: Following treatment, the patient showed decreases on the Numerical Rating Scale and Gastrointestinal Symptom Score and improvement on the Bristol Stool Scale.Conclusions: Korean medical treatment improved the condition of a patient with functional dyspepsia.
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Furfaro, Emanuela, and Fushing Hsieh. "Ordinal Conditional Entropy Displays Reveal Intrinsic Characteristics of the Rosenberg Self-Esteem Scale." Entropy 25, no. 9 (2023): 1311. http://dx.doi.org/10.3390/e25091311.

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Individual subjects’ ratings neither are metric nor have homogeneous meanings, consequently digital- labeled collections of subjects’ ratings are intrinsically ordinal and categorical. However, in these situations, the literature privileges the use of measures conceived for numerical data. In this paper, we discuss the exploratory theme of employing conditional entropy to measure degrees of uncertainty in responding to self-rating questions and that of displaying the computed entropies along the ordinal axis for visible pattern recognition. We apply this theme to the study of an online dataset, which contains responses to the Rosenberg Self-Esteem Scale. We report three major findings. First, at the fine scale level, the resultant multiple ordinal-display of response-vs-covariate entropy measures reveals that the subjects on both extreme labels (high self-esteem and low self-esteem) show distinct degrees of uncertainty. Secondly, at the global scale level, in responding to positively posed questions, the degree of uncertainty decreases for increasing levels of self-esteem, while, in responding to negative questions, the degree of uncertainty increases. Thirdly, such entropy-based computed patterns are preserved across age groups. We provide a set of tools developed in R that are ready to implement for the analysis of rating data and for exploring pattern-based knowledge in related research.
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Juneja, Suruchi, Shital Dalvi, Rajni Aggarwal, Manish Sukhija, Sohajpreet Singh, and Shaveta Bansal. "Assessment of Perception of Pain with E-Speed Film, CCD Sensor and Photostimulable Phosphor Plates for Intraoral Radiographs in Children using Three Pain Rating Scales." Indian Journal of Dental Research 35, no. 1 (2024): 54–58. http://dx.doi.org/10.4103/ijdr.ijdr_78_23.

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Abstract Background: Dental radiography is an integral part of intraoral evaluation. Children are often uncomfortable during the placement of film or sensor due to the impingement of the soft tissues. Thus, the perception of pain with three intraoral radiographic methods in children was evaluated using three subjective pain rating scales. Aim: To evaluate the discomfort with three different techniques, that is, intraoral periapical (IOPA) radiograph, charge-coupled device (CCD), and photostimulable phosphor (PSP) luminescence (PSPL), using the Wong–Baker Faces Pain Rating Scale (WBFPRS), numerical rating scale, and visual analog scale (VAS). Materials and Methods: A sample of 35 children aged 6–12 years were divided into two groups: group 1 (6–8 years) and group 2 (9–12 years). For each child, simulations of the three radiological methods (IOPA, CCD, and PSPL) were performed. The meaning of each facial expression on the WBFPRS, VAS, and the numbers on the numerical rating scale was explained to each child before the procedure. Statistical Analysis Used: A one-way analysis of variance (ANOVA) test and paired-samples t-test are used. Results: The results revealed that the CCD sensors elicited higher pain scores than those obtained with IOPA and PSPL, whereas the IOPA film showed the least pain score. Higher score values were obtained in group 1 than in group 2, indicating that children aged 6–8 years felt higher discomfort than the 9- to 12-year age group for the same procedure. This difference was statistically significant (P &lt; 0.001). Conclusion: It was concluded that conventional IOPA films were tolerated better by children when compared to PSP plates and CCD sensors.
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Kwon, Minjin, Tae-Ju Kim, Yu-jin Lee, et al. "A Case Report on Functional Dyspepsia Treated with Korean Medicine in a Patient with Panic Disorder and Lower Back Pain." Journal of Internal Korean Medicine 43, no. 5 (2022): 918–28. http://dx.doi.org/10.22246/jikm.2022.43.5.918.

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Objectives: This study reports on the efficacy of Korean medical treatments for a functional dyspepsia patient with panic disorder and lower back pain.Methods: A 51-year-old male patient with functional dyspepsia was treated with herbal medicines and acupuncture for 17 days. The treatment effect was evaluated by measurements drawn from the Numerical Rating Scale, range of motion, Oswestry Disability Index, European Quality of Life 5 Dimensions Scale, and Gastrointestinal Symptom Score.Results: Following the treatment, the patient showed a decrease on the Numerical Rating Scale and Oswestry Disability Index and in Gastrointestinal Symptom Score, as well as an improvement in range of motion and European Quality of Life 5 Dimensions score.Conclusions: Korean medical treatments appear to be effective in reducing functional dyspepsia. Further clinical research on patients with functional dyspepsia is needed.
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Choi, Sang Sik. "Pain Relief Scale Is More Highly Correlated with Numerical Rating Scale than with Visual Analogue Scale in Chronic Pain Patients." Pain Physician 2;18, no. 2;3 (2015): E195—E200. http://dx.doi.org/10.36076/ppj/2015.18.e195.

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The pain relief scale (PRS) is a method that measures the magnitude of change in pain intensity after treatment. The present study aimed to evaluate the correlation between PRS and changes in pain determined by the visual analogue scale (VAS) and numerical rating scale (NRS), to confirm the evidence supporting the use of PRS. Sixty patients with chronic spinal pain that had a VAS and NRS recorded during an initial examination were enrolled in the study. One week later, the patients received an epidural nerve block, then VAS, NRS, and PRS assessments were performed. Differences between VAS and NRS were compared to the PRS and scatter plots and correlation coefficient were generated. The differences and magnitude of decrease in the VAS and NRS raw data were converted to percentile values, and compared to the PRS. Both VAS and NRS values exhibited strong correlations (&gt; 0.8) with PRS. Further, the differences between the VAS-PRS R (0.859) and NRS-PRS R (0.915) were statistically significant, (P = 0.0259). Compared to PRS, the VAS and NRS percentile scores exhibited higher correlation coefficients than scores based on the raw data differences. Furthermore, even when converted to a percentile, the NRS%-PRS R (0.968) was higher than the VAS%-PRS R (0.904), P = 0.0001. The results indicated that using the PRS together with NRS in pain assessment increased the objectivity of the assessment compared to using only VAS or NRS, and may have offset the limitations of VAS or NRS alone. Key words: Pain relief scale, numerical rating scale, visual analogue scale, pain measurement, pain intensity measurement, pain intensity scale
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Utsumi, Isao, Tomasz Hascilowicz, and Sachiko Omi. "Recognition and differentiation of dural puncture click sensation: A subjective and objective prospective study of dural puncture forces using fine-gauge spinal needles." PLOS ONE 16, no. 7 (2021): e0247346. http://dx.doi.org/10.1371/journal.pone.0247346.

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Background We hypothesized that the click perceived when puncturing the dura-arachnoid with fine-gauge spinal needles can be subjectively identified, and investigated whether it may be distinguishable among different needle types. Methods Subjective and objective evaluations were performed. First, physicians punctured the polyamide film or porcine dura mater (n = 70 and n = 20, respectively) with seven types of spinal needles and numerically evaluated the perceived click sensations. Using an 11-point numerical rating scale (from “0” for “no click sensation” to “10” for “the strongest click perceived”) data, subjective differentiation among needle types was assessed. Second, in the objective part of the study, total forces elicited by polyamide film or porcine dura mater punctures with each needle were measured using a biomechanical testing device, and load-displacement curves evaluated. Third, the results of subjective and objective evaluations were compared. Results All participants recognized the click and could discriminate among needles of different tip shape. The load-displacement curves for polyamide film and porcine dura mater were similar and needle-specific. The subjective numerical rating scale values corresponded well with the objectively measured changes in total forces (R2 = 0.862 and R2 = 0.881 for polyamide film and porcine dura mater, respectively), indicating that an increase in the largest drop in total force value of 0.30 N or 0.21 N would produce an increase of numerical rating scale value of 1 for polyamide film and porcine dura mater, respectively. Conclusions We provide an objective proof of the click sensation felt upon dural puncture using different fine-gauge spinal needles. Click recognition could be used as an additional indicator of successful spinal puncture.
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Dima, A., C. Jurcut, E. Balanescu, et al. "AB0543 Numerical Rating Scale in Assessing Disease Severity in Systemic Lupus Erythematosus Patients." Annals of the Rheumatic Diseases 74, Suppl 2 (2015): 1081.2–1081. http://dx.doi.org/10.1136/annrheumdis-2015-eular.5887.

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43

Yamamoto, Kenji, Senri Miwa, Tomoyuki Yamada, et al. "Strategy to prevent nerve injury and deep vein thrombosis in radiofrequency segmental thermal ablation of the saphenous veins using a new objective pain scale." Phlebology: The Journal of Venous Disease 36, no. 8 (2021): 659–64. http://dx.doi.org/10.1177/02683555211010513.

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Objective We evaluated the benefit of local anesthesia including tumescent anesthesia and active walking soon after surgery in preventing nerve injury and deep vein thrombosis caused during endovenous ablation. Methods Endovenous ablation was performed in 1334 consecutive patients. Varicectomy was performed using the stab avulsion technique. After surgery, patients were encouraged to walk 100–200 m inside the ward for 3–5 times/h. The pain was evaluated objectively using the Okamura pain scale and subjectively using the numerical rating scale. Results Stab avulsion was performed at 11.8 ± 8.0 sites and the mean operative time was 33.9 ± 15.2 min. The mean Okamura pain scale and numerical rating scale scores were 1.6 ± 1.3 and 3.0 ± 2.0, respectively. Deep vein thrombosis and pulmonary embolism were absent. The incidence of nerve injury was 0.3%. Conclusions Endovenous ablation should be performed with the patients under local anesthesia to prevent nerve injury and deep vein thrombosis.
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Song, Sun Ok, Sae Yeon Kim, and Seon Young Lee. "Correlations between Numerical Rating Scale and Visual Analog Scale Pain Scores in the Assessment of Postoperative Pain." Korean Journal of Anesthesiology 45, no. 2 (2003): 238. http://dx.doi.org/10.4097/kjae.2003.45.2.238.

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Park, Jin-hun, So-won Kim, Sang-yoon Kim, et al. "Case Report of Menopausal Vasomotor Symptoms (Heat Flashes and Sleep Disorders) in a Middle-Aged Female Patient Treated with Korean Medicine." Journal of Internal Korean Medicine 43, no. 5 (2022): 940–50. http://dx.doi.org/10.22246/jikm.2022.43.5.940.

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Objectives: The purpose of this study is to report on the efficacy of Korean medical treatment for treating menopausal vasomotor symptoms (heat flashes and sleep disorders).Methods: We treated a menopausal female patient with heat flashes and sleep disorders using Korean medical treatments (herbal medicines, acupuncture, pharmacopuncture, moxibustion, and chuna). To evaluate the results of this treatment, we used Kupperman’s Index and the Numerical Rating Scale to measure heat flashes and total sleeping time, respectively. The patient’s general health status was evaluated using the European Quality of Life 5 Dimensions Scale.Results: We observed improvements in Kupperman’s Index, the Numerical Rating Scale, the patient’s total sleeping time, and the European Quality of Life 5 Dimensions Scale following the treatments.Conclusions: This study suggests that Korean medicine may be an effective treatment for menopausal vasomotor symptoms (heat flashes and sleep disorders).
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Parreira, Artur, and Ana Lorga da Silva. "The use of numerical value of adverbs of quantity and frequency in the measurement of behavior patterns: transforming ordinal scales into interval scales." Ensaio: Avaliação e Políticas Públicas em Educação 24, no. 90 (2016): 109–26. http://dx.doi.org/10.1590/s0104-40362016000100005.

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Abstract This paper presents a research on rating scales in response to different situations. It aims to improve the significance and accuracy of ordinal scales, transforming them into interval scales. To reach this objective, the presented scales combine quantitative and qualitative perspectives, joining the ease of the Likert scale and the Thurstone’s procedure. In this research, a sample of subjects was asked to indicate the numerical value of adverbs, in reference to a numerical scale. The results were subjected to statistical analysis, to assess their validity. Combining the qualitative dimension with a quantitative evaluation, this procedure can meet the biopsychosocial specificities of subjects, as required by the complexity paradigm. The results of this study seem to be an affirmative response to the questions about validity and reliability, and about the practicality of this procedure.
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Ruskin, Danielle, Chitra Lalloo, Khushnuma Amaria, et al. "Assessing Pain Intensity in Children with Chronic Pain: Convergent and Discriminant Validity of The 0 To 10 Numerical Rating Scale in Clinical Practice." Pain Research and Management 19, no. 3 (2014): 141–48. http://dx.doi.org/10.1155/2014/856513.

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BACKGROUND: In clinical practice, children are often asked to rate their pain intensity on a simple 0 to 10 numerical rating scale (NRS). Although the NRS is a well-established measure for adults, no study has yet evaluated its validity for children with chronic pain.OBJECTIVES: To examine the convergent and discriminant validity of the NRS as it is used within regular clinical practice to document pain intensity for children with chronic pain. Interchangeability between the NRS and an analogue pain measure was also assessed.METHODS: A cohort of 143 children (mean [± SD] age 14.1±2.4 years; 72% female) rated their pain intensity (current, usual, lowest and strongest levels) on a verbally administered 0 to 10 NRS during their first appointment at a specialized pain clinic. In a separate session that occurred either immediately before or after their appointment, children also rated their pain using the validated 0 to 10 coloured analogue scale (CAS).RESULTS: NRS ratings met a priori criteria for convergent validity (r&gt;0.3 to 0.5), correlating with CAS ratings at all four pain levels (r=0.58 to 0.68; all P&lt;0.001). NRS for usual pain intensity differed significantly from an affective pain rating, as hypothesized (Z=2.84; P=0.005), demonstrating discriminant validity. The absolute differences between NRS and CAS pain scores were small (range 0.98±1.4 to 1.75±1.9); however, the two scales were not interchangeable.CONCLUSIONS: The present study provides preliminary evidence that the NRS is a valid measure for assessing pain intensity in children with chronic pain.
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von Baeyer, Carl L. "Children’s Self-Reports of Pain Intensity: Scale Selection, Limitations and Interpretation." Pain Research and Management 11, no. 3 (2006): 157–62. http://dx.doi.org/10.1155/2006/197616.

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Most children aged five years and older can provide meaningful self-reports of pain intensity if they are provided with age-appropriate tools and training. Self-reports of pain intensity are an oversimplification of the complexity of the experience of pain, but one that is necessary to evaluate and titrate pain-relieving treatments. There are many sources of bias and error in self-reports of pain, so ratings need to be interpreted in light of information from other sources such as direct observation of behaviour, knowledge of the circumstances of the pain and parents’ reports. The pain intensity scales most commonly used with children – faces scales, numerical rating scales, visual analogue scales and others – are briefly introduced. The selection, limitations and interpretation of self-report scales are discussed.
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Phan, N., C. Blome, F. Fritz, et al. "Assessment of Pruritus Intensity: Prospective Study on Validity and Reliability of the Visual Analogue Scale, Numerical Rating Scale and Verbal Rating Scale in 471 Patients with Chronic Pruritus." Acta Dermato Venereologica 92, no. 5 (2012): 502–7. http://dx.doi.org/10.2340/00015555-1246.

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Kim, So Jeong, Hyeon Kyu Choi, Min Ju Kim, et al. "Integrative Korean Medicine Treatment for Idiopathic Glossopharyngeal Neuralgia: A Case Report." Journal of Acupuncture Research 39, no. 3 (2022): 229–33. http://dx.doi.org/10.13045/jar.2022.00108.

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Glossopharyngeal neuralgia is a skin-sensitive condition/disease that causes severe pain in the facial area predominantly innervated by the glossopharyngeal nerve. A 51-year-old man diagnosed with glossopharyngeal neuralgia who was hospitalized with severe pain that limited his daily life activities. From November 18, 2021, to March 4, 2022, he received inpatient (10 days) and outpatient treatment (35 times) using acupuncture, pharmacopuncture, and herbal medicine. His symptoms were assessed using the Numerical Rating Scale, Neuropathic Pain Scale, and the Self-report Leeds Assessment of Neuropathic Symptom and Signs. The pain reduced after 4 days of initiating Korean medicine treatment and was completely resolved within 4 months of treatment (Numerical Rating Scale score 4 to 0; Neuropathic Pain Scale score 49 to 8; Self-report of the Leeds Assessment of Neuropathic Symptoms and Signs score 18 to 0). Korean medicine treatment could be an option for treating patients with neuropathy who rely on analgesics.
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