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Facco, E., G. Zanette, L. Favero, C. Bacci, S. Sivolella, F. Cavallin, and G. Manani. "Toward the Validation of Visual Analogue Scale for Anxiety." Anesthesia Progress 58, no. 1 (January 1, 2011): 8–13. http://dx.doi.org/10.2344/0003-3006-58.1.8.
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Anxiety is a relevant problem in dental practice. The Visual Analogue Scale for Anxiety (VAS-A), introduced in dentistry in 1988, has not yet been validated in large series. The aim of this study is to check VAS-A effectiveness in more than 1000 patients submitted to implantology. The VAS-A and the Dental Anxiety Scale (DAS) were administered preoperatively to 1114 patients (459 males and 655 females, age 54.7 ± 13.1 years). Statistical analysis was conducted with Pearson correlation coefficient, the receiver operating characteristic (ROC) curve, and McNemar tests. A close correlation between DAS and VAS-A was found (r = 0.57, P < .0001); the VAS-A thresholds of dental anxiety and phobia were 5.1 and 7.0 cm, respectively. Despite a significant concordance of tests in 800 cases (72%), disagreement was found in the remaining 314 cases (28%), and low DAS was associated with high VAS-A (230 cases) or vice versa (84 cases). Our study confirms that VAS-A is a simple, sensitive, fast, and reliable tool in dental anxiety assessment. The rate of disagreement between VAS-A and DAS is probably due to different test sensitivities to different components of dental anxiety. VAS-A can be used effectively in the assessment of dental patients, using the values of 5.1 cm and 7.0 cm as cutoff values for anxiety and phobia, respectively.
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Loncar, Jovana, Zorica Panic, Ivana Stojsin, Slobodan Savovic, and Bojan Petrovic. "Applicability of visual-analogue scale in patients with orofacial pain." Srpski arhiv za celokupno lekarstvo 141, no. 7-8 (2013): 454–59. http://dx.doi.org/10.2298/sarh1308454l.
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Introduction. Orofacial pain occurs in various disorders of the orofacial region. Objective. The aim of this study was to examine applicability of the visual-analogue scale (VAS) in patients with orofacial pain (model of acute and chronic pain). Methods. The study involved 60 patients, aged 18-70 years. The first group consisted of patients with dentin hypersensitivity, and the second group of patients with chronic rhinosinusitis. All patients were asked to fill-in a pain questionnaire and to rate pain intensity on the modified visual analogue scale (VAS; 0-10). Air indexing method was performed in the patients with dentin hypersensitivity in order to provoke pain, while the patients with chronic rhinosinusitis underwent CT imaging of paranasal sinuses. Wilcoxon?s test and Pearson?s correlation coefficient were used for statistical analysis. Results. In patients with dentin hypersensitivity provocation increased subjective feeling of pain, but without statistical significance (t=164.5; p>0.05). In patients with chronic rhinosinusitis a significant statistical correlation (r=0.53; p<0.05) was found between subjective pain assessment of VAS and CT findings. Conclusion. Applying VAS in the evaluation of acute and chronic pain can indicate progression or regression of pathological state under clinical conditions. This study showed that VAS, as a method for follow-up of pathological state, is more applicable and efficient when applied in chronic pain evaluation.
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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 (March 14, 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 (> 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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Cowley, Jennifer A., and Heather Youngblood. "Subjective Response Differences between Visual Analogue, Ordinal and Hybrid Response Scales." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 53, no. 25 (October 2009): 1883–87. http://dx.doi.org/10.1177/154193120905302506.
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The Human Factors and Ergonomics (HF/E) discipline employs different subjective response scale formats to measure subjective phenomena (e.g., hazard perception). Per the psychometrics literature, different scale formats can yield different participant responses, which is a potential threat to validity in replication studies if response scales are not consistent across study iterations. If ordinal response scales (e.g., Likert scales) yield ordinal data and continuous response scales (e.g., Visual Analogue Scales) yield continuous data then it is inappropriate to substitute one response scale for the other if they potentially yield different responses for the same question. The current research compared mean participant ratings for the same question on VAS, Likert and Hybrid response scales and found that VAS scales had significantly lower mean ratings than Likert and Hybrid response scales. Two scale features, the number of anchors (5 or 9) and the scale length (10.0cm and 19.2cm), were varied and no significant main effects or interactions resulted. In conclusion, scale types, not scale features, produced significant mean participant rating differences. To support the validity of replication research, this paper also provided a response scale taxonomy based on the scale features studied herein, that can be used to classify and report different response scales. Implications for these results and future research directions are discussed.
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Heller, Gillian Z., Maurizio Manuguerra, and Roberta Chow. "How to analyze the Visual Analogue Scale: Myths, truths and clinical relevance." Scandinavian Journal of Pain 13, no. 1 (October 1, 2016): 67–75. http://dx.doi.org/10.1016/j.sjpain.2016.06.012.
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AbstractBackground and aimsThe Visual Analogue Scale (VAS) is a popular tool for the measurement of pain. A variety of statistical methods are employed for its analysis as an outcome measure, not all of them optimal or appropriate. An issue which has attracted much discussion in the literature is whether VAS is at a ratio or ordinal level of measurement. This decision has an influence on the appropriate method of analysis. The aim of this article is to provide an overview of current practice in the analysis of VAS scores, to propose a method of analysis which avoids the shortcomings of more traditional approaches, and to provide best practice recommendations for the analysis of VAS scores.MethodsWe report on the current usage of statistical methods, which fall broadly into two categories: those that assume a probability distribution for VAS, and those that do not. We give an overview of these methods, and propose continuous ordinal regression, an extension of current ordinal regression methodology, which is appropriate for VAS at an ordinal level of measurement. We demonstrate the analysis of a published data set using a variety of methods, and use simulation to compare the power of the various methods to detect treatment differences, in differing pain situations.ResultsWe demonstrate that continuous ordinal regression provides the most powerful statistical analysis under a variety of conditions.Conclusions and Implications We recommend that in the situation in which no covariates besides treatment group are included in the analysis, distribution-free methods (Wilcoxon, Mann–Whitney) be used, as their power is indistinguishable from that of the proposed method. In the situation in which there are covariates which affect VAS, the proposed method is optimal. However, in this case, if the VAS scores are not concentrated around either extreme of the scale, normal-distribution methods (t-test, linear regression) are almost as powerful, and are recommended as a pragmatic choice. In the case of small sample size and VAS skewed to either extreme of the scale, the proposed method has vastly superior power to other methods.
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YAMAGIWA, MIKIKAZU, and YASUO SAKAKURA. "Evaluation of Throat Discomfort with Visual Analogue Scale (VAS)." Nippon Jibiinkoka Gakkai Kaiho 97, no. 1 (1994): 67–74. http://dx.doi.org/10.3950/jibiinkoka.97.67.
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Wilson, Rachel C., and P. W. Jones. "A comparison of the visual analogue scale and modified Borg scale for the measurement of dyspnoea during exercise." Clinical Science 76, no. 3 (March 1, 1989): 277–82. http://dx.doi.org/10.1042/cs0760277.
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1. The intensity of breathlessness during exercise was measured in ten normal subjects using a visual analogue scale (VAS) and a Borg scale to compare the use of the scales and their repeatability, both within the duration of a period of exercise and between tests. For each scale, subjects performed two exercise tests separated by a period of 2–6 weeks. Each exercise test consisted of two cycles of progressively increasing and decreasing workload. 2. All subjects felt confidently able to use both scales to quantify their feelings of breathlessness exclusively of other sensation. Equal preference was expressed for use of a particular scale. 3. With both scales there was a large intersubject variation in the relationship between dyspnoea score and minute ventilation (VE) (P < 0.01), and in the range of the scale used. 4. There was a good correlation between the VAS and Borg scores at each level of VE (r2 = 0.71), but the VAS score was used over a wider range than the Borg score. 5. The relationship between VE and the dyspnoea score measured by the two techniques was predominantly linear. The mean r2 for VAS score/VE was 0.68 (sd 0.19) and for Borg score/VE the mean r2 was 0.75 (sd 0.13). 6. The relationships VAS score/VE and Borg score/VE were unaffected by the direction in which the workload was varied (P > 0.05). 7. VE, measured at each work rate, did not differ between the two cycles (P > 0.05) or between the 2 days (P > 0.05). 8. With both scales, the slope of the VE-breathlessness relationship was slightly higher during the second half of the exercise compared with the first (0.05 < P > 0.01). 9. The scores with both scales were lower in the second test compared with the first (P < 0.01): Borg 16% lower, VAS 27% lower. 10. Measurements of dyspnoea made with the Borg scale appeared to have greater stability than VAS measurements and to correlate with VE a little better.
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Myles, P. S., and N. Urquhart. "The Linearity of the Visual Analogue Scale in Patients with Severe Acute Pain." Anaesthesia and Intensive Care 33, no. 1 (February 2005): 54–58. http://dx.doi.org/10.1177/0310057x0503300108.
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The visual analogue scale (VAS) is a standard measurement tool in pain research and clinical practice, and has been shown to have linear scale properties for mild to moderate pain. Our aim was to evaluate the scaling properties of the VAS in subjects with severe acute pain. After Ethics Committee approval we studied 22 patients and asked them to rate the severity of their pain on a 100 mm VAS at the initial assessment (VAS1), and again after administration of analgesic medication. The subject was asked to nominate when they considered their pain intensity had halved, and at this time they were asked to rate this on a second VAS (VAS0.5). When the subject had received satisfactory relief of their pain, they were asked to describe how much their pain had been relieved and were then asked to rate their final pain state using a third VAS (VASfinal). The mean (SD) scores were VAS1 84 (14) (range 56–100), VAS0.5 42 (13) and VASfinal 21 (16). The mean (95% CI) for VASratio was 0.51 (0.45–0.57). The mean (SD) patients’ estimate of pain relief was 77 (21)% from that of baseline, with a mean (SD) VASfinal 0.26 (0.20), 95% CI 0.17–0.38. The correlation of the patients’ estimate of pain relief with the VASfinal was r=0.89, rho=0.87, both P<0.001. The VAS is a linear scale in subjects with severe acute pain. Changes in the VAS score represent a relative change in the magnitude of pain sensation.
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Nenasheva, N. M., E. P. Terekhova, O. S. Bodnya, and O. V. Sebekina. "Visual analogue scale - a tool for assessing the control of allergic rhinitis." Russian Journal of Allergy 15, no. 6 (December 15, 2018): 79–88. http://dx.doi.org/10.36691/rja114.
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Allergic rhinitis (AR) is the most common form of rhinitis and the most common allergic disease in children and adults. Numerous clinical studies and daily practice indicate a pronounced negative effect of symptoms of AR on patients’ quality of life, their usual daily activity, cognitive functions, mood and sleep. The type and severity of individual symptoms can vary from patient to patient, and therapy should be directed to the overall control of the symptoms of AR. It is important to obtain reliable and comparable information regarding the severity of AR symptoms before, during and after the treatment, which can be assessed using a simple and accessible tool - a visual analogue scale (VAS). VAS validated for patients with AR allows to define a controlled, partially controlled and uncontrolled AR. The article proposes an algorithm for the treatment of AR, depending on the severity of the symptoms, assessed using VAS.
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Wolpe, Raquel E., Ana P. A. Queiroz, Kamilla Zomkowski, and Fabiana F. Sperandio. "Psychometric properties of the Female Sexual Function Index in the visual analogue scale format." Sexual Health 14, no. 3 (2017): 213. http://dx.doi.org/10.1071/sh16131.
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Background The Female Sexual Function Index (FSFI) is the gold standard for evaluating female sexual function, yet it has not been validated in a visual analogue scale (VAS) format. The aim of the present study was to assess the psychometric properties of the FSFI applied to the VAS. Methods: The study was conducted in three phases. In Phase 1, the instrument was adapted by two independent researchers, generating two versions, which were evaluated by a committee of six experts. The FSFI-VAS, resulting from this first phase, was used in a pilot study with 45 women. In Phase 2, the FSFI-Likert (original format) and FSFI-VAS questionnaires were administered to 246 women recruited to the study. Tests of reproducibility (test–retest/phase 3), internal consistency, discriminant validity and construct validity were applied. Results: In Phase 1, the pilot study showed that there were no doubts and difficulties completing the FSFI-VAS. In Phase 2, the Spearman rank (validity) test showed high correlation between the total scores on the FSFI-Likert and FSFI-VAS (0.87). The results of the internal consistency test were between 0.66 and 0.88, and the results of the construct validity test indicated a good value (0.73). The discriminant validity test was also appropriate. In Phase 3, the lowest intraclass correlation coefficient value was 0.81. Conclusion: The FSFI-VAS has internal consistency, construct validity, discriminant validity and reproducibility adequate to assess female sexual dysfunction in young women.
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Abdi, S., A. Rydberg, T. Pansell, and R. Brautaset. "Evaluation of Accommodative Insufficiency with the Visual Analogue Scale (VAS)." Strabismus 14, no. 4 (January 2006): 199–204. http://dx.doi.org/10.1080/09273970601026110.
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Raj-Koziak, Danuta, Elzbieta Gos, Weronika Swierniak, Joanna J. Rajchel, Lucyna Karpiesz, Iwona Niedzialek, Elzbieta Wlodarczyk, Henryk Skarzynski, and Piotr H. Skarzynski. "Visual Analogue Scales as a Tool for Initial Assessment of Tinnitus Severity: Psychometric Evaluation in a Clinical Population." Audiology and Neurotology 23, no. 4 (2018): 229–37. http://dx.doi.org/10.1159/000494021.
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The aim of this study was to evaluate the psychometric properties of patient-reported visual analogue scale (VAS) ratings. All of the participants (100 Polish-speaking adults) completed a Tinnitus Functional Index (TFI) once and a 4-component VAS twice over a period of 3 days. Spearman’s correlation coefficients between the VAS score and global TFI ranged from ρ = 0.52 for VAS-coping (VAS-C) to ρ = 0.81 for VAS-annoyance (VAS-A). Using the Bland-Altman method, the agreement ranged from 93% for VAS-A to 96% for VAS-distress (VAS-D). Interclass correlation coefficients ranged from 0.67 for VAS-C to 0.90 for VAS-A. The VAS cutoff points representing significant tinnitus severity ranged from 45 points for VAS-C to 66 points for VAS-D. VAS scales are a valid and reliable brief screening tool for obtaining quick information about tinnitus.
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Cozzolino, Mauro, Maria Coccia, Giacomo Lazzeri, Francesca Basile, and Gianmarco Troiano. "Variables Associated with Endometriosis-related Pain: A Pilot Study using a Visual Analogue Scale." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 41, no. 03 (March 2019): 170–75. http://dx.doi.org/10.1055/s-0039-1679879.
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Objective Endometriosis is a complex disease, and pain is an important component of the syndrome. One of the most used methods to assess pain is the visual analogue scale (VAS). The aim of the present research was to study the pain experienced by patients who referred to our unit for endometriosis, using the VAS to understand the variables that could influence it. Methods We have conducted a prospective study from February 2012 to December 2016, enrolling 388 patients who referred to a university hospital, in Florence, Italy. We have included in the present study patients during their follow-up for endometriosis; we have also included patients who underwent surgery with a histological diagnosis of endometriosis. We have collected sociodemographic and clinical information regarding age, body mass index (BMI), smoking habit, number of pregnancies, and endometriosis staging. Finally, we have administered the VAS for several symptoms. Results Dysmenorrhea was the symptom associated with the highest perception of pain (mean VAS score of 5.76). The logistic regression showed that the stage of endometriosis could influence the pain associated to constipation and to dysuria. The linear regression showed that age could influence the pain associated to constipation, to dyspareunia, and to dysmenorrhea. A positive correlation was found between dysmenorrhea and chronic pelvic pain (CPP), between dysmenorrhea and dyspareunia, and between constipation and dysuria. Conclusion Using a validated method, the VAS, we have studied the pain experienced by a group of patients with a history of endometriosis and observed that smoking habit and BMI did not influence the VAS scores, and that dysmenorrhea was associated with the highest perception of pain.
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Mendoza-Muñoz, María, José C. Adsuar, David Manuel Mendoza-Muñoz, Patricia Polero, and Jorge Carlos-Vivas. "Concurrent Validity and Reliability of a Novel Visual Analogue Fitness Perception Scale for Adolescents (FP VAS A)." International Journal of Environmental Research and Public Health 18, no. 7 (March 26, 2021): 3457. http://dx.doi.org/10.3390/ijerph18073457.
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Introduction: Self-reported physical fitness (PF) provides an accurate measure of PF, specifically for young people. The Visual Analogue Scale (VAS) is one of the most used psychosocial measurement methods. The main arguments in favor of VAS are its ease of use and comprehension, particularly for less educated participants. There are some scales that assess self-perception of PF, but the VAS presented in this study covers a higher range of responses and a number of variables than other already validated measures. Aims: The aim was to determine the concurrent validity of the Visual Analogue Fitness Perception Scale for Adolescents (FP VAS A) (Sub-study 1) and check its reliability (Sub-study 2). Methods: Anthropometric and body composition measurements were performed, as well as PF tests (manual dynamometry, Course Navette, 4 × 10 m, and sit and reach). The International Fitness Scale (IFIS) and FP VAS A were used to assess self-reported PF. Results: Two sub-studies were carried out: in sub-study 1 a total of 67 students (26 males and 41 females aged 12–16 years) participated. The results showed a significant direct correlation between the level of PF and self-perception of PF (IFIS and FP VAS A), with the FP VAS A obtaining a higher correlation with PF (r = 0.444 to 0.666) than the IFIS and PF (r = 0.154 to 0.557). In sub-study 2 (test–retest of the FP VAS A), a total of 217 students (120 males and 97 females aged 12–17 years) participated. It showed a moderate reliability for all items; the intraclass correlation coefficient (ICC) was between 0.800 and 0.870, and kappa values ranged from 0.622 (endurance) to 0.458 (flexibility). In addition, Cronbach’s α for the total was 0.860. Conclusion: This study showed good validity and reliability for the FP VAS A in adolescents.
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Khatri, Amit, and Namita Kalra. "A Comparison of Two Pain Scales in the Assessment of Dental Pain in East Delhi Children." ISRN Dentistry 2012 (February 14, 2012): 1–4. http://dx.doi.org/10.5402/2012/247351.
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Pain is the most common symptom of oral diseases. Pain perception in children is highly variable and unreliable due to poor communication. Therefore we designed a study to compare pain measurement techniques, that is, visual analogue scale (VAS) and Wong-Baker faces pain rating scale (WBFPS) among Delhi children aged 3 to 14 years undergoing dental extraction. Method. A cross-sectional study was conducted on 180 patients aged 3 to 14 years who had undergone dental extraction. Children were assessed for their pain sensitivity using visual analogue scale (VAS) and Wong-Baker faces pain rating scale (WBFPS ). Result and Conclusion. Pain threshold tends to decline, and the self-management of pain becomes more effective with increasing age. Genderwise result shows that communication ability of boys and girls is similar in all age groups.
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Lord, Bill A., and Brian Parsell. "Measurement of Pain in the Prehospital Setting Using a Visual Analogue Scale." Prehospital and Disaster Medicine 18, no. 4 (December 2003): 353–58. http://dx.doi.org/10.1017/s1049023x0000131x.
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AbstractIntroduction:The aim of this study was to use a visual analogue scale (VAS) to measure the adequacy of prehospital pain management. Patients reported pain severity at two points in time during treatment and transport by ambulance paramedics. The change in pain score was compared with a benchmark reduction of 20 mm that has been shown to correspond with the minimum clinically significant change in pain perception reported by patients.Methods:This prospective, observational study used a VA S to record pain severity among patients reporting pain who were transported to a hospital by paramedics. Patients used a VAS to score pain severity during the initial patient assessment process (T0), and again at the hospital of destination (Tend). This study reports the mean changes in the scores, and the percentage of cases for whom the difference between T0and Tend in the study population achieved or exceeded the 20 mm benchmark. A survey also was administered to paramedics who participated in this study in order to identify attitudes, values, and beliefs relating to the measurement of pain.Results:A total of 262 patients were enrolled in this study. The mean value for thereduction in VAS (T0-Tend) was 18.2±23.9 mm [±SD] (Median = 14.0mm, 95% confidence interval (CI) = 15.3–21.1 mm). One hundred and thirty-four patients (51.1%) did not receive analgesia (either morphine sulfate or methoxyflurane). The mean initial (T0) pain score for the no-analgesia group was 54.5 ±24.7 mm [±SD], with the mean value for the change in VAS (T0-Tend) = 10.6 mm (median = 5 mm, 95% CI = 6.4–14.8 mm). Fo rty-six patients (17.6%) recorded some deterioration in their pain score at Tend (T0-Tend<0 mm). Survey results identified attitudes that may affect paramedics' pain management practice.Conclusion:The results suggest that inadequate analgesia is an issue in this study setting. Effective analgesia requires formal protocols or guidelines supported by effective analgesic therapies along with education that addresses attitudes that may inhibit pain assessment or management by paramedics. Regular audits form part of clinical quality assurance programs that assess analgesic practice. However, such auditsmust have access to data obtained from patient self-reporting of pain using a valid and reliable pain measurement tool.
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Kersten, P., A. Küçükdeveci, and A. Tennant. "The use of the Visual Analogue Scale (VAS) in rehabilitation outcomes." Journal of Rehabilitation Medicine 44, no. 7 (2012): 609–10. http://dx.doi.org/10.2340/16501977-0999.
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Facco, E., G. Zanette, C. Bacci, S. Sivolella, F. Cavallin, and G. Manani. "Validation of visual analogue scale for anxiety (VAS-A) in dentistry." International Journal of Oral and Maxillofacial Surgery 40, no. 10 (October 2011): 1058. http://dx.doi.org/10.1016/j.ijom.2011.07.111.
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Susianto, Arip, Hikmi Muharromah Pratiwi, and Evi Komala Simamora. "Tablet Hisap Dan Relaksasi Nafas Dalam Untuk Mengurangi Nyeri Tenggorok Pada Pasien Post Operasi Dengan General Anesthesia (GA)." Medica Hospitalia : Journal of Clinical Medicine 7, no. 2 (November 19, 2020): 409–14. http://dx.doi.org/10.36408/mhjcm.v7i2.513.
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Latar belakang: Standar prosedur penanganan pada pasien paska bedah di RSUP Dr Kariadi belum cukup efektif untuk mengurangi nyeri tenggorok paska operasi dengan pamasangan endotrakeal tube pada General Anesthesia (GA). Penggunaan tablet hisap terbukti mampu menurunkan nyeri tenggorok, akan tetapi bukti penelitian masih terbatas. Penelitian ini untuk menguji keefektivitasan pemberian tablet hisap dan relaksasi napas dalam untuk mengurangi derajat nyeri tenggorok paska operasi.
Metode: Penelitian dilakukan dengan desain quasi experimental pre-posttest pada 11 Juli – 30 Oktober 2019. Subyek penelitian berjumlah 60 pasien paska operasi dengan general anesthesia yang dikelompokan menjadi 30 kelompok intervensi dan 30 kelompok kontrol. Nyeri tenggorok paska operasi diukur dengan menggunakan Visual Analogue Scale (VAS) pada 6 jam paska operasi dan dievaluasi tiap 12 jam selama 48 jam.
Hasil: Perbedaan rerata skor VAS antara kelompok kontrol dan kelompok intervensi secara signifikan terjadi pada penilaian nyeri 36 jam paska operasi (t = -3,70, p = 0,002) dan 48 jam paska operasi ( t = -4,28, p = 0,000). Skor VAS pada kelompok intervensi lebih rendah secara signifikan dibandingan dengan skor VAS pada kelompok kontrol.
Simpulan: Pemberian tablet hisap dan relaksasi napas dalam secara signifikan menurunkan tingkat nyeri tenggorak paska operasi. Pemberian tablet hisap dapat dijadikan sebagai intervensi alternatif untuk penangangan pasien dengan komplikasi nyeri tenggorok paska operasi.
Key words: Nyeri tenggorok, Endotracheal Tube, Tablet hisap, Relaksasi napas dalam, Visual Analogue Scale (VAS)
Background: The standard procedures of post operative patients at RSUP Dr Kariadi Semarang was ineffective to reduce post operative sore throat with Endotracheal Tube insertion in General Anesthesia. Lozenges was proven may reduce sore throat while the evidences were still limited.
Methods: The research design was quasi experimental pre-post test on 11 july - 30 october 2019. The study subjects were 60 post operative patients with General Anesthesia grouped into 30 intervention grups and 30 control groups. Post operative sore throat was measured using Visual Analogue Scale (VAS) at 6 hours after surgery then evaluated every 12 hours for 48 hours.
Results: Mean difference VAS score between intervention group and control group significantly in the assessment of pain 36 hours (t = -3,70, p = 0,002) and 48 hours ( t = -4,28, p = 0,000) post operatively. VAS score in intervention group was significantly lower than VAS score in control group.
Conclusion: Lozenges and deep breath relaxation reduce significantly post operative sore throat. Lozenges could be used as an alternative intervention to treat patients with post operative sore throat.
Keywords: Sore Throat, Endotracheal Tube, Lozenges, Deep Breath Relaxation, Visual Analogue Scale.
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Mark, MSM, TTS Au, YF Choi, and TW Wong. "The Minimum Clinically Significant Difference in Visual Analogue Scale Pain Score in a Local Emergency Setting." Hong Kong Journal of Emergency Medicine 16, no. 4 (October 2009): 233–36. http://dx.doi.org/10.1177/102490790901600406.
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Objectives To determine whether the minimum clinically significant difference (MCSD) in visual analogue scale (VAS) pain score varies with age, gender, education level and cause of pain (trauma versus non-trauma) in Chinese patients. Methods This was a prospective descriptive study of local Chinese patients 15 years of age or older who presented with pain to the accident & emergency department. On presentation, patients were asked to indicate their current pain severity with a single mark through a standard 100–mm visual analogue scale. Then they would be offered an analgesic for pain-relief. After 30–45 minutes, the patients were asked to give a verbal categorical rating of their pain as ‘a lot better’, ‘a little better’, ‘much the same’, ‘a little worse’, or ‘much worse’ and to mark the level of pain on a VAS of the same type as used previously. The MCSD in VAS pain score was defined as the mean difference between the current and preceding scores when the subject reported ‘a little worse’ or ‘a little better’ in pain. Data were compared based on gender, age, education level, and traumatic versus non-traumatic causes of pain. Results 186 patients were enrolled in the study, yielding 77 evaluable comparisons where pain was rated as ‘a little better’ or ‘a little worse’. Overall, the MCSD in VAS pain score in the group was 17 mm (95%CI 13.6 mm to 20.6 mm). There were statistically significant differences between the MCSD in VAS pain score between genders and causes of pain (trauma versus non-trauma). Conclusions The MCSD in VAS pain scores was found to be 17 mm. There was significant differences in MCSD in VAS pain score in different genders and between trauma and non-trauma cases.
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Iqomi, Isnani Taqina, and A. Abdurrachman. "Gambaran Nyeri Pada Osteoartritis Lutut Setelah Pemberian Intervensi Dengan Modalitas Ultrasound: Literature Review." Prosiding Seminar Nasional Kesehatan 1 (December 17, 2021): 1558–64. http://dx.doi.org/10.48144/prosiding.v1i.895.
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Abstract Knee Osteoarthritis is characterized by pain, deformity, and limitation of movement. To reduce pain in patients with knee osteoarthritis, interventions can be given, one of which is ultrasound with continuous current. Determine the description of pain in knee osteoarthritis after intervention with ultrasound modality. PICO writing method is used as the selection of articles in this literature review research. This article was obtained from PubMed and NCBI with predetermined inclusion and exclusion criteria. The measuring instrument used in the literature review is the visual analogue scale (VAS). The results of the literature review analysis in these five articles showed that pain reduction before the procedure were 6.79 and after the procedure were 3.43 with a difference of 3.36. From the results of the literature review of these five articles, it shows that there is a change in the depiction of pain in knee osteoarthritis patients after being given ultrasound intervention. Keywords: Knee Osteoarthritis; Visual Analogue Scale (VAS), Ultrasound
Abstrak Osteortritis lutut ditandai dengan nyeri, deformitas, dan hambatan gerak. Untuk menurunkan nyeri pada pasien osteoartritis lutut dapat diberikan intervensi salah satunya adalah ultrasound dengan arus continuous. Mengetahui gambaran nyeri pada osteoartritis lutut setelah pemberian intervensi dengan modalitas ultrasound. Pemilihan artikel pada penelitian literature review ini menggunakan PICO. Artikel ini didapatkan dari PubMed dan NCBI dengan kriteria inklusi dan kriteria ekslusi yang telah ditentukan. Alat ukur yang digunakan dalam literature review adalah visual analogue scale (VAS). Hasil analisis literature review pada kelima artikel ini menunjukkan bahwa penurunan nyeri sebelum tindakan 6,79 dan sesudah tindakan 3,43 dengan selisih 3,36. Dari hasil literature review kelima artikel ini menunjukkan bahwa ada perubahan gambaran nyeri pada pasien osteoartritis lutut sesudah diberikan intervensi ultrasound. Kata Kunci : Osteoartritis Lutut, Visual Analgogue Scale (VAS), Ultrasound
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Iqomi, Isnani Taqina, and Abdurrachman Abdurrachman. "Gambaran Nyeri Pada Osteoartritis Lutut Setelah Pemberian Intervensi Dengan Modalitas Ultrasound : Literature Review." Prosiding Seminar Nasional Kesehatan 1 (November 8, 2021): 79–85. http://dx.doi.org/10.48144/prosiding.v1i.623.
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Abstract Knee Osteoarthritis is characterized by pain, deformity, and limitation of movement. To reduce pain in patients with knee osteoarthritis, interventions can be given, one of which is ultrasound with continuous current.. Determine the description of pain in knee osteoarthritis after intervention with ultrasound modality. PICO writing method is used as the selection of articles in this literature review research. This article was obtained from PubMed and NCBI with predetermined inclusion and exclusion criteria. The measuring instrument used in the literature review is the visual analogue scale (VAS). The results of the literature review analysis in these five articles showed that pain reduction before the procedure were 6.79 and after the procedure were 3.43 with a difference of 3.36. From the results of the literature review of these five articles, it shows that there is a change in the depiction of pain in knee osteoarthritis patients after being given ultrasound intervention. Keywords: Knee Osteoarthritis; Visual Analogue Scale (VAS), Ultrasound
Abstrak Osteortritis lutut ditandai dengan nyeri, deformitas, dan hambatan gerak. Untuk menurunkan nyeri pada pasien osteoartritis lutut dapat diberikan intervensi salah satunya adalah ultrasound dengan arus continuous. Mengetahui gambaran nyeri pada osteoartritis lutut setelah pemberian intervensi dengan modalitas ultrasound. Pemilihan artikel pada penelitian literature review ini menggunakan PICO. Artikel ini didapatkan dari PubMed dan NCBI dengan kriteria inklusi dan kriteria ekslusi yang telah ditentukan. Alat ukur yang digunakan dalam literature review adalah visual analogue scale (VAS). Hasil analisis literature review pada kelima artikel ini menunjukkan bahwa penurunan nyeri sebelum tindakan 6,79 dan sesudah tindakan 3,43 dengan selisih 3,36. Dari hasil literature review kelima artikel ini menunjukkan bahwa ada perubahan gambaran nyeri pada pasien osteoartritis lutut sesudah diberikan intervensi ultrasound. Kata Kunci : Osteoartritis Lutut, Visual Analgogue Scale (VAS), Ultrasound
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McCormack, Heather M., David J. de L. Horne, and Simon Sheather. "Clinical applications of visual analogue scales: a critical review." Psychological Medicine 18, no. 4 (November 1988): 1007–19. http://dx.doi.org/10.1017/s0033291700009934.
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SynopsisVisual Analogue Scales (VAS) provide a simple technique for measuring subjective experience. They have been established as valid and reliable in a range of clinical and research applications, although there is also evidence of increased error and decreased sensitivity when used some subject groups. Decisions concerned with the choice of scoring interval, experimental design, and statistical analysis for VAS have in some instances been based on convention, assumption and convenience, highlighting the need for more comprehensive assessment of individual scales if this versatile and sensitive measurement technique is to be used to full advantage.
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Day, J., W. Ye, W. Tillett, and L. C. Coates. "POS1084 COMPARISON OF NUMERICAL RATING SCALE (NRS) AND VISUAL ANALOGUE SCALE (VAS) IN THE PATIENT REPORTED OUTCOME MEASURES OF 3VAS AND 4VAS IN PSORIATIC ARTHRITIS." Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 821.1–821. http://dx.doi.org/10.1136/annrheumdis-2021-eular.3598.
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Background:There is a recognised need for a feasible continuous composite measure in routine clinical care for psoriatic arthritis (PsA). Two multidimensional composite Visual Analogue Scales (VAS) have been proposed; the 3 and 4VAS1, but there may be some advantages to using a numerical rating scale (NRS) over VAS in patient reported outcomes. VAS is a 100mm horizontal line, and the NRS a 21-point scale ranging from 0 to 10 in increments of 0.5. NRS are simple and faster to score, less susceptible to measurement error and may reduce the floor and ceiling effects, whereby patients avoid using the extremes of the scale. A previous study has demonstrated good agreement between VAS and NRS for the separate patient reported outcome measures in PsA, which correlate with disease severity and life impact.2Objectives:To test the performance of NRS, compared with VAS, in the composite 3 and 4VAS scores.Methods:Data were collected prospectively across three UK hospital trusts from 2018-2019, as part of a study assessing the use of NRS in patient reported outcome measures in PsA.2 Patients completed the VAS and NRS for pain, arthritis, skin psoriasis, and global disease activity. The 3 VAS comprises of a physician global VAS, patient global VAS and patient skin VAS and the 4 VAS comprises of the physician global VAS, patient pain VAS, joint VAS and skin VAS. NRS and VAS versions of the patient reported measures were tested. Physician global scores were not available from the study data, therefore only the patient reported components are included. Agreement between the scales was assessed using the intraclass correlation coefficients (ICCs), with a two-way mixed absolute agreement model, and Bland-Altman plots. Spearman’s rank correlation coefficients were used to assess dependency between scale scores and clinical parameters including tender and swollen joint count, PsAID12 and HAQDI.Results:Data from 209 patients were analysed. 60.0% were male, with mean age of 51.7 years and median PsA duration of 7.0 years. Mean 3VAS score was 3.57 and the mean NRS-3VAS was 3.79, with ICC 0.98 (95% CI 0.96-0.98). Mean 4VAS was 3.71 and NRS-4VAS was 3.90 with ICC 0.98 (95% CI 0.97-0.98). Average NRS scores were slightly higher than VAS scores. The Bland-Altman plots comparing NRS and VAS for the patient-reported components of 3VAS and 4VAS are demonstrated in Figure 1. 64.1% patients reported a preference for NRS over VAS. Correlation of the 3/4VAS with PSAID, HAQ and joints counts are reported in Table 1. Visual representation of the NRS and VAS scales for 3VAS and 4VAS as histograms demonstrated that there is marginally less floor effect using NRS compared to VAS.Conclusion:There is good agreement between VAS and NRS for the patient-reported components of 3VAS and 4VAS, supporting that VAS scores are reproducible as NRS scores. Both NRS and VAS versions of the 3 and 4VAS scales correlate with disease activity and life impact.2 There may be advantages in testing the 3/4VAS as NRS moving forward.References:[1]Tillett W et al. J Rheumatol. 2021; in press[2]Ye W et al. J Rheumatol. 2020 Dec 1:jrheum.200928.Table 1.Spearman’s correlations of the 3 and 4 VAS scores with TJC, SJC, PsAID and HAQPatient ReportedTJCSJCPsAIDHAQDI without aids3 VAS vas0.510.440.880.624 VAS vas0.540.470.890.653 VAS nrs0.490.430.890.634 VAS nrs0.530.460.920.67Key: 3VAS; Patient global and skin VAS, 4 VAS: Patient pain, joint and skin VAS. 3 and 4 NRS; Numeric Rating Scale (NRS). TJC/ SJC: Tender/Swollen Joint count. PSAID: Psoriatic Arthritis Impact of Disease. HAQDI: Stanford Heath Assessment Questionnaire.Acknowledgements:Dr Day and Dr Ye contributed equally to the development of this abstract.Disclosure of Interests:Julia Day: None declared, Weiyu Ye: None declared, William Tillett Speakers bureau: AbbVie, Amgen, Celgene, Lilly, Janssen, Novartis, Pfizer Inc., and UCB, Consultant of: AbbVie, Amgen, Celgene, Lilly, Janssen, Novartis, MSD, Pfizer Inc., and UCB, Grant/research support from: AbbVie, Celgene, Eli Lilly, Janssen and UCB, Laura C Coates Speakers bureau: AbbVie, Amgen, Biogen, Celgene, Gilead, Eli Lilly, Janssen, Medac, Novartis, Pfizer, and UCB., Consultant of: AbbVie, Amgen, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Eli Lilly, Gilead, Janssen, Novartis, Pfizer, and UCB;, Grant/research support from: AbbVie, Amgen, Celgene, Eli Lilly, Pfizer, and Novartis.
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Mitchell, Jeanette, Donnèe Ness, and Sandra Whitelock. "Low back pain in pregnancy: A comparative study of two pain-rating scales." South African Journal of Physiotherapy 48, no. 3 (August 31, 1992): 33–35. http://dx.doi.org/10.4102/sajp.v48i3.735.
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A sample of ten pregnant Caucasian women, with an average age of 31,8 ±5,7 years, experiencing low back pain in the third trimester of pregnancy, rated the intensity of their pain on two commonly used pain rating scales: the horizontal visual analogue scale (VAS) and the eight-face pictorial pain scale (PPS). A mean of 3,1 ±2,5 cms was found using the VAS and a mean of 5(E) was obtained on the PPS. A product-moment correlation of the two scales showed a correlation of 0,84 (p = 0,001). This implies that both pain rating scales are able to measure a similar intensity of low back pain in pregnant women.
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Skovlund, E., and O. Flaten. "Response Measures in the Acute Treatment of Migraine." Cephalalgia 15, no. 6 (December 1995): 519–22. http://dx.doi.org/10.1046/j.1468-2982.1995.1506519.x.
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Pain ratings from 268 migraine patients have been used to compare the visual analogue scale (VAS) and a four-point verbal rating scale. All patients completed pain ratings on both scales at the beginning of a migraine attack and 4 h after starting treatment with sumatriptan or placebo. The VAS scores showed large variability within each category on the verbal rating scale. A common way of analysing pain in migraine studies is to classify patient response as a success or failure based on the score on the four-point verbal rating scale. In this study, the statistical power of analysing response either as “success or failure” or by means of the VAS score has been investigated by stochastic simulation. The simulations showed that the two response measures resulted in approximately equal power.
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Byrom, Bill, Celeste A. Elash, Sonya Eremenco, Serge Bodart, Willie Muehlhausen, Jill V. Platko, Chris Watson, and Cindy Howry. "Measurement Comparability of Electronic and Paper Administration of Visual Analogue Scales: A Review of Published Studies." Therapeutic Innovation & Regulatory Science 56, no. 3 (February 10, 2022): 394–404. http://dx.doi.org/10.1007/s43441-022-00376-2.
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Abstract Background Visual analogue scales (VASs) are used in a variety of patient-, observer- and clinician-reported outcome measures. While typically included in measures originally developed for pen-and-paper completion, a greater number of clinical trials currently use electronic approaches to their collection. This leads researchers to question whether the measurement properties of the scale have been conserved during the migration to an electronic format, particularly because electronic formats often use a different scale length than the 100 mm paper standard. Methods We performed a review of published studies investigating the measurement comparability of paper and electronic formats of the VAS. Results Our literature search yielded 26 studies published between 1997 and 2018 that reported comparison of paper and electronic formats using the VAS. After excluding 2 publications, 23 of the remaining 24 studies included in this review reported electronic formats of the VAS (eVAS) and paper formats (pVAS) to be equivalent. A further study concluded that eVAS and pVAS were both acceptable but should not be interchanged. eVAS length varied from 21 to 200 mm, indicating that 100 mm length is not a requirement. Conclusions The literature supports the hypothesis that eVAS and pVAS provide comparable results regardless of the VAS length. When implementing a VAS on a screen-based electronic mode, we recommend following industry best practices for faithful migration to minimise the likelihood of non-comparability with pVAS.
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Kersten, P., A. Küçükdeveci, and A. Tennant. "How should we use the visual analogue scale (VAS) in rehabilitation outcomes? IV: Reply on ”How should we use the visual analogue scale (VAS) in rehabilitation outcomes?”." Journal of Rehabilitation Medicine 44, no. 9 (2012): 803–4. http://dx.doi.org/10.2340/16501977-1044.
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Ali, S., S. Le May, A. Plint, A. Ballard, C. Khadra, B. Mâsse, M. Auclair, et al. "MP19: Comparison of the psychometric properties of the VAS, FPS-R and CAS in the pediatric emergency department." CJEM 19, S1 (May 2017): S71. http://dx.doi.org/10.1017/cem.2017.185.
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Introduction: Appropriate pain management relies on the use of valid, reliable and age-appropriate tools that are validated in the setting in which they are intended to be used. The aim of the study was to assess the psychometric properties of pain scales commonly used in children presenting to the pediatric emergency department (PED) with an acute musculoskeletal injury. Methods: Convergent validity was assessed by determining the Spearman’s correlations and the agreement using the Bland-Altman method between the Visual Analogue Scale (VAS), Faces Pain Scale-Revised (FPS-R) and Color Analogue Scale (CAS). Responsiveness to change was determined by performing the Wilcoxon signed-rank test between the pre-post analgesia mean scores. Reliability of the scales was estimated using relative (Spearman’s correlation, Intraclass Correlation Coefficient) and absolute indices (Coefficient of Reliability). Results: A total of 495 participants was included in the analyses. Mean age was 11.9 ±2.7 years and participants were mainly boys (55.3%). Correlation between each pair of scales was 0.79 (VAS/FPS-R), 0.92 (VAS/CAS) and 0.81 (CAS/FPS-R). Limits of agreement (80%CI) were -2.71 to 1.27 (VAS/FPS-R), -1.13 to 1.15 (VAS/CAS) and -1.45 to 2.61 (CAS/FPS-R). Responsiveness to change was demonstrated by significant differences in mean pain scores, among the three scales, between pre- and post-medication administration (p<0.0001). ICC and CR estimates suggested acceptable reliability for the three scales at 0.79 and ±1.49 for VAS, 0.82 and ±1.35 for CAS, and 0.76 and ±1.84 for FPS-R. Conclusion: The scales demonstrated good psychometric properties with a large sample of children with acute pain in the PED. The VAS and CAS showed a stronger convergent validity, while FPS-R was not in agreement with the other scales. Clinically, VAS and CAS scales can be used interchangeably to assess pain intensity of children with acute pain.
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Scoz, Robson Dias, Cesar Ferreira Amorim, Thiago Espindola, Mateus Santiago, Jose Joao Baltazar Mendes, Paulo Rui de Oliveira, Luciano Maia Alves Ferreira, and Romulo Nolasco Brito. "Discomfort, pain and fatigue levels of 160 cyclists after a kinematic bike-fitting method: an experimental study." BMJ Open Sport & Exercise Medicine 7, no. 3 (August 2021): e001096. http://dx.doi.org/10.1136/bmjsem-2021-001096.
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ObjectiveTo analyse rider’s subjective responses after a standardised bicycle ergonomic adjustment method.MethodsExperimental study of 160 healthy, amateur mountain bikers analysed previously and 30 days after a bike-fitting session. The main outcome measures were subjective comfort level (Feeling Scale, FEEL), fatigue (OMINI Scale) and pain (Visual Analogue Scale, VAS).ResultsAll variables demonstrated statistical significance between groups pre and post bike-fit session (p<0001). FEEL, OMNI and VAS-knee demonstrated large effect sizes (d=1.30; d=1.39 and d=0.86, respectively). VAS-hands, VAS-neck and VAS-back indicated moderate effect size (d=0.58; d=0.52 and d=0.43, respectively). VAS-groin and VAS-ankle indicated a small size effect (d=0.46 and d=0.43, respectively).ConclusionsOverall discomfort, fatigue and pain in healthy mountain biker adults improved according to all three scales. The major improvements in pain levels were detected on the knee, hands, back and neck compared with presession values. Groin and ankle pain had smaller improvements but were still significant. Future clinical trials should address the bias effects of this experimental study.
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Ahamed, ARS, AKMS Islam, MS Islam, SC Hazra, R. Sultana, and N. Ahmed. "Efficacy of Topical Doxepin in the Treatment of Eczematous Dermatoses." Bangladesh Medical Journal 41, no. 3 (May 25, 2014): 28–32. http://dx.doi.org/10.3329/bmj.v41i3.18955.
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An interventional study was carried out in the department of Dermatology and Venereology, Faridpur Medical College Hospital, Bangladesh from January, 2010 to June 2010 to evaluate the efficacy of topical doxepin cream in eczematous dermatoses. We included ninety three patients with moderate to severe pruritic eczematous dermatoses, in this study. Improvement of pruritus was assessed at day 3 and at day 7 by both Visual analogue scale (VAS) and Itch severity) scale (ISS). By VAS at day 3, 61.3% patients showed improvement and at day 7 improvement rate increases to 84.9%. By ISS, improvement at day 3 was 68.9%, and increased to 90.3% at day 7. Improvement was experienced by all types of eczema patients. By visual analogue scale (VAS) mean pruritus reduction at day 3 was 2.25 (± 1.93) and at day 7 was 4.30 (± 1.99). By ltch Severity Scale (ISS) mean pruritus reduction at day 3 was 3.76 (± 2.91), and at day 7 was 8.18 (± 3 42). An average of 27.27% (29.88% by VAS and 24.65% by ISS) reduction of pruritus noticed at the end of day 3 and at the end of study, response increases to 55.58% (57.10% by VAS and 54.06% by ISS) Paired sample t test was done and found that pruritus reduction was statistically significant at day 3 and day 7 both by VAS & ISS We can conclude that doxepin cream is highly effective in relieving pruritus associated with eczematous dermatoses but it has little effect on eczema itself. DOI: http://dx.doi.org/10.3329/bmj.v41i3.18955 Bangladesh Medical Journal 2012 Vol.41(3): 28-32
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Sharma, Rita. "Effectiveness of Mobilisation with Movement Versus Conventional Physiotherapy on Pain and Functions Among Patients with Unilateral Medial Compartment Tibiofemoral Knee Osteoarthritis." International Journal of Research and Review 9, no. 9 (September 27, 2022): 247–56. http://dx.doi.org/10.52403/ijrr.20220927.
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Objectives: The purpose of the study was to compare the effect of Mobilisation with Movement and conventional physiotherapy in patients with unilateral medial compartment tibiofemoral knee osteoarthritis. Methods: A total of 30 subjects with osteoarthritis knee diagnosed clinically were included in the study and randomised equally into two groups, 15 in each. Group A had Mobilisation with Movement and Group B underwent conventional physiotherapy.The outcome measures used were Visual Analogue Scale (VAS) and Oxford knee score (OKS). The measurement were taken at baseline and after 2 weeks of intervention. Results: The paired and unpaired t tests were used to compare within and between the groups respectively. Both the groups improved in pain and Oxford knee score, but Group A improved significantly more in Visual analogue scale (VAS) (P<0.0001) and Oxford knee score (OKS) (P <0.0405) than Group B. Conclusion: The study concluded that Mobilisation with Movement (MWM) provides superior benefits over conventional physiotherapy in improving the pain and functions. Keywords: Knee Osteoarthritis, Mobilisation with Movement, Shortwave diathermy, VAS, OKS
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Leblebici, Metin, Berna Dincer, Cemile Savcı, Filiz Soyhan, and Orhan Alimoğlu. "Assessment of postoperative pain intensity after laparoscopic cholecystectomy: Comparative analysis of three rating scales in terms of scores and patient preferences." Gevher Nesibe Journal IESDR 7, no. 16 (January 25, 2022): 75–81. http://dx.doi.org/10.46648/gnj.321.
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Objective: To compare three rating scales in assessment of postoperative pain intensity after laparoscopic cholecystectomy Methods: A total 102 patients who underwent elective laparoscopic cholecystectomy surgery were participated on a voluntary basis in this cross-sectional questionnaire survey. The questionnaire form elicited items on sociodemographic characteristics of patients, pain characteristics and the pain intensity assessment via three scales including Visual Analogue Scale (VAS), Numerical Rating Scale (NRS), Verbal Descriptor Scale (VDS). Results: Mean(SD) VAS, VDS and NRS scores were 4.7(1.3), 2.8(0.7) and 4.5(1.2), respectively. VDS (67.6%) was the most commonly preferred scale by patients, as followed by VAS (23.5%) and NRS (8.8%). Positive significant correlations were noted between each scale (r: ranged from 0.809 between VAS and VDS to 0.865 between VDS and NRS, p<0.001 for each). There was a high level of inter-scale concordance overall (Cronbach's alpha: 0.910), including VAS x VDS (Cronbach's alpha: 0.820), VAS x NRS (Cronbach’s alpha=0.906) and VDS x NRS (Cronbach’s alpha=0.868). Conclusion: In conclusion, our findings demonstrate that all three scales (VAS, NRS, VDS) provide reliable and valid data with strong correlations and a high level of inter-scale concordance in assessing postoperative pain intensity in laparoscopic cholecystectomy patients. However, VDS appears to be the best scale in assessing pain intensity after laparoscopic cholecystectomy surgery with respect to patient preference rates as well as its strong correlation with other scales, particularly the NRS.
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Jørsboe, Hanne, Bjarne Fogh, and Ann Brockdorff. "Fast implementation of a visual analogue scale (VAS) in an Emergency Department." Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 20, Suppl 2 (2012): P21. http://dx.doi.org/10.1186/1757-7241-20-s2-p21.
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Mittal, Tarun K., Anthony J. Ireland, Nikki E. Atack, Sam D. Leary, Joyce I. Russell, Scott A. Deacon, Andy R. Ness, and Jonathan R. Sandy. "Outcome Measures in UCLP: The Modified 5-Year-Olds’-Index—Development and Reliability." Cleft Palate-Craniofacial Journal 56, no. 2 (May 11, 2018): 248–56. http://dx.doi.org/10.1177/1055665618774018.
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Objective: Can we reliably discriminate severity within the existing categories of the 5-Year-Olds’ Index? Design: Retrospective method comparison and development study. Setting: School of Oral and Dental Science, University of Bristol. Methods: Dental study models of 5-year-olds with unilateral cleft lip and palate (UCLP) were collected from the archives of 2 national cleft surveys (n = 351). One hundred randomly selected models were ranked to construct the modified 5-Year-Olds’ Index and also scored using a visual analogue scale (VAS). Reliability testing was performed on 51 study models. Visual analogue scale scores were used to aid statistical analysis and investigate the reliability of a VAS for outcome measurement. The modified 5-Year-Olds’ Index was then applied to 198 study models of 5-year-olds with UCLP. Results: The modified 5-Year-Olds’ Index showed excellent intra and interexaminer agreement (intraclass correlation > 0.94) and good discrimination of severity. When applied to the Cleft Care UK participants (n = 198), the modified 5-Year-Olds’ Index showed good discrimination of severity within the better categories (groups 1-3) of the 5-Year-Olds’ Index. Visual analogue Scale scores resulted in unacceptable variation between measurements. Conclusions: The new modified 5-Year-Olds’ Index is a reliable method of assessing outcomes at 5 years of age and showed improved discriminatory power between the “better” outcome categories than the original 5-Year-Olds’ Index. A VAS was found to be unsuitable for assessing outcome at 5 years of age for children with UCLP.
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Pratitdya, Ginong, Nancy M. Rehatta, and Dedi Susila. "PERBANDINGAN INTERPRETASI SKALA NYERI ANTARA NRS-VAS-WBFS OLEH PASIEN PASCA OPERASI ELEKTIF ORTHOPEDI DI RSUD Dr. SOETOMO." Care : Jurnal Ilmiah Ilmu Kesehatan 8, no. 3 (November 2, 2020): 447. http://dx.doi.org/10.33366/jc.v8i3.1802.
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Health management is still a challenge in health services. An instrument that can cure pain is easy, easy, with accurate interpretation and can be used by every party involved in pain management. The purpose of this study was to analyze the Numeric Rating Scale (NRS), Visual Analogue Scale (VAS), and Wong Baker Faces Scale (WBFS), which can be interpreted well by postoperative care patients. The research method used was an observational analytic study with a cross-sectional study design that analyzed the scale application (NRS, VAS, WBFS) in patients after elective orthopedic surgery at RSUD Dr. Soetomo Surabaya. This study analyzed primary data of postoperative patients which contained socio-demographic characteristics, type of anesthesia given, pain scores and patient interpretation of pain scales through special instruments. The results showed that 102 research subjects were needed. The pain scale interpretation instrument was declared valid and reliable (Cronbach Alpha> 0.60). Mean pain scores from the VAS scale (4.29), NRS (4.82) and WBFS (4.81). No significant difference was obtained NRS scale and WBFS scale (Sig> 0.05). Mean interpretation of pain scale from the VAS scale (13.62), NRS (17.14) and WBFS (21.33). There was a significant difference in the pain score of the VAS scale against the NRS scale, also the WBFS scale (Sig
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Nasser, Ramzi, Jacqueline Doumit, and James Carifio. "Well-being and belief in a just world among rest home residents." Social Behavior and Personality: an international journal 39, no. 5 (June 30, 2011): 655–70. http://dx.doi.org/10.2224/sbp.2011.39.5.655.
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Several theorists have contended that belief in a just world may be one way elderly rest home residents cope with anxiety, fear, and depression and thus maintain their well-being. In this study we explored belief in a just world and length of time elderly have been residing in rest homes in Lebanon in relation to their levels of self-rated quality of life. A sample of 354 cognitively able elderly people were selected from 36 nursing homes. Interview questionnaires including a translated and validated Self-beliefs in a Just World Scale (BJW-S; Lipkus, Dalbert, & Siegler, 1996) and the EuroQol Visual Analogue Scale (EQ-VAS; Brooks, 1996) that measures respondents' quality of life on a 20cm visual analogue scale. The relationship between Arabic BJW-S scores and length of stay measured on the EQ-VAS was examined using analysis of variance. The findings showed significant main effects for belief in a just world on levels of EQ-VAS, but no significant effects of length of time in rest home on levels of EQ-VAS. Residents who had strong beliefs in a just world seem to have better abilities to cope with negative life events and better self-rated feelings of well-being than did residents who did not believe the world was just and who rated their own well-being lower.
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Widyastuty, Arsusy, Elmeida Efffendy, and Mustafa M. Amin. "Correlation between Visual Analogue Scale Score and Hospital Anxiety Depression Scale-Depression Score in Patients with Cervical Cancer in the Hospital Vina Cancer, Medan." Open Access Macedonian Journal of Medical Sciences 7, no. 16 (August 20, 2019): 2634–37. http://dx.doi.org/10.3889/oamjms.2019.473.
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BACKGROUND: Makuza said that every year, 528 thousand new cases occur and approximately 266 thousand women die from cervical cancer. In cancer patients, the symptoms that are often experienced are a pain. The pain was found to be significantly associated with psychiatric disorders. The pain had a strong relationship with mood disorders in cancer patients.
AIM: To determine the correlation between scores of Visual Analogue Scale (VAS) and Hospital Anxiety Depression Scale-Depression (HADS-D) in patients with cervical cancer in Vina Cancer Center Hospital in Medan
METHODS: This study was an analytical study with a cross-sectional approach to determine the correlation between VAS and HADS-D score between 34 female patients in cervical cancer at Vina Cancer Center Hospital in Medan.
RESULTS: VAS was found to be moderate positively significant with HADS-D (p < 0.001, r = 0.59) in patients with cervical cancer in the Hospital Vina Cancer Medan. The value and direction of the correlation (r) VAS and HADS-D score is 0.59. The conclusion drawn value was (p) < 0.001.
CONCLUSION: There is a significant correlation between VAS score and HADS-D score in cervical cancer patients, which shows that the higher the VAS score resulted in higher HADS-D scores.
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Farooqi, R., T. Iqbal, M. S. Mehmood, Z. Y. Bhatti, and F. Liaquat. "To Compare Frequency of Sore Throat in Early Postop period in General Anesthesia and Endotracheal Intubation for Abdominal Surgeries who are given Dexamethasone and Normal Saline." Pakistan Journal of Medical and Health Sciences 15, no. 6 (June 30, 2021): 1227–29. http://dx.doi.org/10.53350/pjmhs211561227.
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Aim: To Compare frequency of sore throat in early post operative period among patients undergoing general anaesthesia and endotracheal intubation for abdominal surgeries who are given dexamethasone and normal saline. Study Design: Randomized controlled study Setting: Department of Anesthesia/ ICU, Sheikh Zayed Hospital, Lahore Duration of study: Six months i.e. 25-09-2009 to 25-03-2010. Methodology: 120 patients undergoing elective general surgery on abdomen were selected. They were divided into two groups. Group I received dexamethasone 8mg (2ml) I/V pre-operatively and group II received 2ml normal saline I/V pre-operatively. Chi square test was used. Visual analogue (VAS) scale was used for recording sore throat. The VAS score ≤4 was considered as no sore throat and VAS scores>4 were considered as the sore throat. Results: Frequency of post-operative sore throat after the first 24 hours following GA and endotracheal intubation was lower in group (I) as compared to the control group (II). Eleven (20%) patients with dexamethasone had post-operative sore throat compared to thirty one (56.3%) patients in control group. (p<0.01). Conclusion: Pre-operative use of dexamethasone was associated with decreased incidence of post-operative sore throat. Keywords: Visual analogue scale (VAS), Post-operative sore throat, general anesthesia
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Zappelini, Carlos Eduardo Monteiro, Luana Gonçalves Oliveira, Luciana Campoy Giro Basile, Everardo Andrade da Costa, and Rodrigo Ubiratan Franco Teixeira. "Correlation Between the Peak Nasal Inspiratory Flow and the Visual Analogue Scale Before and After Using a Nasal Decongestant." Arquivos Internacionais de Otorrinolaringologia 15, no. 02 (April 2011): 156–62. http://dx.doi.org/10.1590/s1809-48722011000200006.
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Summary Introduction: The measurement of the peak nasal inspiratory flow (PNIF) is easily and swiftly obtained, but hardly spread in Brazil though. On the other hand, the visual analogue scale (VAS) for nasal obstruction is a subjective measurement that can also be used. Objective: To evaluate the correlation between PNIF and VAS for nasal obstruction before and after occurring a change in the nasal patency caused by the topic vasoconstriction. Study outline: Non-randomized clinical and experimental study. Method: 60 volunteers, including patients, doctors, nurses and administrative assistants of the institution were submitted to PNIF and VAS examinations before and after the nasal vasoconstriction with oxymetazoline chloride at 0.05%. Results: The average value found for pre-vasoconstriction VAS was 4.1 and, for post-vasoconstriction, it was 2. This represented a 44% range between the measurements. With regard to PNIF values, the average found when measuring the vasoconstriction was 151 l/min and 178 l/min after vasoconstriction, showing a 20% increase. At the pre-vasoconstrictor moment, increasing a point in average VAS value corresponds to a 3.8% decrease in average PNIF value. In the post-vasoconstriction, each increase of a point in average VAS value corresponds to a 4.5% decrease in average PNIF value. Conclusion: There was an important correlation between the objective measurement of the nasal obstruction through PNIF and the subjective measurement provided by VAS before nasal vasoconstriction. A similar correlation could also be observed after using the decongestant.
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Sima, Romina Marina, Dragos Albu, Antoniu Cringu Ionescu, Mihai Dimitriu, Mihai Popescu, Dana-Rodica Tomescu, Radu Chicea, et al. "The Impact of Ulipristal Acetate (UPA) versus Dienogest on Pain Related to Endometriomas Evaluated with Visual Analogue Scale (VAS)." Revista de Chimie 70, no. 4 (May 15, 2019): 1500–1506. http://dx.doi.org/10.37358/rc.19.4.7158.
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Visual analogue scale (VAS) is a psychometric scale applied to measure subjective characteristics. The purpose of our study was to evaluate the efficiency of Ulipristal acetate (UPA) compared with Dienogest for endometriomas related pain using VAS. We performed a randomized study on women with symptomatic endometriomas. The study was realized between January 2016�December 2018. The patients were randomized in two groups: Group A- that received UPA in doses of 5 mg daily for 12�13 weeks and Group B that received 2 mg Dienogest for 12�13 weeks. Each group received de VAS (Visual Analogue Scale) questionnaire before and after treatment. 70 women wereincluded in the study with 35 patients for each group. The age the mean age was 30.20 years. For Numeric Rating Scale before treatment in the group with UPA the median value was 6 (CI= 5.26, 6.51) and for group B the median was 5 (CI= 5.13, 5.66). After treatment for group A the median value was 4 (CI= 3.58, 4.29) and for group B the median value 4 (CI= 4.23, 4.6). For FRS before treatment in the group with UPA median value was 6 (CI= 5.87, 6.58) and for the group B median was 6 (CI= 6.16, 6.57). After treatment for group A the median value was 4 (CI= 4.12, 4.73) and for group B the median value 5 (CI= 4.9, 5.06). The pain significantly improved for group A. (p[ 0.05) VAS represent a good method to evaluate the quality of pain for patients with endometriomas. The UPA and Dienogest treatment improve the VAS parameters with better results for UPA in the present study.
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Rehman, Farah, Gohar Wajid, Hifsa un Nisa, Amna Ayyub, Shahbano Israr, Hamid Mahmood, and Shamila Afshan. "Exploring the Impact of Exam Anxiety by Using Vas Scale Among Students of Private Medical College Pakistan." Pakistan Journal of Medical and Health Sciences 15, no. 12 (December 10, 2021): 3393–95. http://dx.doi.org/10.53350/pjmhs2115123393.
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Background:To assess examination related anxiety among medical students by using VAS (Visual Analogue Scale) and to explore the factors adding to exam anxiety among medical students. Objectives: The study was conducted to investigate Exam anxiety and its influencing factors on medical and dental students at the Private Medical College in Lahore, Pakistan, The study was conducted to exploring exam anxiety and its influencing factors on medical and dental students of Private Medical College, Lahore- Pakistan Methods: A cross-sectional study was conducted among students from central park medical college Lahore. The survey included statements about the demographic profile of the study participants and used the VAS (Visual Analogue Scale).Pre- designed questionnaire was used to collect the data. The multiple rounds of data collection were done. The data was analyzed by SPSS 24. Chi- square test was applied to obtain the required results. Results: Sign andsymptoms regarding exam anxiety among male and female students of different years of MBBS showed mild anxiety level during exams in male 20(14.8%) compared with female students showed 14(8.5%), moderate anxiety among males observed in 3rdyear 29(67.4%) compared with female of the same years was moderately high as 43(78.2%), maximum anxiety among 2ndyears male and femalestudents as 21(63.6%) versus 30(65.2%) respectively with p=0.001 showed there is statistically significant difference among anxiety level of male and female medical students. Conclusion: This study indicates moderate level of exam anxiety based on a Visual Analogue Scale in students of a medical college and also highlights factors such as extensive course load, lack of exercise and long duration of exams which contribute to Exam Anxiety. Keywords: Visual Analogue Scale, Exam Anxiety, Anxiety
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Shrestha, Binod Bade, and Sujan Shrestha. "Analysis of Acute Postoperative Pain in Patients undergoing Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia in Manipal Teaching Hospital." Nepal Journal of Medical Sciences 5, no. 1 (February 15, 2020): 71–78. http://dx.doi.org/10.3126/njms.v5i1.36956.
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Background: Laparoscopic inguinal hernia repair in adults require the use of prosthetic material. We aimed to investigate the acute postoperative pain in patients who underwent transabdominal preperitoneal inguinal hernia repair using heavy or light weight polypropylene mesh.
Methods: This observational, analytical study was conducted in172 adult patients, aged 18-80 years, who underwent transabdominal preperitoneal inguinal hernia repair from January 2017 - October 2019. The patients were divided into two groups as HWM group (heavyweight polypropylene mesh), n=81 and LWM group (light weight polypropylene mesh) n=91. The patients in both the groups were compared in terms of acute postoperative pain at 24 and 48 hours using visual analogue scale (VAS) score.
Results: The visual analogue scale (VAS) score of HWM group and LWM group at 24 hours was 5.42 ± 1.25 and 4.46 ± 1.61 respectively (p=0.00). The VAS score at 48 hours was 3.44 ± 1.07 and 2.74 ± 1.27 for HWM and LWM group respectively (p=0.00).
Conclusions: The post-operative pain at 24 and 48 hours following transabdominal preperitoneal inguinal hernia repair using light weight polypropylene mesh was less as compared to the patients whose hernia were repaired using heavy weight polypropylene mesh.
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Dannenbaum, Elizabeth, Gevorg Chilingaryan, and Joyce Fung. "Visual vertigo analogue scale: An assessment questionnaire for visual vertigo." Journal of Vestibular Research 21, no. 3 (2011): 153–59. http://dx.doi.org/10.3233/ves-2011-0412.
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Sugizaki, Clara Sandra de Araujo, Clarice Carneiro Braga, Ana Tereza Vaz de Souza Freitas, and Maria do Rosário Gondim Peixoto. "Transcultural adaptation of the Thirst Distress Scale (TDS) into Brazilian Portuguese and an analysis of the psychometric properties of the scale for patients on hemodialysis." Brazilian Journal of Nephrology 42, no. 2 (June 2020): 153–62. http://dx.doi.org/10.1590/2175-8239-jbn-2019-0151.
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Abstract Objective: To produce a transcultural adaptation of the Thirst Distress Scale (TDS) into Brazilian Portuguese and analyze the scale’s psychometric properties for patients on hemodialysis (HD). Methods: The original scale was translated, back translated, and discussed with psychometric assessment experts. The final version was tested with 126 patients on HD and retested with 70 individuals from the original patient population. Cronbach’s alpha was used to measure the scale’s internal consistency. Reliability of thirst intensity evaluated via the visual analogue scale (VAS) was tested with Kappa statistic and the Bland-Altman plot. Reproducibility was assessed based on the intraclass correlation coefficient (ICC). Results: The wording of three items and the verb tenses of six had to be adjusted in the final version of the Brazilian Portuguese TDS. Comprehension of the scale by patients on HD was good, the scale’s internal consistency was satisfactory (0.84; p<0.001), agreement with a visual analogue scale (VAS) was moderate (kappa=0.44; p<0.001), and reproducibility neared perfection (ICC=0.87; p<0.001). Conclusion: Our results showed that the Brazilian Portuguese version of the scale might be used reliably. The Brazilian Portuguese version of the TDS is a practical, affordable, accessible and well-accepted tool that has a lot to offer for the management of patients with HD.
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Pointer, Jonathan S. "A novel visual analogue scale (VAS) device: an instrument based on the VAS designed to quantify the subjective visual experience." Ophthalmic and Physiological Optics 24, no. 3 (May 2004): 181–85. http://dx.doi.org/10.1111/j.1475-1313.2004.00180.x.
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Hazra, Samaresh Chandra, Ehsanul Kabir, and Nafiza Ahmed. "Efficacy of topical Doxepin in the treatment of eczematous dermatoses." Update Dental College Journal 2, no. 1 (February 25, 2013): 14–20. http://dx.doi.org/10.3329/updcj.v2i1.13955.
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Background: Doxepin hydrochloride is a dibenzoxepin tricyclic, has a potent H1 & H2 receptor blocking actions. If topical doxepin can effectively control pruritus associated with eczematous dermatoses, we can use it as adjunctive therapy and can reduce the drawbacks of topical steroids and antihistamines. Methods: An interventional study from january 2010 to june 2010 has done in the department of dermatology and venereology, Faridpur Medical College Hospital, Bangladesh to evaluate the efficacy of topical doxepin cream in eczematous dermatoses. We included moderate to severe pruritic eczematous dermatoses patient in this study. Results: Improvement of pruritus was assessed at day 3 and at day 7 by both Visual analogue scale (VAS) and Itch severity scale (ISS). At day 3 by VAS 61.3 %( 57) patients showed improvement and at day 7 improvement rate increases to 84.9% (79). By ISS improvement at day 3 was 68.9% (64) and increased to 90.3% (84) at day 7. Improvement was experienced by all types of eczema patients. An average of 27.27% (29.88% by VAS and 24.65% by ISS) reduction of pruritus noticed at the end of day 3 and at the end of study, response increases to 55.58% (57.10% by VAS and 54.06% by ISS). Paired sample t test was done both for visual analogue scale (VAS) and itch severity scale (ISS) that compare the mean pruritus reduction at day 3 and day 7 with baseline pruritus (day-0). Pruritus reduction was statistically significant at day 3 and day 7 both by VAS & ISS.Conclusion: Doxepin cream is highly effective in relieving pruritus associated with eczematous dermatoses but it has little effect on eczema itself.DOI: http://dx.doi.org/10.3329/updcj.v2i1.13955 Update Dent. Coll. j: 2012; 2 (1): 14-20
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Adyanthaya, Amith, Risana K, Aparna Sivaraman, Gopika Gopan A, Nazreen Ayub K., Reshma Aloysious, Sangeetha C.R., and Swetha S. Nair. "Evaluation of Efficacy of Customized Lidocaine Bioadhesive Anaesthetic Patch for Extraction of Primary Tooth - An Invitro Study." Journal of Evolution of Medical and Dental Sciences 10, no. 24 (June 14, 2021): 1830–34. http://dx.doi.org/10.14260/jemds/2021/378.
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BACKGROUND We wanted to clinically evaluate the efficacy of lidocaine bioadhesive patches for extraction in paediatric dentistry and assess the comfort and pain response by sound eye motor (SEM) scale and intensity of pain using the visual analogue scale (VAS). METHODS A total of thirty-five co-operative children of age group 8 - 12 years without systemic diseases who needed dental extraction participated in the study. Extraction was carried out using customized lidocaine bioadhesive patches as anaesthetic agent. Evaluation of comfort and pain response was done by sound eye motor scale and intensity of pain using the visual analogue scale. Statistical analysis was done with SPSS version 2.0. Comparison of SEM scale and VAS scores between different subgroups was done using a chi-square test. P value less than 0.001 was considered statistically significant. RESULTS Children of higher age groups belonging to both the genders demonstrated less perception to pain during extractions using lidocaine patch. During extraction of firm teeth and teeth with Grade I mobility, perception of pain was more in girls. Maxillary arch extraction in children with various grades of mobility perceived less pain. Irrespective of age, gender and arches,teeth with Grade II and Grade III mobility were extracted with minimal VAS and SEM score. CONCLUSIONS Bioadhesive patches serve as a potential non-invasive alternative to traditional modes of local anaesthetic delivery with the advantage of eliminating needle phobia and possible negative influence on the behaviour. KEY WORDS Bioadhesive Patches, Lidocaine, Extraction, Paediatric Dentistry
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Kanda, M. "Cortical potentials related to assessment of pain intensity with visual analogue scale (VAS)." Clinical Neurophysiology 113, no. 7 (July 2002): 1013–24. http://dx.doi.org/10.1016/s1388-2457(02)00125-6.
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Zardad, M. S., A. S. Awan, A. Khan, M. A. E. Bhattani, S. A. Shah, and A. Hussain. "Short Term Effectiveness of Intraarticular Injection of Methylprednisolone Acetate in Subacromial Impingement Syndrome in A Tertiary Care Hospital." Pakistan Journal of Medical and Health Sciences 15, no. 5 (May 30, 2021): 1335–37. http://dx.doi.org/10.53350/pjmhs211551335.
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Objective: To determine the effectiveness of intraarticular injection of methylprednisolone acetate in subacromial impingement syndrome. Study Design: Descriptive Case Series Place and Duration: Study was conducted in Orthopaedic Unit Ayub Medical Teaching Institute Abbottabad and MTI, Hayatabad Medical Complex Peshawar for one year duration from February 2020 to February 2021. Methods: Total 100 patients of newly diagnosed subacromial impingement syndrome were enrolled in this study. Patients were aged between 20-60 years. Patients details demographics age, sex and body mass index were recorded after taking informed written consent. Patients did not receive any treatment before were included. Effectiveness of intraarticular injection of methyl prednisolone acetate was measured by using visual analogue scale (VAS) for pain intensity from 0 to 10 by VAS score after 4 weeks.Completedata was analyzed by SPSS 22.0 version. Results: Mean age of the patients was 38.14±7.44 years with mean BMI 25.64±18.9kg/m2. Among 100 cases, 75 (75%) patients were males and 25 (25%) were females. Diabetic patients were 25 (25%) and 14 (14%) patients were gout among all cases. Mean VAS score before treatment was 6.14±4.84 and after treatment VAS score was reduced to 4.41± 3.64. After follow up of 4 weeks VAS score was decreased to 1.11±3.65. Satisfaction among patients were 90 (90%). Conclusion: We concluded in this study that for the treatment of subacromial impingement syndrome, intraarticularinjection of methylprednisolone acetate was effective and useful. It was also observed that VAS score among patients were reduced significantly with should pain. Keywords: Intra articular methylprednisolone injection, Subacromial impingement syndrome, Effectiveness, Visual analogue scale