Vertical or horizontal visual analogue scales.

Objective: The purpose of this project was to develop and test protocols for a randomized clinical trial of a combined therapeutic approach (thoracic spine and sacroiliac joint highvelocity, low-amplitude spinal manipulation [HVLA SM] + cervical spine postisometric relaxation) and cervical spine HVLA SM for patients with subacute or chronic neck pain. Methods: Patients were recruited in the Quad Cities in Iowa and Illinois. After a baseline assessment visit, eligible patients were randomly assigned to cervical spine HVLA SM or to the combined therapeutic approach for 4 treatment visits over 2 weeks. Outcome assessments included the Neck Disability Index, visual analog scale, and posttreatment response questionnaire. Patient outcomes were not aggregated or compared by treatment group. Results: It took approximately 8 months of planning, which included the development of forms and protocols, pretesting the forms, and training staff and clinicians in the standardized protocols. Twelve participants were screened, and 6 patients were enrolled and randomly allocated to care over a 6-week period. All patients completed 5 visits. Five of 6 patients had an improvement on the Neck Disability Index. On the visual analog scale, 2 patients improved at 2 weeks, whereas the other 4 got worse. Five patients completed the posttreatment response questionnaire; 2 of the 5 indicated they experienced discomfort or an unpleasant reaction from the study treatments. Conclusions: Designing a successful feasibility randomized clinical trial requires considerable planning, development and pretesting of the forms and protocols, and training clinicians and staff for standardized protocols. Patients were willing to be randomized, follow treatment protocols, complete baseline and outcome assessments, and return 83% of the follow-up questionnaires.

show abstract

“…[19][20][21][22] Concurrent validity studies with other measures of pain and loss of function were also high. 23 …”

Section: Visual Analog Scalementioning

confidence: 99%

A feasibility study assessing manual therapies to different regions of the spine for patients with subacute or chronic neck pain

Strunk

Hondras

2008

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

show abstract

“…The distance from "no pain" and to the mark made by the patient represents that patient's pain intensity scores Scott and Huskisson (1979) Mechanical VAS Usually consists of laminated or plastic VAS scales with a sliding marker with which the patient is asked to rate their pain intensity. The side with the sliding marker is facing the patient.…”

Section: Selection Criteriamentioning

confidence: 99%

Pain and pain assessment in stroke patients with aphasia: a systematic review

2016

View full text Add to dashboard Cite

Background: Persons with aphasia (PWA) after stroke are less able or unable to communicate about their pain due to language, speech and/or cognitive impairment. Most commonly pain rating scales are used for the assessment of pain in PWA, which could not be applied to any patient aphasia because of their inability to communicate verbally their pain. Aims: This review aims to investigate the prevalence and incidence of pain in PWA after stroke, establish which pain assessment instruments are used, and examine whether they are feasible, valid and reliable. Methods & Procedures: A systematic literature search was made to identify studies on pain and pain assessment in PWA and persons without aphasia after stroke, or in patients with right and left hemispheric stroke. The COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist was used to evaluate the methodological quality of the studies and the properties of the measurement scales used. Outcomes & Results: The search yielded 10 articles. The vertical, mechanical and horizontal Visual Analogue Scale, Faces Pain Scale, Verbal Rating Scale, Numeric Rating Scale, categorical site-of-pain scale, and a pictorial scale of pain intensity were used to assess pain, as were the Short-Form 36 Health Survey and the Dartmouth COOP Charts Quality of Life Scales that each have one pain item. Prevalence of pain in PWA after stroke was reported in two studies and ranged from 43.8-87.5%. Most studies described pain assessment in PWA after stroke with mild-to-moderate aphasia, while patients with severe aphasia were excluded. Various pain assessment tools were used but their feasibility, validity and reliability were generally of low methodological quality. Conclusions: A feasible, reliable and valid instrument is not available for PWA after stroke.

show abstract

“…La puntuación de la escala Morse (Morse, Morse, y Tylko, 1989) es un 10 % decreciente, aunque aún hay riesgo de caídas, es menor que a su ingreso, al igual que la escala Tinetti (1986), que muestra una mejora en el equilibrio y la marcha debido a sus ejercicios fisioterapéuticos. La escala eVa (Scott y Huskisson, 1979) muestra una disminución del dolor debido al tratamiento para la cura del herpes zóster del cuero cabelludo. Y por último, en la escala Barthel (Mahoney y Barthel, 1965) vemos que ha aumentado un 15 % su puntuación, lo que indica que tiene menor dependencia que a su ingreso, aunque cabe destacar que sigue siendo dependiente total.…”

Section: Figura 1 Resultados Obtenidos En Las Escalas Incluidas En Lunclassified