+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Problems associated with pain measurement in arthritis: comparison of the visual analogue and verbal rating scales



Problems associated with pain measurement in arthritis: comparison of the visual analogue and verbal rating scales



Clinical and Experimental Rheumatology 2(3): 231-234



Thirty-seven arthritis patients participating in a drug withdrawal trial, simultaneously completed a 20-point visual analogue scale and 7-point verbal rating scale for pain severity while on active medication and 48 hours following its withdrawal. The relationship between the two scales could be better approximated by a curve than a straight line, and further interpretation suggested that the relationship might be sigmoidal. This indicates that only the middle of the scales are linearly related with a lack of agreement occurring towards the upper and lower ends. Although the visual analogue scale proved superior to the verbal rating scale in its ability to detect changes in pain, until more is known about factors which influence subjective magnitude estimation, this conclusion must remain tentative. The implications of the findings to pain measurement are discussed.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 044041693

Download citation: RISBibTeXText

PMID: 6529875


Related references

Comparison of Visual Analogue Scales (VAS) and Verbal Rating Scales (VRS) as Assessment Tools of Pain Intensity and Pain Unpleasantness. PhysioTherapy 82(11): 638-0, 1996

Acceptability of visual analogue scales in the clinical setting: a comparison with verbal rating scales in postoperative pain. Methods and Findings in Experimental and Clinical Pharmacology 11(2): 123-127, 1989

Comparability of visual analogue and verbal rating scales in measuring the pain of rheumatoid arthritis. Arthritis and Rheumatism 35(9 Suppl. ): S176, 1992

Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. Journal of Pain and Symptom Management 41(6): 1073-1093, 2011

Pain measurement scales: a comparison of the visual analogue and faces rating scales in measuring pressure ulcer pain. Journal of Wound Ostomy and Continence Nursing 28(6): 290-296, 2001

Methodological problems in the measurement of pain: a comparison between the verbal rating scale and the visual analogue scale. Pain 1(4): 379-384, 1975

A comparison of the Hopkins Pain Rating Instrument with standard visual analogue and verbal descriptor scales in patients with cancer pain. Journal of Pain and Symptom Management 7(4): 196-203, 1992

A descriptive study of the use of visual analogue scales and verbal rating scales for the assessment of postoperative pain in orthopedic patients. Journal of Pain and Symptom Management 18(6): 438-446, 1999

A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain 56(2): 217-226, 1994

Lack of interchangeability between visual analogue and verbal rating pain scales: a cross sectional description of pain etiology groups. Bmc Medical Research Methodology 5: 31, 2005

The Assessment of Acute Pain in Pre-Hospital Care Using Verbal Numerical Rating and Visual Analogue Scales. Journal of Emergency Medicine 49(3): 287-293, 2015

Comparison of a verbal numeric rating scale with the visual analogue scale for the measurement of acute pain. Emergency Medicine Australasia 15(5-6): 441-446, 2003

Comparison of a verbal numeric rating scale with the visual analogue scale for the measurement of acute pain. Emergency Medicine 15(5-6): 441-446, 2003

Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of Pain Research 11: 851-856, 2018

Comparison of fixed interval and visual analogue scales for rating chronic pain. European Journal of Clinical Pharmacology 8(6): 415-420, 1975