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The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain.
The standard error of measurement (SEM) was 0.03, and the minimum detectable change (MDC) was 0.08​​. These findings indicate that the VAS is a reliable tool for assessing pain intensity in patients with osteoarthritis of the knee.
One of the key limitations of the VAS is the ceiling effect, which causes compression of the scale and limits pain rating at the high end. In addition, the lack of anchors for the scale creates ambiguity.
VAS measures of acute abdominal pain are valid and reliable. The 95% CI surrounding the minimum clinically significant difference of approximately 16mm overlaps with the 95% CI of minimum clinically significant difference of approximately 13mm reported previously in traumatic and other types of acute pain.
The VAS demonstrated excellent testretest reliability with an intraclass correlation coefficient (ICC) of 0.97. The standard error of measurement (SEM) was 0.03, and the minimum detectable change (MDC) was 0.08​​.
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