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1、PhysicalTherapyReviews2005;10:123–128VISUALANALOGUESCALE,NUMERICPAINRATINGSCALEANDTHEMcGILLPAINQUESTIONNAIRE:ANOVERVIEWOFPSYCHOMETRICPROPERTIESCRISTIANAKAHL1ANDJOSHUAA.CLELAND2,31DivisionofPhysicalTherapy,LongIslandUniversity,Brooklyn,NewYork,USA2PhysicalTherapyProgram,FranklinPierceColleg
2、e,Concord,NewHampshire,USA3RehabilitationServicesofConcordHospital,Concord,NewHampshire,USAABSTRACTItisessentialforphysicaltherapiststouseoutcomemeasuresthatidentifyandmeasureachangeinpatientstatus;however,painisamultidimensionalexperiencethatisoftendifficulttomeasure.Avarietyofinstruments
3、havebeendevelopedinanattempttoobtainanaccuratemeasureofpatients’perceivedlevelofpain.Threeofthemostcommonoutcomemeasuresutilisedbyphysicaltherapistsincludethevisualanaloguescale,thenumericpainratingscaleandtheMcGillPainQuestionnaire.Thepurposeofthisreviewistodescribethepsychometricproperti
4、es,includingreliabilityandresponsiveness,oftheseoutcomemeasures.Keywords:Outcomemeasures,psychometricproperties,pain,VAS,NPRS,MPQINTRODUCTIONunderstandmeasurementissues,includingconceptsofvalidityandreliability.1,2PhysicaltherapistsusetestsandmeasurestoevaluatePainisoneoftheprimaryreasonsp
5、atientsseekpatientsonadailybasis:testsandmeasuresarethemedicalattention;therefore,patientperceivedpain‘heartandsoulofgoodclinicalpractice’.1Asthepro-levelsarecommonlyusedasanoutcomemeasureandPublishedbyManeyPublishing(c)W.S.Maney&SonLimitedfessionofphysicaltherapycontinuestoevolvetowardind
6、icatorofclinicalchange.Unlikemeasurementsoffullprofessionalautonomy,cliniciansmustdevelopphysicalimpairmentssuchasrangeofmotionoranenhancedunderstandingoftheapplicationsandstrength,painisasubjectiveandmultidimensionaltheimplicationsofusingspecificclinicalmeasures;phenomenon,itspresentation
7、dependinguponavari-additionally,physicaltherapytreatmentapproachesetyofaetiologiesandinfluencingfactors.3–6Thesub-mustbedemonstratedtobeclinicallyeffective,aspartjectivenatureofpainleadstosomeofthedifficultyofwhichobservedchangesinpatientstatusasaresultencount
