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Comparison of CR10 Borg’s Scale with Visual Analogue Scale (VAS) to assess pain in patients with Temporomandibular Disorders

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Author(s):
Adriana do Vale Ferreira Bacci
Total Authors: 1
Document type: Master's Dissertation
Press: Ribeirão Preto. , gráficos, ilustrações, tabelas.
Institution: Universidade de São Paulo (USP). Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (PCARP/BC)
Defense date:
Examining board members:
Sergio Sheiji Fukusima; Marcelo Oliveira Mazzetto; Jose Aparecido da Silva
Advisor: Sergio Sheiji Fukusima
Field of knowledge: Humanities - Psychology
Indexed in: Banco de Dados Bibliográficos da USP-DEDALUS
Location: Universidade de São Paulo. Biblioteca Central do Campus de Ribeirão Preto; FFCLRP/Bacci, Adriana do Vale Ferreira
Abstract

Visual Analogue Scale (VAS) and Category-Ratio Scale (CR10) were applied to measure pain in patients with Temporomandibular Disorders (TMDs). In the first study, a modified version of CR10 translated to Portuguese and VAS were applied to measure spontaneous pain, functional pain and pain by touch after and before dentistry treatment in 35 patients (Group I). The CR10 modification consisted of presenting the verbal categories and the numerical scale in separated columns in a sheet. Coefficients of Pearson’s correlation between VAS and CR10 scores were .85 and .90 respectively before and after treatment, indicating a high criterion validation. The association of numerical values and verbal categories of Modified CR10 scale were different from the original CR10. The verbal expressions “moderate", “strong" and “very strong" were attached to higher values. In the second study we investigated if these discrepancies in attaching the verbal categories to the numerical scale were replicable and if they were not an artifact of the way of presenting the modified CR10 scale. To check these topics, the scales were applied to measure pain in two new samples of patients with TMD before dentistry treatment. A new modified version of the CR10 scale and the VAS were applied to the first sample (Group II, n=23 patients). This modification in CR10 scale consisted of presenting first the numerical scale in separate column, and then the verbal categories distributed in three columns. The original CR10 and VAS were applied to the second sample (Group III, n=17 patients). Coefficients of Pearsons correlation between CR10 and VAS were .9 for Group II and .8 for Group III, indicating also high criterion validation. As indicated in the first study, some verbal categories were attached to the numerical scale at higher values than those ones in the original scale. In both studies,, most patients judged the CR10 easier to be understood and more adequate to measure pain than VAS. There is evidence of the necessity of more studies to validate CR10 to Portuguese to determine with precision the association of the verbal categories to the numeric values. (AU)