A pictorial scale of pain intensity (SPIN) for patients with communication impairments

Jackson, Diane, Horn, Sandra, Kersten, Paula and Turner-Stokes, Lynne (2006) A pictorial scale of pain intensity (SPIN) for patients with communication impairments International Journal of Therapy and Rehabilitation, 13, (10), pp. 457-463.


Full text not available from this repository.


Patients with impaired communication often have difficulty describing symptoms such as pain, which hinders both clinical treatment and research. The objective of this study was to develop and characterize a step-by-step process for introducing a new pictorial scale of pain intensity (SPIN) to stroke patients with communication deficits undergoing rehabilitation. To exemplify the process, this article describes a single patient with profound aphasia and rightsided hemiplegia, who was thought to have severe pain in his affected shoulder, probably associated with neuropathic pain. A method of presenting the SPIN, based on a total communication approach, was established and serial pain ratings made by the patient were found to be consistent with independent clinical records. The SPIN appears to have potential as a method for quantifying pain severity in people with limited communication. Further evaluation is needed in a larger sample of patients.

Item Type: Article
ISSNs: 1741-1645 (print)
Related URLs:
ePrint ID: 55322
Date :
Date Event
October 2006Published
Date Deposited: 30 Jul 2008
Last Modified: 16 Apr 2017 17:44
Further Information:Google Scholar
URI: http://eprints.soton.ac.uk/id/eprint/55322

Actions (login required)

View Item View Item