Table 1.

Modified Behavioral Pain Scale

Parameter	Finding	Points
	Definite positive expression (smiling)	0
	Neutral expression	1
Facial expression	Slightly negative expression (grimace)	2
	Definite negative expression (furrowed eyebrows; eyes closed tightly)	3
	Laughing or giggling	0
	Not crying	1
Cry	Moaning quietly; vocalizing gentle or whimpering cry	2
	Full crying or sobbing	3
	Full crying more than baseline cry (scored only if child was crying at baseline)	4
	Usual movements and activity	0
	Resting and relaxed	0
	Partial movement (squirming, arching limb; tensing, clenching)	2
Movements	Attempt to avoid pain by withdrawing the limb where the puncture is done	2
	Agitation with complex/generalized movements involving the head, torso or other limbs	3
	Rigidity	3

Modified Behavioral Pain Scale = SUM (points for all three parameters); 0, minimum score; 10, maximum score