Comparison

SmallTalk Pain Scale vs Cuespeak

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

SmallTalk Pain Scale

This app offers a visual communication tool with images and spoken descriptions for pain assessment and anatomy. Users can customize the display to prioritize key messages, making it easier for individuals with communication challenges to express themselves.

Highlights
  • Picture-based communication
  • Spoken pain descriptions
  • Anatomy icons
  • Customizable icon order
  • Reset to original settings
Read full description

SmallTalk Pain Scale provides a library of pictures you can tap that speak out loud. This includes pain descriptions and images from the Wong-Baker Faces Pain Scale, as well as icons representing human anatomy. You can easily rearrange the order of the icons or remove others to make it simpler to focus on your most important messages. Then, reset the app to return to original settings. WHO IS THIS APP FOR? + Stroke Survivors + People with Aphasia + Caregivers of People with Aphasia + Speech-Language Pathologists + Speech-Language Pathology Students + Healthcare Providers Learn more about Lingraphica at www.aphasia.com

About

Cuespeak

This app provides speech and language rehabilitation exercises for individuals with difficulties following stroke or brain injury. It offers a wide range of customizable activities for speaking, understanding, reading, and writing, designed for home or clinic use.

Highlights
  • Expert-developed exercises
  • Personalized therapy sessions
  • Engaging and interactive activities
  • Weekly new content updates
  • Session sharing via email
  • Mobile accessibility
Features
Read full description

Supercharge your speech therapy with Cuespeak, the NHS-recommended rehabilitation tool for people with speech, language, and cognitive difficulties after stroke or brain injury. Designed for use in both home and clinic, Cuespeak offers a huge range of exercises to work on aphasia and apraxia of speech, addressing speaking, understanding, reading and writing. Key Features: - Expert-Developed Content: Access hundreds of exercises developed by specialist speech and language therapists - Personalise it: Customise your therapy sessions and add personalised content such as names of family and friends - Engaging and Fun: Cuespeak’s interactive exercises are relevant to real life to keep you motivated - Up to date: New content added every week, including the latest items from the news - Share sessions via email: Allows you to get help from someone in another location - Accessible on the move: Use Cuespeak on your iPhone or iPad, so you can practise anytime, anywhere, making therapy convenient and flexible Who is it for? - People with speech and language difficulties seeking a home therapy tool - Caregivers and family members supporting a loved one’s recovery following stroke or brain injury What users have said: - “I just wanted to thank you for your marvellous programme. My husband has severe aphasia but has not lost his intelligence. Your programme stimulates his interest – there is no dumbing down. Keep up the good work. We love the humour in Cuespeak” Home user - “This is the best therapy tool I have ever used” Elizabeth McBarnet, Speech & Language Therapist, N. Ireland - "I can’t stress enough how much I love this app. I have been using it today with a lady with apraxia and aphasia and she was just so excited by how relevant it was to her life!” Bev Snowden, Senior Specialist SLT, North Devon Healthcare Trust

Screenshots

SmallTalk Pain Scale4 screens
Cuespeak4 screens

Verdict

The call

The clearest difference is rating: Cuespeak at 4.7 against SmallTalk Pain Scale's 4.0. Cuespeak also leads on ads (none vs shown) and review sentiment (84% vs 50%). SmallTalk Pain Scale's advantage is in-app purchases (none vs 7) and iOS requirement (9.0 vs 15.0). On price and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Cuespeak sells 7 in-app purchases, starting at $3.99 per month. SmallTalk Pain Scale asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

Cuespeak holds the better App Store score, 4.7 against 4.0. That said, the two scores are not equally well evidenced: Cuespeak has 87 ratings behind it against 3, so its average is the more settled of the two. Written reviews point the same way: 50% of SmallTalk Pain Scale's written reviews are positive against 84% of Cuespeak's.

UpkeepUpdate frequency

SmallTalk Pain Scale ships an update every 9 months, Cuespeak every 3 weeks. The most recent releases landed on October 16, 2026 and October 14, 2026 respectively.

Scorecard8 real differences · 2 level
SmallTalk Pain Scale versus Cuespeak: the parameters behind the verdict, then further details
ParameterSmallTalk Pain ScaleCuespeak
PriceFreeFree
Rating4.0 (3 ratings)4.7 (87 ratings) — better
Positive reviews50.0% of reviews84.0% of reviews — better
Number of ratings387 — better
Update frequencyEvery 9 monthsEvery 3 weeks — better
AdsYesNo — better
In-app purchasesNo — betterYes
MonetizationAd-supported — betterFree with in-app purchases
DevicesiPhone, iPad, iPodiPhone, iPad, iPod
Requires iOS9.0 — better15.0
Further details — not scored
Size259 MB124 MB
Age rating4+12+
DeveloperLingraphicare, Inc.Cuespeak Limited

Customer experience

SmallTalk Pain Scale

All ratings3 ratings
Positive66.7%
Neutral0.0%
Negative33.3%
Written reviews2 reviews
Positive50.0%
Neutral0.0%
Negative50.0%

Cuespeak

All ratings87 ratings
Positive94.3%
Neutral3.4%
Negative2.3%
Written reviews25 reviews
Positive84.0%
Neutral8.0%
Negative8.0%

In-app purchases

None

SmallTalk Pain Scale

No in-app purchases

7 purchases

Cuespeak

Subscriptions5
  • Legacy 1$3.991 Month
  • Legacy 2$3.991 Month
  • Legacy 3$3.991 Month
Show 2 more
  • Monthly auto-renewing1 Month trial$7.491 Month
  • Monthly auto-renewing$12.991 Month
One-time2
  • 1 year license (non-renewing)$129.99
  • 3 year license (non-renewing)$399.00

Questions

Is SmallTalk Pain Scale free?
SmallTalk Pain Scale is free to download, with no in-app purchases.
Is Cuespeak free?
Cuespeak is free to download, with in-app purchases available.
Which has better reviews, SmallTalk Pain Scale or Cuespeak?
Cuespeak is rated higher. SmallTalk Pain Scale averages 4.0 out of 5 from 3 ratings, while Cuespeak averages 4.7 from 87 ratings.
Do SmallTalk Pain Scale or Cuespeak have ads?
SmallTalk Pain Scale shows ads; Cuespeak does not.
Which is updated more often, SmallTalk Pain Scale or Cuespeak?
SmallTalk Pain Scale ships an update every 9 months, and Cuespeak every 3 weeks. Most recently, SmallTalk Pain Scale was updated on October 16, 2026 and Cuespeak on October 14, 2026.

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