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Evidence for physiotherapy practice: A survey of the Physiotherapy Evidence Database (PEDro)
Open accessAbstract
Evidence-based practice involves the use of evidence from systematic reviews and randomised controlled trials, but the extent of this evidence in physiotherapy has not previously been surveyed. The aim of this survey is to describe the quantity and quality of randomised controlled trials and the quantity of systematic reviews relevant to physiotherapy. The Physiotherapy Evidence Database (PEDro) was searched. The quality of trials was assessed with the PEDro scale. The search identified a total of 2,376 randomised controlled trials and 332 systematic reviews. The first trial was published in 1955 and the first review was published in 1982. Since that time, the number of trials and reviews has grown exponentially. The mean PEDro quality score has increased from 2.8 in trials published between 1955 and 1959 to 5.0 for trials published between 1995 and 1999. There is a substantial body of evidence about the effects of physiotherapy. However, there remains scope for improvements in the quality of the conduct and reporting of clinical trials.
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“Review authors will perform risk of bias assessments and methodological critique independently (AS and second reviewer), and a third person will resolve discrepancies (AB).”
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McIntyre, A., Mays, R. R., Mehta, S., Janzen, S. E., Townson, A. F., Hsieh, J., Wolfe, D. L., & Teasell, R. W. (2013) · Journal of Spinal Cord Medicine · doi:10.1179/2045772313y.0000000102 · Cited by 65
Mehta, S., Pereira, S., Viana, R., Mays, R. R., McIntyre, A., Janzen, S. E., & Teasell, R. W. (2012) · Topics in Stroke Rehabilitation · doi:10.1310/tsr1906-471 · Cited by 65
A Meta-analysis of Clinical Effects of Low-level Laser Therapy on Temporomandibular Joint Pain
Chang, W., Lee, C.-L., Lin, H., Hsu, Y.-C., Wang, C.-J., & Lai, P.-T. (2014) · Journal of Physical Therapy Science · doi:10.1589/jpts.26.1297 · Cited by 65
Bai, X., Soh, K. G., Dev, R. D. O., Talib, O., Xiao, W., Soh, K. G., Ong, S. L., Zhao, C., Galeru, O., & Casaru, C. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2021.798068 · Cited by 73
Iliffe, S., Wilcock, J., Drennan, V. M., Goodman, C. M., Griffin, M., Knapp, M. R. J., Lowery, D., Manthorpe, J., Rait, G., & Warner, J. P. (2015) · Programme Grants for Applied Research · doi:10.3310/pgfar03030 · Cited by 66
“Randomised trials were assessed for quality using the Physiotherapy Evidence Database (PEDro) scale.(34) The PEDro scale was chosen because its assessment of blinding is very relevant to empirical studies in dementia.”
MethodInterventions for hemiplegic shoulder pain: Systematic review of randomised controlled trials
Koog, Y. H., Jin, S. S., Yoon, K., & Min, B.-I. (2010) · Disability and Rehabilitation · doi:10.3109/09638280903127685 · Cited by 63
“RCTs with a PEDro score 45 were considered to have moderate to high quality [18].”
Domingo, A., Al‐Yahya, A. A., Asiri, Y. A., Eng, J. J., & Lam, T. (2011) · Journal of Neurotrauma · doi:10.1089/neu.2011.2052 · Cited by 63
“), using either the Physiotherapy Evidence Database (PEDro) scale (Moseley et al., 2002), or a modified version of the Downs & Black tool (Downs and Black, 1998).”
Amonkar, N., Su, W.-C., Bhat, A. N., & Srinivasan, S. M. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.722874 · Cited by 79
“The PEDro has a total of 11 items which are scored on a dichotomous scale (No= 0, Yes= 1) of which 10 items are scored for each RCT/CCT to obtain a study score out of a maximum possible score of 10 (first item on the PEDro is not included in the total score) (106).”
BackgroundMethodInfluentialThe Effects of Whole Body Vibration on Physical and Physiological Capability in Special Populations
Madou, K., & Cronin, J. B. (2008) · Hong Kong Physiotherapy Journal · doi:10.1016/s1013-7025(09)70005-3 · Cited by 62
Biabani, M., Aminitehrani, M., Zoghi, M., Farrell, M. J., Egan, G. F., & Jaberzadeh, S. J. (2017) · Reviews in the Neurosciences · doi:10.1515/revneuro-2017-0023 · Cited by 64
“We assessed the methodological quality of each included study by using the Physiotherapy Evidence Database (PEDro scale) (Moseley et al., 2002; Maher et al., 2003).”
MethodAlvarez-Jimenez, L., Morales-Palomo, F., Moreno-Cabañas, A., Ortega, J. F., & Mora-Rodríguez, R. (2023) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2023.175672 · Cited by 60
Jones, C., Miguel-Cruz, A., Smith-MacDonald, L., Cruikshank, E., Baghoori, D., Kaur Chohan, A., Laidlaw, A., White, A., Cao, B., Agyapong, V., et al. (2020) · JMIR mHealth and uHealth · doi:10.2196/22079 · Cited by 62
“The 3 tools utilized for this step were the PEDro (Physiotherapy Evidence Database) scale [48], CASP (Critical Appraisal Skills Program) qualitative checklist [49], and the levels of evidence hierarchy.”
BackgroundMethodZou, Y., Zhao, X., Hou, Y., Liu, T., Wu, Q., Huang, Y., & Wang, X. (2017) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2017.03.247 · Cited by 61
López‐Rodriguez, M. M., Fernández-Millan, A., Fernández, M. D. R., Dobarrio‐Sanz, I., & Fernández‐Medina, I. M. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17103563 · Cited by 61
“To assess the methodological quality of the included studies, the PEDro (Physiotherapy Evidence Database) scale was chosen [17].”
MethodArmijo-Olivo, S., Fuentes, J., Ospina, M., Saltaji, H., & Hartling, L. (2013) · BMC Medical Research Methodology · doi:10.1186/1471-2288-13-116 · Cited by 60
“PEDro [40,41] 651 555 49 52 87 91 101 108 67 Health professions/ Medicine”
MethodInfluentialFernández‐de‐las‐Peñas, C., Alonso‐Blanco, C., San-Román, J., & Miangolarra‐Page, J. C. (2006) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2006.36.3.160 · Cited by 60
Rankin, G., Rushton, A. B., Olver, P., & Moore, A. P. (2012) · Physiotherapy · doi:10.1016/j.physio.2012.03.002 · Cited by 60
“substantial body of evidence regarding the effectiveness f physiotherapy (332 systematic reviews and 2376 RCTs) ut they identified concern in the quality of the conduct and eporting of trials [7].”
BackgroundChallenges in Applying Best Evidence to Physiotherapy
Jones, M. A., Grimmer, K. A., Edwards, I., Higgs, J., & Trede, F. (2006) · Internet Journal of Allied Health Sciences and Practice · doi:10.46743/1540-580x/2006.1117 · Cited by 60
Cragg, J. J., Stone, J. A., & Krassioukov, A. V. (2012) · Journal of Neurotrauma · doi:10.1089/neu.2012.2313 · Cited by 59
“Briefly, the quality of each randomized controlled trial (RCT) was assessed via the Physiotherapy Evidence Database (PEDro) tool (Moseley et al., 2002).”
Coronado, R. A., Riddle, D. L., Wurtzel, W. A., & George, S. Z. (2011) · Physical Therapy · doi:10.2522/ptj.20100267 · Cited by 59
Metadata
- Authors
- Moseley, A. M., Herbert, R. D., Sherrington, C., & Maher, C. G.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Moseley, Anne M
- Venue
- Australian Journal of Physiotherapy
- Publisher
- Elsevier BV
- Published
- 2002
- Volume
- 48
- Issue
- 1
- Pages
- 43-49
- ISSN
- 0004-9514 (ISSN-L)
- OpenAlex
- W2042355753
- Cited by
- 911
- References
- 23
- Citations by year
- 2026: 35 · 2025: 50 · 2024: 69 · 2023: 53 · 2022: 80 · 2021: 60 · 2020: 54 · 2019: 44 · 2018: 45 · 2017: 43 · 2016: 35 · 2015: 57 · 2014: 42 · 2013: 28 · 2012: 39
- FWCI
- 23.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Australian Journal of Physiotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- physiotherapy, evidence-based practice, randomized controlled trials, systematic reviews, trial quality, PEDro scale, trial reporting quality
- MeSH terms
- Australia, Clinical Trials as Topic, Humans, Quality Assurance, Health Care, Randomized Controlled Trials as Topic, Databases, Factual, Evidence-Based Medicine, Physical Therapy Modalities
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