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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).”
From Protocol for a systematic review of psychological treatment for methamphetamine use: An analysis of methamphetamine use and mental health symptom outcomes (2017) · cites this paper as [46]
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“Inspired by work aiming to standardize reporting approaches in other scientific domains (Chipchase et al., 2012; Moseley et al., 2002; Quintana et al., 2016), we consider the challenges presented by inconsistencies in the literature, and propose a set of guidelines to help standardize the reporting…”
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“The PEDro scale is commonly used to assess methodological quality of trials.(27) Methodological quality was independently assessed by two of the authors (BJ, SG).”
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“Studies with a score equal to or greater than 5 were classified as having high methodological quality and low risk of bias (34).”
BackgroundOutcome Assessment in Randomized Controlled Trials of Stroke Rehabilitation
Salter, K. L., Teasell, R. W., Foley, N. C., & Jutai, J. W. (2007) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e3181587b3d · Cited by 42
Laver, K., Lannin, N. A., Bragge, P., Hunter, P. C., Holland, A. E., Tavender, E. J., O’Connor, D. A., Khan, F., Teasell, R. W., & Gruen, R. L. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-397 · Cited by 43
“Studies were assessed independently by two people (KL and LP or DW) using the AMSTAR checklist [11] for systematic reviews, PEDro scale [12] for RCTs or Downs and Blacks Scale [13] for all other study designs.”
MethodChan, A., Finlayson, H. C., & Mills, P. B. (2016) · Clinical Rehabilitation · doi:10.1177/0269215516655589 · Cited by 42
Exercise and cognitive function in people living with HIV: a scoping review
Quigley, A., O’Brien, K. K., Parker, R. M. N., & MacKay-Lyons, M. J. (2018) · Disability and Rehabilitation · doi:10.1080/09638288.2018.1432079 · Cited by 41
“Although quality assessment of included studies is not a necessary component of scoping review methodology, we used the physiotherapy evidence database reported outcomes (PEDro) scale to assess the quality of randomized controlled trials on a scale of 0–10 [27], with 9–10 considered “excellent” quality; 6–8, “good”; 4…”
MethodYang, F., & Butler, A. J. (2020) · Neurorehabilitation and neural repair · doi:10.1177/1545968320907073 · Cited by 42
Arık, M. I., Kiloatar, H., Aslan, B., & Güneş, M. İ. (2020) · EXPLORE · doi:10.1016/j.explore.2020.08.005 · Cited by 42
Su, W.-C., Amonkar, N., Cleffi, C., Srinivasan, S. M., & Bhat, A. N. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.794652 · Cited by 47
“The PEDro scale includes a total of 11 items which are scored on a nominal scale (No = N, Yes = Y) of which 10 items are scored for each study (maximum score 10, the first item on the PEDro is not included in the total score calculations; detailed descriptions in Supplementary Table 2) (80).”
BackgroundMethodInfluentialHealth-related quality of life in patients with Chagas disease: a review of the evidence
Sousa, G. R., Costa, H. S., de Souza, A. C., Nunes, M. C. P., Lima, M. M. O., & Rocha, M. O. D. C. (2015) · Revista da Sociedade Brasileira de Medicina Tropical · doi:10.1590/0037-8682-0244-2014 · Cited by 41
The Response of Matrix Metalloproteinase-9 and -2 to Exercise
Nascimento, D. D. C., Marqueti, R. D. C., Tibana, R. A., Durigan, J. L. Q., Navalta, J. W., & Prestes, J. (2014) · Sports Medicine · doi:10.1007/s40279-014-0265-8 · Cited by 41
When and how should new therapies become routine clinical practice?
Bø, K., & Herbert, R. (2009) · Physiotherapy · doi:10.1016/j.physio.2008.12.001 · Cited by 41
“[1] Moseley AM, Herbert RD, Sherrington C, Maher CG.”
BackgroundSelf-citationBoudjani, R., Challal, S., Semerano, L., & Sigaux, J. (2022) · Disability and Rehabilitation · doi:10.1080/09638288.2022.2140842 · Cited by 43
“A score 9–11 indicates excellent methodological quality, 6–8 indicates good quality, 4–5 good quality and < 4 poor methodological quality [14].”
BackgroundBaghbani, S. M. G., Arabshahi, M., & Saatchian, V. (2023) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2023.102281 · Cited by 40
Chen, Y., Tsai, J.-C., Liou, Y. M., & Chan, P. (2016) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515116684407 · Cited by 40
Effects of rehabilitation for pain relief in patients with rheumatoid arthritis: a systematic review
Park, Y.-J., & Chang, M. (2016) · Journal of Physical Therapy Science · doi:10.1589/jpts.28.304 · Cited by 39
Cheng, I., Hamad, A., Sasegbon, A., & Hamdy, S. (2022) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s371624 · Cited by 39
“The quality of published RCTs is considered “good”, with a Physiotherapy Evidence Database (PEDro) Scale of 6 to 7.(40,44,45) The meta-analysis evaluated the effects of 3 RCTs(40,41,43) and revealed a large pooled treatment effect.”
BackgroundMcIntyre, A., Mirkowski, M., Thompson, S. R., Burhan, A. M., Miller, T., & Teasell, R. W. (2017) · PM&R · doi:10.1016/j.pmrj.2017.10.001 · Cited by 39
“) assessed randomized controlled trials (RCTs) for methodological quality using the Physiotherapy Evidence Database (PEDro) scoring system [11].”
MethodBaharlouei, H., Saba, M. A., Yazdi, M. J. S., & Jaberzadeh, S. J. (2020) · Neurophysiologie Clinique · doi:10.1016/j.neucli.2020.01.006 · Cited by 39
Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials
Repiso-Guardeño, Á., Moreno-Morales, N., Armenta-Pendón, M. A., Rodríguez-Martínez, M. D. C., Pino-Lozano, R., & Armenta-Peinado, J. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054466 · Cited by 38
“) [10,14–50], sample of patients with other types of headaches such as migraine or as side effect of another disease [51–67], articles published prior to January 2011 [68] and studies that not evaluating the effectiveness of physical therapy on intensity of pain, frequency of headache or duration of the episodes [27,6…”
BackgroundBuele, J., Aldás, J. V., & Palacios-Navarro, G. (2023) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-023-01292-8 · Cited by 53
“They are not yet available in the PEDro database [47], so we had to evaluate them.”
BackgroundMethodInfluentialAnwer, S., Alghadir, A. H., Zafar, H., & Al-Eisa, E. S. (2015) · Physiotherapy · doi:10.1016/j.physio.2015.10.004 · Cited by 38
Almousa, S., Lamprianidou, E., & Kitsoulis, G. (2017) · Physiotherapy Research International · doi:10.1002/pri.1699 · Cited by 38
Physical training in rehabilitation programs before and after total hip and knee arthroplasty
Dauty, M., Genty, M., & Ribinik, P. (2007) · Annales de Réadaptation et de Médecine Physique · doi:10.1016/j.annrmp.2007.04.011 · Cited by 38
Idáñez-Robles, A. M., Obrero‐Gaitán, E., Lomas‐Vega, R., Osuna‐Pérez, M. C., Cortés‐Pérez, I., & Zagalaz‐Anula, N. (2022) · Clinical Rehabilitation · doi:10.1177/02692155221133523 · Cited by 39
Setayesh, S., & Rahimi, G. R. M. (2023) · Geriatric Nursing · doi:10.1016/j.gerinurse.2023.08.022 · Cited by 46
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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