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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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“However, the PEDro scale helped to get sufficient statistical information of journal and rapidly identify the valid journal for meta-analysis (Moseley et al., 2002).”
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Laakso, E., Robertson, V. J., & Chipchase, L. S. (2002) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(14)60164-1 · Cited by 21
“…to published version http://ajp.physiotherapy.asn.au/AJP/vol_48/4/volume48_number4.cfm A recent editorial by the Heads of the Australian and New Zealand Schools of Physiotherapy described tensions created in entry-level physiotherapy programs by the need to achieve more within the…”
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“The Physiotherapy Evidence Database (PEDro) quality assessment tool 38 was used by both authors.”
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“The methodological quality of the controlled studies was assessed by two independent reviewers (WTL and GB) using the Physiotherapy Evidence Database (PEDro) rating scale (Moseley et al. 2002).”
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“However, this tool was developed for use in ranking physiotherapy evidence, specifically the quality of RCTs.(9) Its validity for ranking non-RCTs is topical.”
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“…experts felt this score would demonstrate a strong level of confirmation (Foley, Teasell, Bhogal, & Speechley, 2003) and high quality, as reported by Moseley et al. (2002) The reliability and validity of the PEDro scale have been reported elsewhere (Maher, Sherrington, Herbert, Moseley, & Elkins,…”
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“Each RCT was given a total PEDro score ranging from 0 to 10, with higher scores indicating higher methodological quality (Moseley et al., 2002) (Table 3).”
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“blinding and adequacy of follow-up) while the remainder have face validity.(7) Ratings are summed to provide a total score ranging 1–10 (the first item is not included) with higher scores indicating higher quality; however, for each article the results of all PEDro items are also reported.”
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“The methodological quality of the included studies was evaluated using the PEDro (Maher et al., 2003) scale (valid and reliable rating tool) (Moseley et al., 2002) which scores from 2 to 11, as follows: internal validity (random allocation, blind allocation, similar characteristics between groups…”
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“Only those investigations scoring ≥5 on the PEDro scale, a value considered to be of moderate to high quality (Moseley et al., 2002), were considered for analysis.”
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“21 There are 11 items on the scale, with the first pertaining to exclusion criteria and external validity and thus not included in the final 10-point score.”
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InfluentialDupla-tarefa na doença de Parkinson: uma revisão sistemática de ensaios clínicos aleatorizados
Marinho, M. S., Chaves, P. D. M., & Tarabal, T. D. O. (2014) · Revista Brasileira de Geriatria e Gerontologia · doi:10.1590/s1809-98232014000100018 · Cited by 18
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Hyun, C., Kim, K., Lee, S., Ko, N., Lee, I.-S., & Koh, S.-E. (2022) · Pediatric Physical Therapy · doi:10.1097/pep.0000000000000880 · Cited by 15
Effects of Hippotherapy on Postural Control in Children With Cerebral Palsy: A Systematic Review
Peia, F., Veiga, N. C., Gomes, A. P., dos Santos, B. N., Marques, N. M. S., Glória, I. P. D. S., & Goulardins, J. B. (2023) · Pediatric Physical Therapy · doi:10.1097/pep.0000000000000999 · Cited by 15
Obrero‐Gaitán, E., Chau-Cubero, C. Y., Lomas‐Vega, R., Osuna‐Pérez, M. C., García‐López, H., & Cortés‐Pérez, I. (2024) · Heart & Lung · doi:10.1016/j.hrtlng.2024.01.011 · Cited by 15
The effect of early rehabilitation after lumbar spine surgery: a systematic review and meta-analysis
Özden, F., & Koçyiğit, G. Z. (2024) · The Egyptian Journal of Neurosurgery : the official publication of the Egyptian Society of Neurological Surgeons/Egyptian journal of neurosurgery · doi:10.1186/s41984-024-00270-z · Cited by 17
“The typical success rate for lumbar spine procedures regarding capacity to work, neurological symptoms, and leg/back diskomfort is between 45 and 72% and reported satisfactory clinical outcomes to range from 16 to 95% [5, 6].”
BackgroundAssociação entre IMC e teste de coordenação corporal para crianças (KTK). Uma meta-análise
Luz, L. G. D. O., Seabra, A., Santos, R., Padez, C. M. P., Ferreira, J. P., & Coelho-e-Silva, M. J. (2015) · Revista Brasileira de Medicina do Esporte · doi:10.1590/1517-869220152103144469 · Cited by 15
Liao, C., Tsauo, J., Huang, S., Chen, H., Chiu, Y., & Liou, T. (2018) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-018-5257-z · Cited by 15
Ismail, H., McFarlane, J. R., & Smart, N. A. (2012) · Congestive Heart Failure · doi:10.1111/chf.12000 · Cited by 15
Vahlberg, B. M., & Hellström, K. (2008) · Advances in Physiotherapy · doi:10.1080/14038190701661239 · Cited by 15
Effects of training interventions prior to thoracic or abdominal surgery: a systematic review
Olsén, M. F., & Anzén, H. (2012) · Physical Therapy Reviews · doi:10.1179/1743288x11y.0000000054 · Cited by 15
The effectiveness of braces and orthoses for patients with knee osteoarthritis
Mine, K., Nakayama, T., Milanese, S., & Grimmer, K. A. (2016) · Prosthetics and Orthotics International · doi:10.1177/0309364616640926 · Cited by 15
Young, N., Terrington, N. S., Francis, D., & Robinson, L. (2018) · Hong Kong Journal of Occupational Therapy · doi:10.1177/1569186118764067 · Cited by 15
Effects of Aerobic and Resistance Exercise on Cardiovascular Parameters for People Living With HIV
Zech, P. A., Chaparro, C. G. A. P., Schuch, F. B., Wolfarth, B., Rapp, M. A., & Heißel, A. (2019) · Journal of the Association of Nurses in AIDS Care · doi:10.1097/jnc.0000000000000006 · Cited by 15
de Freitas, A. E., Herbert, R., Latimer, J., & Ferreira, P. H. (2005) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2004.06.014 · Cited by 15
Self-citationSearches and Content of the OTseeker Database: Informing Research Priorities
Bennett, S. H., McKenna, K. T., Tooth, L. R., Hoffmann, T., McCluskey, A., & Strong, J. (2006) · American Journal of Occupational Therapy · doi:10.5014/ajot.60.5.524 · Cited by 15
“In another study, analysis of the content of the PEDro database identified the quantity of research on physiotherapy interventions (Moseley, Herbert, Sherrington, & Maher, 2002) and was suggested as a method to identify research needs.”
Cleland, J. A., Noteboom, J. T., Whitman, J. M., & Allison, S. C. (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2008.2722 · Cited by 15
Miguel-Rubio, A. D., Muñoz-Pérez, L., Alba-Rueda, A., Ávila, M. A., & Rodrigues‐de‐Souza, D. P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148772 · Cited by 14
“with scores of five or less are considered of low methodological quality (4–5: acceptable; <4: poor) [39]”
BackgroundPelvic Floor Muscle Training In Women Practicing High-impact Sports: A Systematic Review
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“The risk of bias of randomized controlled trials (RCTs) was as - sessed by two researchers (FSF e ERMA) using the Physiotherapy Evidence Database (PEDro) scale [22].”
MethodAlotaibi, A., Ibrahim, A. I., Ahmed, R., & Abualait, T. (2023) · Children · doi:10.3390/children11010009 · Cited by 14
“For instance, males generally experience a higher prevalence of CP compared to females, with males in Europe having a rate that is 1.3 times higher [4].”
BackgroundInfluentialA Meta-Analysis of Fall Risk in Older Adults With Alzheimer’s Disease
Khalili, S. M., Simpkins, C., & Yang, F. (2024) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2024.01.005 · Cited by 18
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Turrillas, M., Sitjà‐Rabert, M., Hernandez, H. P., Casamitjana, J. V., Vanmeerhaeghe, A. F., Morral, A., Iranzo, M. À. C. I., & Bonfill, X. (2015) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12441 · Cited by 14
“Despite an increase in physiotherapy research in recent years [1,3], the number of CCTs identified in Spanish physiotherapy journals is low.”
BackgroundAn ethical approach to health promotion in physiotherapy practice
Delany, C. M., Fryer, C. E., & van Kessel, G. (2015) · Health Promotion Journal of Australia · doi:10.1071/he15052 · Cited by 14
Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review
Colla, C., Paiva, L. L., & Thomaz, R. P. (2017) · Fisioterapia em Movimento · doi:10.1590/1980-5918.030.002.ar03 · Cited by 14
Vlachas, T., & Paraskevopoulos, E. (2022) · BioMed · doi:10.3390/biomed2030026 · Cited by 13
A Systematic Review of the Interventions for Management of Pain in Patients After Spinal Cord Injury
Koukoulithras, I., Alkhazi, A., Gkampenis, A., Stamouli, A., Plexousakis, M., Drousia, G., Xanthi, E., Roussos, C., & Kolokotsios, S. (2023) · Cureus · doi:10.7759/cureus.42657 · Cited by 13
“The methodological quality of the included studies was assessed by all the authors independently using the PEDro scoring system [7].”
MethodFerreira, R. M., Martins, P. N., Pimenta, N., & Gonçalves, R. S. (2023) · Mediterranean Journal of Rheumatology · doi:10.31138/mjr.34.2.188 · Cited by 14
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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