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Podcasts now available for the PEDro Top 5 Trials from 2014-2019
Last year we announced the PEDro Top 5 Trials from 2014-2019. The trials were nominated by PEDro users, and an independent panel of international trialists judged the nominations received.
PEDro has partnered with PT Pintcast to produce podcasts with the lead authors of the PEDro Top 5 Trials. The next podcast is now available!
Effect of inpatient rehabilitation versus a monitored home-based program on mobility in patients with total knee arthroplasty: the HIHO randomized clinical trial
Buhagiar MA, Naylor JM, Harris IA, Xuan W, Kohler F, Wright R, Fortunato R
JAMA 2017 Mar 14;317(10):1037-1046
[video width="1080" height="1080" mp4="https://www.pedro.org.au/wp-content/uploads/2020/01/HIHO-audiogram.mp4"][/video]
Many thanks to Jimmy McKay and the team from PT Pintcast for producing these podcasts. We are looking forward to hearing from the authors of the SARAH and LIPPSMAck-POP trials soon.
Congratulations once again to the teams who produced the PEDro Top 5 Trials. Your contributions to physiotherapy are highly valued and appreciated.
DiTA update (13 January 2020)
DiTA contains 1,538 records. In the 13 January 2020 update you will find:
- 1,387 reports of primary studies, and
- 151 reports of systematic reviews.
PEDro update (13 January 2020)
PEDro contains 45,660 records. In the 13 January 2020 update you will find:
- 35,602 reports of randomised controlled trials (34,769 of these trials have confirmed ratings of methodological quality using the PEDro scale)
- 9,389 reports of systematic reviews, and
- 669 reports of evidence-based clinical practice guidelines.
DiTA update (January 2020)
DiTA was updated on 13 January 2020. For the latest primary studies and systematic reviews evaluating diagnostic tests in physiotherapy visit Evidence in your inbox.
PEDro update (January 2020)
PEDro was updated on 13 January 2020. For latest guidelines, reviews and trials in physiotherapy visit Evidence in your inbox.
Next PEDro update (January 2020)
The next PEDro update is on Monday 13 January 2020.
Support for PEDro comes from Krajowa Izba Fizjoterapeutów and Macau Physical Therapists AssociationRead More
Systematic review found that supervised, multifaceted lifestyle interventions reduce metabolic syndrome prevalence and risk factors in people with metabolic syndrome
The objective of this systematic review were to determine the effectiveness of lifestyle interventions on the prevalence of metabolic syndrome and on independent, modifiable risk factors for metabolic syndrome in people with metabolic syndrome. Randomised controlled trials published in English that evaluated the effectiveness of supervised, multifaceted lifestyle interventions in people with metabolic syndrome were included. Lifestyle interventions were defined as any supervised intervention involving both diet and exercise with or without other components, such as counselling. The risk of bias of the included trials was assessed using the PEDro scale, and these were used to determine the quality of the evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Outcomes were prevalence of metabolic syndrome, risk factors for metabolic syndrome (eg, waist circumference, triglycerides, systolic blood pressure, body mass index), and quality of life. Adverse events were a secondary outcome.
15 articles reporting the results for 10 trials were included (n = 1,160 participants). Compared to usual care, there was moderate quality evidence that lifestyle interventions reduced the prevalence of metabolic syndrome (risk ratio 0.61, 95% confidence interval (CI) 0.38 to 0.96, 4 trials, 463 participants). There was moderate quality evidence that lifestyle interventions reduce waist circumference (mean difference -4.9 cm, 95% CI -8.0 to -1.7, 6 trials, 643 participants), low quality evidence that lifestyle interventions reduce triglycerides (standardised mean difference -0.46, 95% CI -0.88 to -0.04, 9 trials, 797 participants) and systolic blood pressure (mean difference -6.5 mmHg, 95% CI -10.7 to -2.3, 8 trials, 689 participants), and very low quality evidence that lifestyle interventions reduce body mass index (standardised mean difference -1.30, 95% CI -2.18 to -0.44, 9 trials, 798 participants). There was no difference for quality of life (standardised mean difference 1.68, 95% CI -0.23 to 3.58, 4 trials, 225 participants) and no trials reported adverse events.
Very low to moderate quality evidence supports the use of multifaceted, supervised lifestyle interventions to reduce the prevalence of metabolic syndrome and to reduce risk factors for this condition.
van Namen M, et al. Supervised lifestyle intervention for people with metabolic syndrome improves outcomes and reduces individual risk factors of metabolic syndrome: a systematic review and meta-analysis. Metabolism 2019 Oct 28:Epub ahead of print.
Read more on PEDro.
Infographic for systematic review that found that exercise reduces cancer-related fatigue
Last month we summarised the van Vulpen et al systematic review. The review concluded that exercise reduces cancer-related fatigue.
Some suggestions for providing exercise during or following cancer treatment is this infographic.
van Vulpen JK et al. Moderators of exercise effects on cancer-related fatigue: a meta-analysis of individual patient data. Med Sci Sports Exerc 2019 Sep 12:Epub ahead of print.
Read more on PEDro.
Tackling the language barrier to implementing research into practice: a survey of usage of the PEDro
We know that language can be a barrier to implementing research evidence into practice. Whilst the majority of the world’s population speak languages other than English, English has become the dominant language of publication for research in healthcare. PEDro content is now available in 13 languages, thanks to the translation efforts from volunteers from around the world.
A survey of usage of the PEDro was recently published in the Brazilian Journal of Physical Therapy. The aim of the study was to quantify the usage of the PEDro web-site and training videos by language, including the use of online translation, and to calculate relative usage of the different sections of the web-site.
Google Analytics was used to track usage (or pageviews) of the PEDro web-site for July 2017 to June 2018. The number of views of each of the PEDro training videos was downloaded from YouTube for January 2015 to August 2018. The pageviews and video views were categorised by language and, for pageviews, web-site section. 2,828,422 pageviews were included in the analyses. The English-language sections had the largest number of pageviews (59%), followed by Portuguese (16%), Spanish (12%), German (4%), and French (4%). Users applied online translation tools to translate selected content of the PEDro web-site into 41 languages. The PEDro training videos had been viewed 78,150 times. The three most commonly viewed languages were English (59%), Portuguese (20%), and Spanish (6%).
There was substantial use of some of the translated versions of the resources offered by PEDro. Future efforts could focus on region-specific promotion of the language resources that were underutilised in PEDro. The developers of PEDro and PEDro users can work collaboratively to facilitate uptake and translate resources into languages other than English, to reduce the language barrier in using research to guide practice.
Melman A, et al. Tackling the language barrier to implementing research into practice: a survey of usage of the Physiotherapy Evidence Database. Braz J Phys Ther 2019 Nov 12:Epub ahead of print