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Support for PEDro comes from the Axxon, Félag Sjúkraþjálfara, Društvo Fizioterapevtov Slovenije, Lietuvos Kineziterapeutų Draugija and UNIFY ČR
We thank Axxon, Félag Sjúkraþjálfara, Društvo Fizioterapevtov Slovenije, Lietuvos Kineziterapeutų Draugija and UNIFY ČR who have just renewed their partnerships with PEDro for another year.
PEDro systematic review update in the BJSM
A new PEDro systematic review update has been published in the British Journal of Sports Medicine:Read More
Systematic review found that exercise training alone or with activity counselling improves physical activity levels in COPD
In this recent review, the authors included 37 randomised controlled trials (n= 4,314 participants) that evaluated the efficacy of interventions to improve physical activity levels in people diagnosed with chronic obstructive pulmonary disease (COPD). Primary outcome was physical activity levels and secondary outcomes included exercise capacity, quality of life, dyspnea and lung function. The quality of included studies, according to the PEDro scale, ranged from 3 to 10 points (median [interquartile range] 6 [5 to 7]), where failing to conceal allocation and lack of blinding were the most common methodological limitations in the included studies. Exercise training significantly increased physical activity levels in COPD compared to standard care (standardised mean difference [95% CI] 0.84 [0.44 to 1.25], 3 studies, 103 participants). The addition of activity counselling to pulmonary rehabilitation also increased physical activity levels compared to pulmonary rehabilitation alone (0.47 [0.02 to 0.92], 4 studies, 140 participants). To conclude, exercise training and physical activity counselling were effective strategies to increase physical activity in people with COPD.
Lahham A et al. Exercise training alone or with the addition of activity counseling improves physical activity levels in COPD: a systematic review and meta-analysis of randomized controlled trials. Int J Chron Obstruct Pulmon Dis 2016;11:3121-36
Read more on PEDro.
PEDro update (6 February 2017)
PEDro contains 35,601 records. In the 6 February 2017 update you will find:
- 28,216 reports of randomised controlled trials (27,521 of these trials have confirmed ratings of methodological quality using the PEDro scale)
- 6,773 reports of systematic reviews, and
- 612 reports of evidence-based clinical practice guidelines
#PhysicalTherapy #physio Read More
Next PEDro update (February 2017)
Next PEDro update is on Monday 6 February 2017.
Japanese physiotherapists perform nearly 30,000 PEDro searches/year
A paper evaluating PEDro usage from Japan in 2010-2013 has just been published. On average, 29,638 searches/year were performed by Japanese physiotherapists. Japan ranked 10th among the 26 countries in the Asia Western Pacific region of the World Confederation for Physical Therapy. Within Japan, the highest population-normalised usage was in the Nagano, Kumamoto and Aomori prefectures.
Takasaki et al. Use of the Physiotherapy Evidence Database (PEDro) in Japan. Phys Ther Res 19(1):58-66
The quality of guidelines for chronic respiratory diseases could be improved
A paper evaluating 33 evidence-based clinical practice guidelines for chronic respiratory diseases relevant to physiotherapy with the AGREE II instrument has recently been published. The domains with the highest scores were scope and purpose (79%) and clarity of presentation (79%). The domain with the lowest score was applicability (37%). Mean overall quality was 5 out of 7. Inter-rater reliability for the 6 domains was good to excellent.
Uzeloto et al. The quality of clinical practice guidelines for chronic respiratory diseases and the reliability of the AGREE II: an observational study. Physiother 2016 Nov 15:Epub ahead of print
PEDro systematic review update in the BJSM
Two new PEDro systematic review updates have been published in the British Journal of Sports Medicine:
- No clinically important benefits of surgery over rehabilitation for lumbar spinal stenosis
- Aquatic exercise for osteoarthritis of the knee or hip
Cochrane systematic review found that repetitive task training improves upper and lower limb function in adults after stroke
In this Cochrane review, the authors included 33 randomised controlled trials, involving 1,853 adults who have suffered a stroke. Trials of repetitive task training were considered eligible if the RRT intervention comprised an active motor sequence performed repetitively within a single training session, and where the practice was aimed towards a clear functional goal (eg, picking up a cup, sit-to-stand). Eligible control interventions were usual care or placebo. In many studies risk of bias was unclear due to poor reporting of study details. The quality of evidence was limited by inconsistency of results across studies, small sample sizes, and poor reporting. Therefore, the available evidence was only of ’moderate’ or ’low’ quality according to the GRADE system.
The review concluded that there was low-quality evidence that repetitive task training improves arm function (standardised mean difference (SMD) 0.25, 95% confidence interval (CI) 0.01 to 0.49; 11 studies, n=749), hand function (SMD 0.25, 95% CI 0.00 to 0.51; 8 studies, n=619), and lower limb functional measures (SMD 0.29, 95% CI 0.10 to 0.48; 5 trials, n=419). There was moderate-quality evidence that repetitive task training improves walking distance (mean difference (MD) 34.80, 95% CI 18.19 to 51.41; 9 studies, n=610) and functional ambulation (SMD 0.35, 95% CI 0.04 to 0.66; 8 studies, n=525). Improvements for both upper and lower limb function were sustained up to six months post treatment. The effect estimates were not altered by intervention type, dosage of task practice or time since stroke.
French B, et al. Repetitive task training for improving functional ability after stroke. Cochrane Database of Systematic Reviews 2016;Issue 11
Read more on PEDro.
Who used PEDro in 2016?
An analysis of the contents of PEDro in the 9 January 2017 update is now available on the PEDro statistics page.
The number of reports of trials has continued to expand at an exponential rate.
During 2016 PEDro was used to answer 2,114,708 questions. This means that a new search was initiated every 15 seconds, on average, during 2016. PEDro users were from 215 countries. The five countries with the highest usage in 2016 were the Brazil (15.2%), United States of America (13.5%), Australia (9.3%), Spain (7.9%), and the Germany (3.7%).
Musculoskeletal and cardiothoracic physiotherapy have the largest quantity of trials, reviews and guidelines indexed on PEDro.
For all trial reports indexed on PEDro, the average total PEDro score is 5.0 (standard deviation 1.6). 36% of trial reports are of moderate to high quality, scoring ≥ 6/10 on the PEDro scale.