INVITED COMMENTARY: Rating the Quality of Trials in Systematic Reviews of Physical Therapy Interventions

2010 ◽  
Vol 21 (3) ◽  
pp. 20-26 ◽  
Author(s):  
Mark R. Elkins ◽  
Robert D. Herbert ◽  
Anne M. Moseley ◽  
Catherine Sherrington ◽  
Chris Maher
Keyword(s):  
Physical Therapy ◽  
Systematic Reviews ◽  
Therapy Interventions

scholarly journals Physical Therapy Interventions for Patients With Osteoarthritis of the Knee: An Overview of Systematic Reviews

2008 ◽  
Vol 88 (1) ◽  
pp. 123-136 ◽  
Author(s):  
Gro Jamtvedt ◽  
Kristin Thuve Dahm ◽  
Anne Christie ◽  
Rikke H Moe ◽  
Espen Haavardsholm ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Knee Osteoarthritis ◽  
Systematic Reviews ◽  
Physical Therapists ◽  
Low Level Laser Therapy ◽  
Osteoarthritis Of The Knee ◽  
Quality Of Evidence ◽  
Therapy Interventions ◽  
Quality Evidence

Patients with osteoarthritis of the knee are commonly treated by physical therapists. Practice should be informed by updated evidence from systematic reviews. The purpose of this article is to summarize the evidence from systematic reviews on the effectiveness of physical therapy for patients with knee osteoarthritis. Systematic reviews published between 2000 and 2007 were identified by a comprehensive literature search. We graded the quality of evidence across reviews for each comparison and outcome. Twenty-three systematic reviews on physical therapy interventions for patients with knee osteoarthritis were included. There is high-quality evidence that exercise and weight reduction reduce pain and improve physical function in patients with osteoarthritis of the knee. There is moderate-quality evidence that acupuncture, transcutaneous electrical nerve stimulation, and low-level laser therapy reduce pain and that psychoeducational interventions improve psychological outcomes. For other interventions and outcomes, the quality of evidence is low or there is no evidence from systematic reviews.

scholarly journals An Update of Systematic Reviews Examining the Effectiveness of Conservative Physical Therapy Interventions for Subacromial Shoulder Pain

2020 ◽  
Vol 50 (3) ◽  
pp. 131-141 ◽  
Author(s):  
Louise Pieters ◽  
Jeremy Lewis ◽  
Kevin Kuppens ◽  
Jill Jochems ◽  
Twan Bruijstens ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Shoulder Pain ◽  
Systematic Reviews ◽  
Therapy Interventions

Analysis of Physical Therapy Interventions on Quality of Life of Patients after Stroke

2014 ◽  
Vol 22 (02) ◽  
pp. 308-314 ◽  
Author(s):  
Arthur Flávio de Siqueira Barros ◽  
Sergimário Guilherme dos Santos ◽  
Gleidson Franciel Ribeiro de Medeiros ◽  
Luciana Protásio de Melo
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Therapy Interventions

scholarly journals A Reporting Quality Assessment of Systematic Reviews and Meta-Analyses in Sports Physical Therapy: A Review of Reviews

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1368
Author(s):  
Sung-Hyoun Cho ◽  
In-Soo Shin
Keyword(s):  
Physical Therapy ◽  
Systematic Reviews ◽  
Literature Search ◽  
Reporting Quality ◽  
Risk Of Bias ◽  
Evidence Based ◽  
Reporting Practices ◽  
Review Of Reviews ◽  
Meta Analyses

This review of reviews aimed to evaluate the reporting quality of published systematic reviews and meta-analyses in the field of sports physical therapy using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This review of reviews included a literature search; in total, 2047 studies published between January 2015 and December 2020 in the top three journals related to sports physical therapy were screened. Among the 125 identified articles, 47 studies on sports physical therapy were included in the analysis (2 systematic reviews and 45 meta-analyses). There were several problems areas, including a lack of reporting for key components of the structured summary (10/47, 21.3%), protocol and registration (18/47, 38.3%), risk of bias in individual studies (28/47, 59.6%), risk of bias across studies (24/47, 51.1%), effect size and variance calculations (5/47, 10.6%), additional analyses (25/47, 53.2%), and funding (10/47, 21.3%). The quality of the reporting of systematic reviews and meta-analyses of studies on sports physical therapy was low to moderate. For better evidence-based practice in sports physical therapy, both authors and readers should examine assumptions in more detail, and report valid and adequate results. The PRISMA guideline should be used more extensively to improve reporting practices in sports physical therapy.

scholarly journals Do Physical Therapy Interventions Improve Urinary Incontinence and Quality of Life in patient with Multiple Sclerosis: A systematic Literature Review

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Urinary Incontinence ◽  
Physical Therapy ◽  
Randomized Control Trials ◽  
Randomized Control ◽  
Therapy Interventions ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Background: Multiple sclerosis (MS) presents with many symptoms, including urinary incontinence (UI) that physical therapy can play very important role, which is widely prevent, but the physical therapy management for UI in MS population lacks consensus. We analyzed the current evidence for effectiveness of physical therapy to decrease UI and improve quality of life (QOL) in population with MS. Purpose: To systematically review the literature and present the best available evidence for the efficacy and effectiveness of physical therapy intervention in treating the urinary incontinence for MS population and improve QOL. Data Source: Pub Med, Cochrane library, BMJ Group, BioMed Central, Wiley online library, Cumulative Index to Nursing and Allied Health Literature, and PEDro. Study Selection: 5 randomized, control trials (RCTs) and one clinical trial published in English from 2006- May 2019. Data Extraction: Any study concentrated on surgical or pharmaceutical treatment interventions, focused on bowel incontinence or were not within the physical therapy scope of practice. Data Synthesis: The study focuses on physical therapy intervention for MS patients with UI and randomized control study. Limitation of the Study: The reviewed study is limited to 6 randomized control trials. Conclusion: There is significant evidence that physical therapy interventions in MS patients with urinary incontinence are very effective and had significant change in reducing UI and increasing QOL.

scholarly journals Physical therapy interventions for older people with vertigo, dizziness and balance disorders addressing mobility and participation: a systematic review

2020 ◽  
Author(s):  
Verena Regauer ◽  
Eva Seckler ◽  
Martin Müller ◽  
Petra Bauer
Keyword(s):  
Physical Therapy ◽  
Randomized Controlled Trials ◽  
Outcome Measures ◽  
Cochrane Library ◽  
Controlled Trials ◽  
Balance Disorders ◽  
Quality Of Evidence ◽  
Randomized Controlled ◽  
Therapy Interventions

Abstract Background: Vertigo, dizziness and balance disorders (VDB) are among the most relevant contributors to the burden of disability among older adults living in the community and associated with immobility, limitations of activities of daily living and decreased participation. The aim of this study was to identify the quality of evidence of physical therapy interventions that address mobility and participation in older patients with VDB and to characterize the used primary and secondary outcomes. Methods: A systematic search via MEDLINE (PubMed), Cochrane Library, CINAHL, PEDro, forward citation tracing and hand search was conducted initially in 11/2017 and updated in 7/2019. We included individual and cluster-randomized controlled trials and trials with quasi-experimental design, published between 2007 and 2017/2019 and including individuals ≥ 65 years with VDB. Physical therapy and related interventions were reviewed with no restrictions to outcome measurement. Screening of titles, abstracts and full texts, data extraction and critical appraisal was conducted by two independent researchers. The included studies were heterogeneous in terms of interventions and outcome measures. Therefore, a narrative synthesis was conducted. Results: A total of 20 randomized and 2 non-randomized controlled trials with 1,876 patients met the inclusion criteria. The included studies were heterogeneous in terms of complexity of interventions, outcome measures and methodological quality. Vestibular rehabilitation (VR) was examined in twelve studies, computer-assisted VR (CAVR) in five, Tai Chi as VR (TCVR) in three, canal repositioning manoeuvres (CRM) in one and manual therapy (MT) in one study. Mixed effects were found regarding body structure/function and activities/participation. Quality of life and/or falls were assessed, with no differences between groups. VR is with moderate quality of evidence superior to usual care to improve balance, mobility and symptoms. Conclusion: To treat older individuals with VDB, VR in any variation and in addition to CRMs seems to be effective. High-quality randomized trials need to be conducted to inform clinical decision making.

Sign in / Sign up

Export Citation Format

Share Document