Chartered Society of Physiotherapy's identification of national research priorities for physiotherapy using a modified Delphi technique

The objective of this study is to evaluate the effectiveness of existing physiotherapy modalities for the treatment of urge urinary incontinence (UUI). A systematic review was performed for primary studies of physiotherapy techniques for UUI published in English between 1996 and August 2010 in major electronic databases. Only randomized clinical trials that reported outcomes separately for women with UUI were included. Outcomes assessed were reduction in UUI, urinary frequency, and nocturia. Data from 13 full-text trials including the modalities of pelvic floor muscles exercises with or without biofeedback, vaginal electrical stimulation, magnetic stimulation, and vaginal cones were analyzed. The methodologic quality of these trials was fair. Significant improvement in UUI was reported for all physiotherapy techniques except vaginal cone therapy. There are insufficient data to determine if pelvic physiotherapy improves urinary frequency or nocturia. Evidence suggests that physiotherapy techniques may be beneficial for the treatment of UUI.

Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review.

RESUMO Sumarios da evidencia disponivel que sejam crediveis sao fundamentais para o apoio a tomada de decisao de investigadores e profissionais no desempenho do seu trabalho. Por esta razao, a qualidade do trabalho final deve depender e refletir o rigor aplicado em todas as etapas de elaboracao dos trabalhos de revisao. O objetivo do presente trabalho e compilar orientacoes e recomendacoes para o planeamento, elaboracao e redacao de revisoes sistematicas, que sirvam de apoio a melhor consecucao do trabalho de investigadores e revisores. Inicialmente situam-se os trabalhos de revisao sistematica no âmbito de outros trabalhos de sintese da literatura, identificando as suas caracteristicas distintivas. Posteriormente, apresentam-se as etapas de desenvolvimento de trabalhos de revisao sistematica, destacando-se as principais preocupacoes e cuidados no cumprimento de cada uma. Finalmente, sera apresentada uma versao comentada de uma checklist de redacao de estudos, que facilite a redacao de futuros trabalhos desta natureza. Pretende-se descrever as principais tarefas e preocupacoes em cada fase de elaboracao de revisoes sistematicas no sentido de contribuir para a uniformizacao da estrutura dos trabalhos bem como da qualidade dos mesmos, de modo a que o conhecimento disponivel em sinteses da literatura constitua uma fonte fiavel de fundamento para a tomada de decisao. Palavras-chave: revisao sistematica, recomendacoes, metodologia da investigacao, sintese

http://scielo.pt/pdf/mot/v10n2/v10n2a12.pdf

Revisões sistemáticas em desporto e saúde: Orientações para o planeamento, elaboração, redação e avaliação Guidelines for planning, conducting, reporting and evaluating Systematic Reviews in Sport and Health

Background The methodological quality of controlled clinical trials (CCTs) of physiotherapeutic treatment modalities for myofascial trigger points (MTrP) has not been investigated yet. Objectives To detect the methodological quality of CCTs for physiotherapy treatments of MTrPs and demonstrating the possible increase over time. Design Systematic review. Methods A systematic search was conducted in two databases, Physiotherapy Evidence Database (PEDro) and Medicine Medical Literature Analysis and Retrieval System online (MEDLINE), using the same keywords and selection procedure corresponding to pre-defined inclusion criteria. The methodological quality, assessed by the 11-item PEDro scale, served as outcome measure. The CCTs had to compare at least two interventions, where one intervention had to lay within the scope of physiotherapy. Participants had to be diagnosed with myofascial pain syndrome or trigger points (active or latent). Results A total of n = 230 studies was analysed. The cervico-thoracic region was the most frequently treated body part (n = 143). Electrophysical agent applications was the most frequent intervention. The average methodological quality reached 5.5 on the PEDro scale. A total of n = 6 studies scored the value of 9. The average PEDro score increased by 0.7 points per decade between 1978 and 2015. Conclusions The average PEDro score of CCTs for MTrP treatments does not reach the cut-off of 6 proposed for moderate to high methodological quality. Nevertheless, a promising trend towards an increase of the average methodological quality of CCTs for MTrPs was recorded. More high-quality CCT studies with thorough research procedures are recommended to enhance methodological quality.

Evolution of the methodological quality of controlled clinical trials for myofascial trigger point treatments for the period 1978–2015: A systematic review

Rationale and objectives

The quantity and quality of research in physiotherapy has increased exponentially during the past decades. However, retrieving publications associated with this field of research is difficult. The aim of this study is to identify and describe controlled clinical trials (CCT) published in Spanish physiotherapy journals using electronic and handsearching strategies.



Method

Observational study through which we identified eligible journals in order to retrieve CCTs using electronic and handsearching strategies, as proposed by the Cochrane Collaboration. A descriptive analysis of the main characteristics of these CCTs was completed.



Results

Seventy-eight CCTs were identified in 10 eligible journals, none of which were indexed in the major databases. 16.7% of the identified studies were multicentric. Traumatology and orthopaedics was the most studied field (33.3%) followed by neurology (15.4%). The most researched health problems were back pain (17.24%) fibromyalgia, arthrosis and stroke (6.8% each). Measured outcomes varied greatly, including pain control, functional mobility and quality of life. Most CCTs (64.1%) had a high risk of bias.



Conclusions

The number of CCTs published in Spanish physiotherapy journals is limited. Handsearching these journals is essential, since none is indexed in major databases. In general, the identified CCTs carry a high risk of bias.

Identification and description of controlled clinical trials published in Physiotherapy journals in Spain

Methode Aus der PEDro-Datenbank wurden bis zum 3. November 2008 insgesamt 13659 Einträge extrahiert und anhand der PEDro-Skala beurteilt. Dabei fanden alle Punkte der PEDro-Skala Berücksichtigung (●▶ Abb. 1). Die Evaluation des Verhältnisses zwischen den erzielten PEDro-Skala-Punkten und dem Jahr der Publikation erfolgte mittels eines linearen Modells, die des Verhältnisses zwischen jedem einzelnen Punkt der PEDro-Skala und dem Jahr der Publikation mittels eines logistischen Modells. Um den Effekt des CONSORT Statements zu beurteilen, wurde eine Regression für den Zeitraum vor und nach der Veröffentlichung des CONSORT Statements (1960–1996 und 1996–2008) berechnet und die Prävalenz jedes einzelnen Punktes der PEDro-Skala sowie der Mittelwert der Gesamt-PEDro-Scores für die Zeiträume 1960–1996 und 2008 ermittelt.

Reported Quality of Randomized Controlled Trials of Physiotherapy Interventions Has Improved over Time

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Reported Quality of Randomized Controlled Trials of Physiotherapy Interventions Has Improved over Time