Moseley Anne M, Herbert Robert D, Sherrington Catherine, Maher Christopher G
Centre for Evidence-Based Physiotherapy, Department of Medicine, The University of Sydney, Sydney, NSW, 1680, Australia.
Aust J Physiother. 2002;48(1):43-9. doi: 10.1016/s0004-9514(14)60281-6.
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.
循证实践涉及运用系统评价和随机对照试验的证据,但以往尚未对物理治疗领域中此类证据的范围进行调查。本次调查的目的是描述与物理治疗相关的随机对照试验的数量和质量以及系统评价的数量。对物理治疗证据数据库(PEDro)进行了检索。采用PEDro量表评估试验质量。检索共识别出2376项随机对照试验和332篇系统评价。第一项试验发表于1955年,第一篇综述发表于1982年。自那时以来,试验和综述的数量呈指数增长。PEDro质量评分均值已从1955年至1959年发表的试验中的2.8分提高到1995年至1999年发表的试验中的5.0分。关于物理治疗效果已有大量证据。然而,临床试验的实施和报告质量仍有改进空间。
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