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Updated: May 14, 2026

Detecting Behavioral Deficits in Rats After Traumatic Brain Injury
Published on: January 30, 2018
A comparison of the PEDro and Downs and Black quality assessment tools using the acquired brain injury intervention
Jo-Anne L Aubut1, Shawn Marshall, Mark Bayley
1Aging, Rehabilitation, and Geriatric Care, Lawson Research Institute, St. Joseph's Health Care London, London, ON, Canada N6C 5J1. JoAnne.Aubut@sjhc.london.on.ca
Objective:
The objective of this study was to examine the correlation between the Physiotherapy Evidence Database (PEDro) and the Downs and Black (D&B) quality assessment scale and the PEDro and a modified D&B assessment scores in a research synthesis of the ABI literature.
Methods And Main Outcomes:
A systematic review of the literature from 1980-2007 was conducted looking at treatment interventions following an ABI published in peer-reviewed English language journals. Of the articles chosen for inclusion in the study, 165 were identified as randomised controlled trials (RCT). All RCTs were scored using two quality assessment tools: the PEDro and D&B quality assessment scales. Items from these two scales were compared to identify which questions addressed similar information.
Results:
The association between the overall PEDro and D&B scores was moderately high (r = 0.71, p < 0.01) indicating a significant relationship between these two quality assessment tools. When considering the modified D&B scores, which contained a subset of questions deemed most comparable to the PEDro scale, the correlation between the two was also moderately high (r = 0.68, p < 0.01).
Conclusions:
Further analysis is required to investigate the strength of the relationship between these two scales in the assessment of RCTs.

