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Randomized controlled trial quality in pediatric physical therapy.

Matteo Paci1, Niccolò Landi, Mariangela Marchettini

  • 11Unit of Functional Rehabilitation, Prato Hospital , Prato , Italy.

Physical & Occupational Therapy in Pediatrics
|August 31, 2013
PubMed
Summary
This summary is machine-generated.

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This study assessed the quality of randomized controlled trials in pediatric physical therapy (PPT) using the PEDro scale. While quality improved over time, further enhancements in PPT RCTs are recommended.

Area of Science:

  • Physical Therapy
  • Clinical Trials
  • Research Methodology

Background:

  • Assessing the quality of evidence in pediatric physical therapy (PPT) is crucial for guiding clinical practice.
  • The PEDro scale is a widely used tool for evaluating the methodological quality of randomized controlled trials (RCTs).
  • Understanding trends in RCT quality over time can inform future research and practice improvements.

Purpose of the Study:

  • To evaluate the reported methodological quality of randomized controlled trials (RCTs) in pediatric physical therapy.
  • To examine the changes in RCT quality in PPT over time.
  • To identify areas for improvement in the design and reporting of PPT RCTs.

Main Methods:

  • A comprehensive search of RCTs in pediatric physical therapy was conducted using the PEDro database.
Keywords:
Childmethodological qualitypediatric physical therapypediatric physical therapy researchrandomized controlled trial

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  • Each included RCT was scored using the PEDro scale to assess methodological quality.
  • RCTs were classified as high- or low-quality using both original (score ≥ 6) and modified (score ≥ 5) cut-offs.
  • The relationship between PEDro scores and publication year was analyzed.

    • Main Results:

    • A total of 1,367 RCTs were analyzed.
    • Using the original PEDro cut-off (≥ 6), 29% of studies were classified as high-quality.
    • Using a modified cut-off (≥ 5), 56% of studies were classified as high-quality.
    • Both the number of published RCTs and the average PEDro score demonstrated an increasing trend between 1962 and 2012.

    Conclusions:

    • The methodological quality of randomized controlled trials in pediatric physical therapy has shown improvement over time.
    • Despite improvements, there is still potential for enhancing the quality of PPT RCTs.
    • Further attention to specific items within the PEDro scale could lead to more robust research in pediatric physical therapy.