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PhysiotherapyEvidenceDatabase.PEDro
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COCHRANE SYSTEMATIC REVIEW FOUND THAT REPETITIVE TASK TRAINING IMPROVES UPPER AND LOWER LIMB FUNCTION IN ADULTS AFTER STROKE

In this Cochrane review, the authors included 33 randomised controlled trials, involving 1,853 adults who have suffered a stroke. Trials of repetitive task training were considered eligible if the repetitive task training intervention comprised an active motor sequence performed repetitively within a single training session, and where the practice was aimed towards a clear functional goal (eg, picking up a cup, sit-to-stand). Eligible control interventions were usual care or placebo. In many studies risk of bias was unclear due to poor reporting of study details. The quality of evidence was limited by inconsistency of results across studies, small sample sizes, and poor reporting. Therefore, the available evidence was only of ’moderate’ or ’low’ quality according to the GRADE system.

The review concluded that there was low-quality evidence that repetitive task training improves arm function (standardised mean difference (SMD) 0.25, 95% confidence interval (CI) 0.01 to 0.49; 11 studies, n=749), hand function (SMD 0.25, 95% CI 0.00 to 0.51; 8 studies, n=619), and lower limb functional measures (SMD 0.29, 95% CI 0.10 to 0.48; 5 trials, n=419). There was moderate-quality evidence that repetitive task training improves walking distance (mean difference (MD) 34.80, 95% CI 18.19 to 51.41; 9 studies, n=610) and functional ambulation (SMD 0.35, 95% CI 0.04 to 0.66; 8 studies, n=525). Improvements for both upper and lower limb function were sustained up to six months post treatment. The effect estimates were not altered by intervention type, dosage of task practice or time since stroke.

French B, et al. Repetitive task training for improving functional ability after stroke. Cochrane Database of Systematic Reviews 2016;Issue 11

Read more on PEDro https://search.pedro.org.au/search-results/record-detail/19321

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WHO USED PEDro IN 2016? 2

An analysis of the contents of PEDro in the 9 January 2017 update is now available on the PEDro statistics page – visit https://www.pedro.org.au/english/downloads/pedro-statistics/.

Musculoskeletal and cardiothoracic physiotherapy have the largest quantity of trials, reviews and guidelines indexed on PEDro.

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SUPPORT FOR PEDro COMES FROM THE CHARTERED SOCIETY OF PHYSIOTHERAPY AND LATVIJAS FIZIOTERAPEITU ASOCIĀCIJA

We thank the @charteredphysios and @LatvijasFizioterapeituAsociacija who have just renewed their partnerships with PEDro for another year.

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PEDro VOLUNTEERS IN 2016

We are deeply appreciative of volunteer physiotherapists whose generosity supports the development of PEDro. We would particularly like to thank the following people who have been raters and/or translators during 2016: Adrian Traeger, Adrien Pallot, Ana Cristina Castro Avila, Anna Gui, Anne Jahn, Antoine Zaczyk, Antonia Gómez Conesa, Apurva Shrivastava, Charlotte Torp, Claudia Koeckritz, Cynthia Swarnalatha Srikesavan, Eileen Meyer, Etienne Soulet, Fereshteh Pourakzemi, Francisco de Araujo, Ilkim Karakaya, Inbal Luft, Ingrid Wu, Jack Perisa, Jean-Philippe Regnaux, Jess Stanhope, Joelle Andre-Vert, Jose Ignacio Ortega, Junior Vitorino Fandim, Kathrin Fiedler, Kedar Mate, Koya Mine, Magdalena Rzewuska, Manuela Besomi, Matthew Squires, Matthew Stevens, Michelle Lobo, Nicola Ferri, Nolwenn Poquet, Pedro Andreo, Peter Halstead, Prakash Vaidhiyalingam, Ranganathan Arunmozhi, Rashid Hafeez, Robyn Porep, Shana Garland, Sharon Israely, Sharon Parry, Silvia Terzi, Simon Olivotto, Stefan Liebsch, Takahiro Miki, Takayuki Miyamori, Thomas Almonroeder, Tiziano Innocenti, Uwe Eggerickx, Wayne Wei, Winifried Backhaus, Xenia Hoderlein, Yannick Barde Cabusson.

https://www.pedro.org.au/english/supporters

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PEDro UPDATE (JANUARY 2017)

PEDro updated on 9 January 2017. For latest guidelines, reviews and trials in physiotherapy visit https://www.pedro.org.au/english/evidence-in-your-inbox

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PEDro INDEXES 35,000+ REPORTS

We are pleased to announce that PEDro has just achieved a new milestone for the amount of evidence. There are now 35,000+ reports of trials, reviews and guidelines indexed on PEDro.

https://www.pedro.org.au

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WHO USED PEDro IN 2016? 3

An analysis of the contents of PEDro in the 9 January 2017 update is now available on the PEDro statistics page – visit https://www.pedro.org.au/english/downloads/pedro-statistics/.

For all trial reports indexed on PEDro, the average total PEDro score is 5.0 (standard deviation 1.6). 36% of trial reports are of moderate to high quality, scoring ≥ 6/10 on the PEDro scale.

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WHO USED PEDro IN 2016? 1

An analysis of the contents of PEDro in the 9 January 2017 update is now available on the PEDro statistics page – visit https://www.pedro.org.au/english/downloads/pedro-statistics/.

The number of reports of trials has continued to expand at an exponential rate.

During 2016 PEDro was used to answer 2,114,708 questions. This means that a new search was initiated every 15 seconds, on average, during 2016. PEDro users were from 215 countries. The five countries with the highest usage in 2016 were the Brazil (15.2%), United States of America (13.5%), Australia (9.3%), Spain (7.9%), and the Germany (3.7%).

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PEDro UPDATE (9 JANUARY 2017)

PEDro contains 35,407 records. In the 9 January 2017 update you will find:
- 28,063 reports of randomised controlled trials (27,414 of these trials have confirmed ratings of methodological quality using the PEDro scale)
- 6,740 reports of systematic reviews, and
- 604 reports of evidence-based clinical practice guidelines

https://www.pedro.org.au

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NEXT PEDro UPDATE (JANUARY 2017)

The next PEDro update is on Monday 9 January 2017

https://www.pedro.org.au

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PEDro SYSTEMATIC REVIEW UPDATE IN THE BJSM

Two new PEDro systematic review updates have been published in the British Journal of Sports Medicine:

Pilates improves balance in older adults (dx.doi.org/10.1136/bjsports-2016-097073)
Exercise for coronary heart disease (dx.doi.org/10.1136/bjsports-2016-096864)

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SYSTEMATIC REVIEW FOUND THAT INJURY PREVENTION PROGRAMS THAT INCLUDE NORDIC HAMSTRING EXERCISES DECREASE THE RISK OF HAMSTRING INJURIES AMONG SOCCER PLAYERS

In this new systematic review, the authors included 5 studies (4 cluster randomised controlled trials and 1 cohort study) that investigated injury prevention programs that included the Nordic hamstring exercise on the hamstring injury rate in soccer players. Pooled data of 4,455 individuals included in the 5 studies were analysed. A total of 315,992 exposure hours and 166 hamstring injuries were collected from the included studies. The pooled results showed 51% overall injury reduction per 1,000 hours of exposure for to injury prevention programs that included the Nordic Hamstring exercise compared to controls (injury risk ratio = 0.49; 95% confidence interval = 0.291 to 0.827; p = 0.008). A limitation of this review is that it was not possible to evaluate the isolated effect of Nordic Hamstring exercise because the injury prevention programs included a variety of other exercises. Another limitation is that cost effectiveness was not considered as an outcome in the review, even though economic data have been published.

Al Attar WS, et al. Effect of injury prevention programs that include the Nordic hamstring exercise on hamstring injury rates in soccer players: a systematic review and meta-analysis. Sports Med 2016 Oct 17:Epub ahead of print.

Read more on PEDro https://search.pedro.org.au/search-results/record-detail/47957

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Free resource for evidence-based physiotherapy
Introduction
PEDro is the Physiotherapy Evidence Database. PEDro is a free database of over 35,000 randomised trials, systematic reviews and clinical practice guidelines in physiotherapy. For each trial, review or guideline, PEDro provides the citation details, the abstract and a link to the full text, where possible. All trials on PEDro are independently assessed for quality. These quality ratings are used to quickly guide users to trials that are more likely to be valid and to contain sufficient information to guide clinical practice. This channel contains how to videos for using this resource
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