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A systematic review of the measurement properties and usage of the Physiotherapy Evidence Database (PEDRO) scale
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS833–eS1237
Research Report Poster Presentation Number: RR-PO-20-06-Mon Monday 4 May 2015 13:00 Exhibit halls 401–403 A SYSTEMATIC REVIEW OF THE MEASUREMENT PROPERTIES AND USAGE OF THE PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO) SCALE A.M. Moseley 1 , T.M. Szikszay 2 , C.-W.C. Lin 1 , S. Mathieson 1 , M.R. Elkins 3 , R.D. Herbert 4 , C.G. Maher 1 , C. Sherrington 1 1 The
George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, Australia; 2 Osnabrück University of Applied Sciences, Manual Therapy Department, Osnabrück, Germany; 3 Respiratory Medicine Department, Royal Prince Alfred Hospital, Sydney, Australia; 4 Neuroscience Research Australia, Sydney, Australia Background: The Physiotherapy Evidence Database (PEDro) scale ratings are used to rank search results in the PEDro evidence resource (www.pedro.org.au) and evaluate the methodological quality (completeness of reporting and risk of bias) of trial reports included in systematic reviews. Purpose: Evaluate the measurement properties of the PEDro scale and quantify how the scale is being used in systematic reviews of physiotherapy interventions. Methods: Five electronic databases were searched from inception to August 2014 to retrieve primary studies which evaluate any measurement property of the PEDro scale (including validity, reproducibility, unidimensionality, scale level, item difficulty and redundancy, bandwidth, floor and ceiling effects, and interpretability). Two authors independently selected the included studies, extracted data, and evaluated strength of evidence (Terwee criteria) and risk of bias (COSMIN checklist). Usage of the PEDro scale in systematic reviews was evaluated by taking a random sample of 140 review reports indexed on PEDro and published in 2008–2014. Again, two authors independently extracted data (scale used, how scores were generated and modifications to the scale). Results: 1,041 references were identified in the search for measurement properties of the PEDro scale. 36 studies were included in the review. The measurement properties evaluated were: construct validity (5 studies), cross-cultural validity (1), concurrent validity (15), reliability (9), measurement error (3), unidimensionality (1), scale level (1), item difficulty and redundancy (11), bandwidth (7), floor and ceiling effects (7), and interpretability (2). One-fifth (27/140) of reviews evaluating physiotherapy interventions used the PEDro scale. PEDro scores were generated by the reviewers in 26 (96%) of the 27 reviews. Changes to the PEDro scale were made in 6 (22%) of the 27 reviews.
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Conclusion(s): A large number of studies have evaluated the measurement properties of the PEDro scale. Future research could evaluate the internal consistency of the PEDro scale. Implications: The measurement properties of the PEDro scale have been widely evaluated. It is a suitable tool to evaluate methodological quality and completeness of statistical reporting in systematic reviews evaluating the effects of physiotherapy interventions. Systematic reviewers could minimise duplication of effort by using the scores published in PEDro in their reviews. Modification of the PEDro scale makes it harder for clinicians to use systematic reviews to guide practice. Keywords: Measurement properties; PEDro scale; Systematic review Funding acknowledgements: Motor Accidents Authority, Motor Accident Insurance Commission, American Physical Therapy Association, Australian Physiotherapy Association, and 41 other WCPT member organisations. Ethics approval: Ethics approval was not required. http://dx.doi.org/10.1016/j.physio.2015.03.1919 Research Report Poster Presentation Number: RR-PO-08-13-Sun Sunday 3 May 2015 12:15 Exhibit halls 401–403 THE USE OF MI-E AS A COST EFFECTIVE ADMISSION AVOIDANCE STRATEGY FOR PATIENTS WITH ADVANCED MULTIPLE SCLEROSIS R. Moses St George’s Hospital NHS Foundation Trust, Therapy Department, London, United Kingdom Background: Increasing hospital admissions for patients with advanced neuromuscular disease and continued pressure on acute medical beds have encouraged the development of interventions to keep patients at home. In 2011/12 an audit of unplanned neuromuscular admissions across 4 UK regions showed that 40% acute admissions were avoidable (1). The development of community teams have enabled mechanical in-exsufflation (MI-E) devices to be used at home. Purpose: To assess the feasibility of providing MI-E on hospital discharge as an admission avoidance tool for patients with advanced multiple sclerosis (MS) (not requiring nocturnal ventilation) and repeated hospital admissions for aspiration pneumonia. Methods: 3 individual case studies investigating the effectiveness of providing an MI-E device (NIPPY Clearway) on hospital discharge for patients with MS and repeated hospital admissions. Results: The hospital admission frequency and length were retrospectively investigated for a 12 month period
Research Report Poster Presentation Number: RR-PO-20-06-Mon Monday 4 May 2015 13:00 Exhibit halls 401–403 A SYSTEMATIC REVIEW OF THE MEASUREMENT PROPERTIES AND USAGE OF THE PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO) SCALE A.M. Moseley 1 , T.M. Szikszay 2 , C.-W.C. Lin 1 , S. Mathieson 1 , M.R. Elkins 3 , R.D. Herbert 4 , C.G. Maher 1 , C. Sherrington 1 1 The
George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, Australia; 2 Osnabrück University of Applied Sciences, Manual Therapy Department, Osnabrück, Germany; 3 Respiratory Medicine Department, Royal Prince Alfred Hospital, Sydney, Australia; 4 Neuroscience Research Australia, Sydney, Australia Background: The Physiotherapy Evidence Database (PEDro) scale ratings are used to rank search results in the PEDro evidence resource (www.pedro.org.au) and evaluate the methodological quality (completeness of reporting and risk of bias) of trial reports included in systematic reviews. Purpose: Evaluate the measurement properties of the PEDro scale and quantify how the scale is being used in systematic reviews of physiotherapy interventions. Methods: Five electronic databases were searched from inception to August 2014 to retrieve primary studies which evaluate any measurement property of the PEDro scale (including validity, reproducibility, unidimensionality, scale level, item difficulty and redundancy, bandwidth, floor and ceiling effects, and interpretability). Two authors independently selected the included studies, extracted data, and evaluated strength of evidence (Terwee criteria) and risk of bias (COSMIN checklist). Usage of the PEDro scale in systematic reviews was evaluated by taking a random sample of 140 review reports indexed on PEDro and published in 2008–2014. Again, two authors independently extracted data (scale used, how scores were generated and modifications to the scale). Results: 1,041 references were identified in the search for measurement properties of the PEDro scale. 36 studies were included in the review. The measurement properties evaluated were: construct validity (5 studies), cross-cultural validity (1), concurrent validity (15), reliability (9), measurement error (3), unidimensionality (1), scale level (1), item difficulty and redundancy (11), bandwidth (7), floor and ceiling effects (7), and interpretability (2). One-fifth (27/140) of reviews evaluating physiotherapy interventions used the PEDro scale. PEDro scores were generated by the reviewers in 26 (96%) of the 27 reviews. Changes to the PEDro scale were made in 6 (22%) of the 27 reviews.
eS1043
Conclusion(s): A large number of studies have evaluated the measurement properties of the PEDro scale. Future research could evaluate the internal consistency of the PEDro scale. Implications: The measurement properties of the PEDro scale have been widely evaluated. It is a suitable tool to evaluate methodological quality and completeness of statistical reporting in systematic reviews evaluating the effects of physiotherapy interventions. Systematic reviewers could minimise duplication of effort by using the scores published in PEDro in their reviews. Modification of the PEDro scale makes it harder for clinicians to use systematic reviews to guide practice. Keywords: Measurement properties; PEDro scale; Systematic review Funding acknowledgements: Motor Accidents Authority, Motor Accident Insurance Commission, American Physical Therapy Association, Australian Physiotherapy Association, and 41 other WCPT member organisations. Ethics approval: Ethics approval was not required. http://dx.doi.org/10.1016/j.physio.2015.03.1919 Research Report Poster Presentation Number: RR-PO-08-13-Sun Sunday 3 May 2015 12:15 Exhibit halls 401–403 THE USE OF MI-E AS A COST EFFECTIVE ADMISSION AVOIDANCE STRATEGY FOR PATIENTS WITH ADVANCED MULTIPLE SCLEROSIS R. Moses St George’s Hospital NHS Foundation Trust, Therapy Department, London, United Kingdom Background: Increasing hospital admissions for patients with advanced neuromuscular disease and continued pressure on acute medical beds have encouraged the development of interventions to keep patients at home. In 2011/12 an audit of unplanned neuromuscular admissions across 4 UK regions showed that 40% acute admissions were avoidable (1). The development of community teams have enabled mechanical in-exsufflation (MI-E) devices to be used at home. Purpose: To assess the feasibility of providing MI-E on hospital discharge as an admission avoidance tool for patients with advanced multiple sclerosis (MS) (not requiring nocturnal ventilation) and repeated hospital admissions for aspiration pneumonia. Methods: 3 individual case studies investigating the effectiveness of providing an MI-E device (NIPPY Clearway) on hospital discharge for patients with MS and repeated hospital admissions. Results: The hospital admission frequency and length were retrospectively investigated for a 12 month period