Background
Methods
Ethical Approval
Searching
Source | Searches and Search Terms | Mar–Jul 2005 Hits* (number of new relevant records) | 2005–April 2007 Hits* (number of new relevant records) |
---|---|---|---|
KA24: AMED 1985 - CINAHL 1982- EMBASE 1974- Kingsfund 1979- MEDLINE 1966- | 1. "hip" OR "knee" (whole document) AND "replacement" OR "arthroplast$" (whole document) AND "rehabilitation" AND "trial$" (whole document) | 587 (25) | 180 (0) |
2. "hip" OR "knee" (whole document) AND "replacement" OR "arthroplast$" (whole document) AND "rehabilitation" AND "trial$" (title) | 118 (11) | 1 (0) | |
3. "hip" OR "knee" (whole document) AND "replacement" OR "arthroplast$" (whole document) AND "physiotherapy" AND "trial$" (title) | 2 (0) | 4 (0) | |
4. "hip" OR "knee" (whole document) AND "replacement" OR "arthroplast$" (whole document) AND "physiotherapy" (title) | 39 (0) | 14 (0) | |
5. "hip" OR "knee" (whole document) AND "replacement" OR "arthroplast$" (whole document) AND "physical therapy" (title) | 43 (8) | 15 (0) | |
6. "hip" OR "knee" (whole document) AND "replacement" OR "arthroplast$" (whole document) AND "home programme" (title) | 2 (0) | 1 (0) | |
7. "hip" OR "knee" (whole document) AND "replacement" OR "arthroplast$" (whole document) AND "home programme" (whole document) | 22 (2) | 27 (0) | |
8. "hip" OR "knee" (whole document) AND "replacement" OR "arthroplast$" (whole document) AND "occupational therapy " (whole document) | 35 (0) | 3 (0) | |
9. "hip" OR "knee" (whole document) AND "occupational therapist$" (title) | 0 (0) | 3 (0) | |
Cochrane library: Cochrane reviews CCRCT DARE | 1. Browsed by topic musculoskeletal Search narrowed osteoarthritis Search narrowed rehabilitation | 9 | 11 |
2. General search term "joint replacement" | 80 | 18 | |
PEDro physiotherapy evidence database | 1. "joint replacement AND rehabilitation" | 1 (0) | 17 (0) |
2. "joint replacement" | 5 (0) | 45 (0) | |
Dept of Health National Research Register | 1. "joint replacement AND rehabilitation" | 0 | 19 (1) |
2. "joint replacement AND physiotherapy" | 7 | 9 (0) | |
3. "joint replacement AND exercise" | 2 (0) | 6 (0) | |
4. "joint replacement AND physical therapy" | 3 (0) | 5 (0) | |
5. "joint arthroplasty AND physiotherapy" | 0 | 0 | |
6. "joint arthroplasty AND rehabilitation" | 2 (1) | 2 (0) | |
7. "joint replacement AND occupational therapy" | 5 (0) | 5 (0) | |
Physiotherapy | Key journal – Hand search of contents pages | Nil new | Nil new |
Physical Therapy | Key journal – Hand search of contents pages | Nil new | Nil new |
JBJS [Br] | Hand search of all conference proceedings | 2 new | 1 |
Reference lists | Hand searching of papers included in the review | 1 new. | |
Totals | 965 (50) | 386 (2) |
Selection
Validity assessment, data abstraction and quality assessment
Does the study/author information adequately contain the following: | Jan et al., 2004 | Johnsson et al., 1988 | Nyberg & Kreuter, 2002 | Patterson et al., 1995 | Sashika et al., 1996 | Suetta et al., 2004 | Trudelle-Jackson & Smith 2004 |
---|---|---|---|---|---|---|---|
Rationale for study | Y | Y | Y | Y | Y | Y | Y |
Eligibility criteria | Y | P | Y | Y | Y | Y | Y |
Recruitment method | N | N | P | P | Y | P | Y |
Settings and location of study | P | P | Y | Y | P | P | P |
Intervention | Y | P | Y | P | Y | P | Y |
Objectives/hypotheses | P | P | N | P | P | Y | Y |
Defined outcome measures | Y | P | N | N | P | Y | Y |
Quality enhancers (e.g. multiple observations) | Y | N | P | N | P | Y | |
Sample size determination | Y | N | N | N | P | Y | N |
Randomisation | Alternately assigned | Y | Alternately assigned | Assigned by location | Not randomised | Y | Y |
Randomisation sequence generation | Y | N | Y | Y | I | Y | Y |
Allocation concealment | N | N | Y | N | N | N | N |
Randomisation implementation methods | N | N | N | N | N | N | N |
Blinding – participant | N | N | N | N | N | N | Y |
Blinding – of those administering the intervention | N | N | N | N | N | P | N |
Blinding – outcome/assessments | Y | N | Y | Y | N | Not all blinded | Not blinded |
Statistical methods | Y | P | Y | Y | N | Y | Y |
Flow of participants through each stage | Y | U | Y | N | P | P | Y |
Recruitment and follow up dates | N | N | Y | N | N | P | N |
Baseline demographics | Y | N | P | Y | Y | Y | Y |
Numbers analysed (and ITT) | Y | U | P | U | Y | P | Y |
Summary of Results | P | P | P | Y | P | Y | Y |
Estimated effect sizes | N | P | N | N | N | N | N |
Precision | N | N | N | Y | N | Y | N |
Results for each outcome | Y | Y | Y | Y | P | Y | Y |
Ancillary analyses | P | N | I | N | N | N | N |
Adverse events | P | P | Y | N | P | N | N |
Interpretation | P | P | P | P | N | N | P |
Generalisability | P | P | Y | P | N | N | N |
Results placed into context | P | P | P | P | P | P | P |
Judged to be of sufficient quality for inclusion in explanatory meta-analyses?
| N | N | N | N | N | Y | Y for Oxford hip score only |
Quantitative Data Synthesis
Results
Reason for Exclusion | Study |
---|---|
Not a clinical trial | Cullen et al., 1973 [25] |
Drabsch et al., 1998 [26] | |
Freburger 2000 [27] | |
Lapshin et al., 2002 [28] | |
Richardson 1975 [29] | |
Shih et al., 1994 [30] | |
In patient intervention | Chen et al., 2004 [31] |
Grange et al., 2004 [32] | |
Hesse et al., 2003 [33] | |
Hughes et al., 1993 [34] | |
Lang 1998 [35] | |
Maire et al., 2004 [36] | |
Munin et al., 1998 [37] | |
Osteopathic manipulation intervention | Licciardone et al., 2004 [38] |
Pre operative intervention | Gursen & Ahrens 2003 [39] |
Pre op and post op intervention | Gilbey et al., 2003 [40] |
Apparent multiple trial reports | Gilbey et al., 2003b [41] Werner et al., 2004 [42] |
Inclusion criteria of injurious falls | Hauer et al., 2002 [43] |