Table 5

Methodological scoring using the PEDro checklist and level of evidence of individual studies according to the CBO guidelines

StudyItemsMethodological qualityLevel of evidence
 1*234567891011Score**
Eid et al21???+1/10PoorB
Lieberman and Breazeal22???+??++++5/10FairB
Sigrist et al26++?+???++++6/10HighB
Spelmezan et al29Study 1+?++???+3/10PoorC
Study 2???++++4/10FairC
Study 3+???++++5/10FairB
Van Erp et al28?+?+???++++6/10HighB/A2
Spelmezan23+?++++++7/10HighB
Jansen et al24?+???++++5/10FairB
van der Linden et al27?+???++++5/10FairB
25+?+???++++6/10HighB
  • Scoring by the PEDro scale:

  • + = Yes

  • − = No

  • ? = Too little information or doubtable.

  • Legend:

  • 1: Eligibility criteria were specified.

  • 2: Subjects were randomly allocated to groups (in a crossover study, subjects were randomly allocated an order in which treatments were received).

  • 3: Allocation was concealed.

  • 4: The groups were similar at baseline regarding the most important prognostic indicators.

  • 5: There was blinding of all subjects.

  • 6: There was blinding of all therapists who administered the therapy.

  • 7: There was blinding of all assessors who measured at least one key outcome.

  • 8: Measures of at least one key outcome were obtained from more than 85% of the subjects initially allocated to groups.

  • 9: All subjects for whom outcome measures were available received the treatment or control condition as allocated or, where this was not the case, data for at least one key outcome were analysed by ‘intention to treat.’

  • 10: The results of between-group statistical comparisons are reported for at least one key outcome.

  • 11: The study provides both point measures and measures of variability for at least one key outcome.

  • PEDro scores:

  • High quality = score 6–10

  • Fair quality = score 4–5

  • Poor quality = score ≤3

  • *Item 1 pertains for the external validity, thus is not considered for the final score.

  • **Poor quality = PEDro score ≤3.

  • CBO, Dutch Institute for Healthcare Improvement; PEDro, Physiotherapy Evidence Database.