Evidence map›Paper›PMID 40982490›Full record

ReviewPhysiotherapy research international : the journal for researchers and clinicians in physical therapy2025

Does the Scientific Literature on Fractures Support Evidence-Based Physiotherapy? Mapping the Evidence on the PEDro Platform.

Aline Miranda Ferreira, Raquel Metzker Mendes Sugano, Ana Carolina Carmona Vendramim, Pedro Henrique Alberani Soares, Marisa de Cássia Registro Fonseca

Abstract readReview
In one paragraph

Review in Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Does the Scientific Literature on Fractures Support Evidence-Based Physiotherapy? Mapping the Evidence on the PEDro Platform.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Aline Miranda FerreiraClinics Hospital of Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1919-893X
Raquel Metzker Mendes SuganoClinics Hospital of Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-4585-1709
Ana Carolina Carmona VendramimPost-Graduate Program in Orthopaedic Physiotherapy, Clinics Hospital of Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0885-0603
Pedro Henrique Alberani SoaresPost-Graduate Program in Orthopaedic Physiotherapy, Clinics Hospital of Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0009-0002-2359-0421
Marisa de Cássia Registro FonsecaDepartment of Health Sciences, Rehabilitation and Performance Program, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-8187-5834

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBone fractures impose significant healthcare costs and are among the musculoskeletal conditions most requiring rehabilitation. Evidence-based practice (EBP) is the recommended approach for ensuring quality and consistency of care. However, does the scientific literature on fractures adequately support evidence-based physiotherapy? PURPOSE: To map the profile of fracture studies indexed on the PEDro platform, focusing on study designs, body segments studied, publication decade, and geographical distribution.

methodsTwo authors independently extracted data from the PEDro platform using the term fracture in the musculoskeletal and orthopedic subdiscipline filter. Studies without abstracts or full articles available and those not primarily focused on fractures were excluded.

resultsSix hundred sixty-seven met the inclusion criteria, representing 3.2% of all musculoskeletal and orthopedic studies. Twelve clinical practice guidelines, 141 systematic reviews and 514 CTs were identified. The studies prioritize the hip (35.7%) and wrist (23.1%). Clinical trials were concentrated in Europe (47.8%), Asia (24.9%), North America (21%), and Oceania (11%), with few studies from South America (1.2%), Africa (0.2%) and none from Central America. The average PEDro scale score was 5.35 ± 1.81, with a peak in study production observed in the 2010s.

conclusionFracture studies on the PEDro platform are limited in number and quality. Many segments lack clinical guidelines and systematic reviews or trials. The geographic distribution reflects disparities in scientific production, favoring developed regions. These findings underscore the need for improved research and dissemination efforts, particularly in regions with lower representation.

Indexed as

Evidence-Based MedicineEvidence-Based PracticeFractures, BonePhysical Therapy ModalitiesHumansevidence‐based practicefracturesmusculoskeletalorthopedic traumaphysiotherapy

Identifiers

PMID40982490
PMCPMC12453294

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.