Table 2.
Grade of Recommendations Assessment, Development, and Evaluation (GRADE) assessment of the quality of evidencea.
| Outcomes | Risk of biasb | Inconsistency | Indirectness | Imprecision | Publication bias | Large effect | Plausible confounding | Dose response gradient | GRADE quality | Effect size (95% CI) |
| Gait speed | 0 | 0 | 0 | −1c | 0 | 0 | 0 | 0 | Moderate | 0.19 (−0.00 to 0.38) |
| Gait speed (high-quality studies) | 0 | 0 | 0 | −1c | 0 | 0 | 0 | 0 | Moderate | 0.12 (−0.05 to 0.30) |
| Dual-task gait speed | 0 | 0 | 0 | −1c | 0 | 0 | 0 | 0 | Moderate | 0.26 (0.03 to 0.49) |
| Dual-task gait speed (high-quality studies) | 0 | 0 | 0 | −1c | 0 | 0 | 0 | 0 | Moderate | 0.39 (0.04 to 0.75) |
| Functional mobility | 0 | –1d | 0 | −1c | 0 | 0 | 0 | 0 | Low | 0.29 (−0.60 to 1.18) |
| Balance scale | −1e | 0 | 0 | −2b | 0 | 0 | 0 | 0 | Very low | 0.18 (−0.34 to 0.69) |
a0 indicates that no serious limitations were identified in that domain; therefore, no downgrading was applied. Negative values (−1 or −2) indicate downgrading of the quality of evidence due to identified limitations (eg, imprecision or inconsistency).
bThe P value of the Egger regression asymmetry test is less than 0.1.
cThe number of participants included in the primary meta-analysis was <400, and the 95% CI spanned the appreciable harm or benefit thresholds.
dHeterogeneity I2 larger than 50% in the meta-analysis.
eMore than 50% of the participants included in the primary analysis from trials with a Physiotherapy Evidence Database score of <6.