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. 2017 Sep 21;3(1):e000256. doi: 10.1136/bmjsem-2017-000256

Table 4.

Quality of body of evidence based on the GRADE approach

Outcome Number of studies Limitation Inconsistency Indirectness Imprecision Publication bias Upgrade Summary/quality of evidence
Jump distance 1 RCT No serious limitation NA No serious indirectness −1 None +1 High ⨁⨁⨁⨁
Stability/postural control/balance 2 RCTs23 25 −1 None No serious indirectness −1 None +1 Moderate ⨁⨁⨁
GRF 2 RCTs1 24 −1 None No serious indirectness −1 None +1 Moderate ⨁⨁⨁
Knee kinematics 2 RCTs1 22
1 blocked randomised design
−1 None No serious indirectness −1 None +1 Moderate ⨁⨁⨁

All RCTs start as high quality. Assessment criteria: limitation: based on Cochrane risk of bias assessment. Downgraded by one level if more than one unclear. Inconsistency: unexplained heterogeneity across studies. indirectness: heterogeneity for participants, intervention or outcome measure in individual studies. imprecision: if no sample size justification and calculation: downgraded by one level. Publication bias. Upgrade: if statistically significant effect: upgraded by one level.16

GRADE, Grading of Recommendations Assessment, Development and Evaluation; GRF, ground reaction force; RCT, randomised controlled trial.