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PICO #1 & Search Strategy Worksheet: Name: Taylor Mills
PICO #1 & Search Strategy Worksheet: Name: Taylor Mills
No medical comorbidities
Intervention: What main intervention, treatment, Body weight harness treadmill system for pre-gait training
prognostic factor, exposure, etc. am I considering?
Comparison (If appropriate): What is the Not using body weight support treadmill system. Basically,
alternative treatment (intervention, prognostic factor,
exposure, no treatment, etc.)? using standard physical therapy with ROM, strength, and/or
ambulation training.
Outcome: What are you trying to accomplish, Improve ambulation distance using the 2-minute walk test
improve, or affect? Remember you must be able to
measure an outcome.
c. What are your key inclusion criteria (sex, age, species, years . . .)?
What are your exclusion criteria (any confounding or irrelevant terms you
want to exclude)?
1. Not using body-weight treadmill system as an intervention
2. Bilateral THA
3. Studies involving an average age for THA of 65+ years old
4. Posterior surgical approach for THA
5. Females
d. Where will you search (EBM Reviews, PEDro, CINAHL, etc.), which
will be your first choice, and why? If this does not work, where next?
Need to say why you picked this one over the others.
I will search PubMed first because my topic about total hip arthroplasty is a common
population that is treated across multiple medical disciplines, so I thought I would start here
using a broad source. I could continue to refine my search until I chose an article. I could also
try looking at CINAHL because this is more specific to my topic and is a database for allied
health professionals. I could use an advanced search with this database as well. I am not
familiar with PEDro, but we just learned about this in class and it is a database specifically
for physiotherapists, so I may also want to familiarize myself with this database and look for
articles here.
e. Include a clear description of how you refined your search and
ultimately reached a decision on an article. Explain why you made your
choice.
PubMed: My key words were “total hip arthroplasty or hip replacement” and “body weight
supported treadmill training.” I only had one article appear from 2009, but this was a systematic
review of clinical randomized control trials. If this had given me a lot of results, I would have
further advanced my search by limiting the publication date from 2014-2019 and added in more
key words.
Because I had limited results, I then went to CINAHL. I used the same key words “total hip
replacement or total hip arthroplasty” and “body weight supported treadmill training.” I only got
3 sources from this, but they all involved using body weight treadmill training with patients who
had neurological conditions. These articles were not an appropriate fit to my inclusion criteria
about THAs.
Then I tried PEDro. I used “body weight supported treadmill training” in the title, chose
“skill training” in the therapy section, “thigh or hip” for the body part, “orthopaedics” for the
subdiscipline, and a published date from 2000 to 2019 to start my search. I found one article
again and this was the same systematic review of randomized controlled trials that I found using
the PubMed database. From here, I decided that there may be limited resources on this topic
because using body weight supported treadmill training is more commonly used as an
intervention with patients who have neurological conditions; not THAs. Because I had started
getting the same results, I decided to use this article.
f. List the article in correct AMA format using AMA Stat! or the AMA
manual as your guide and using the correct journal title abbreviations.
systematic review of controlled trials on physical exercise programs. Eur J Phys Rehabil