The research question was supported by inclusion criteria for intervention and outcomes and broad criteria for participants. The authors did not state whether language restrictions were applied, so was unclear whether language bias was present. Unpublished studies were sought, although publication bias was not assessed. The authors did not describe the review process, so it was not known whether there were measures in place to reduce reviewer error and bias.
Study validity was not assessed, so the reliability of these studies was unknown. Also, the study designs included were not clear. The reporting between tables and text was also inconsistent for one outcome. Heterogeneity between studies was not assessed, and a wide range of clinical conditions and outcome measures were included, so it was unclear whether meta-analysis was appropriate.
Due to possible inappropriate pooling of studies and lack of validity assessment, the authors' conclusions may not be reliable.