Sock puppet is only one possibility. Other possibility is legit accounts forming a voting ring. You and me cant see voting actions. Mods can.
The mods have access to server access logs. Mods can see who +1-ed whose posts/comments. So if you need evidence for sock-puppetry or voting-ringery, try asking the mods about it. We can only speculate here. I'm only describing what I've found in the wild from my days of moderating (small) forums.
I mean to say that only because you can't see the other accounts posting related posts/comments does not make them any more likely or any less likely to be sockpuppet or voting ring. They may be legit. But they could be a ring. Or they may be legit. Only the mods with the access logs can tell.