Purpose
To investigate the information quality available on YouTube regarding rehabilitation
and return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR).
Methods
By use of The Onion Router software and predefined search terms, 140 YouTube videos
regarding rehabilitation and RTS after ACLR were systematically included. Three scoring
systems were used to analyze the included videos: (1) Journal of the American Medical Association (JAMA) benchmark criteria; (2) Global Quality Score (GQS); and (3) self-developed
scores for rehabilitation after ACLR and RTS after ACLR, following American Academy
of Orthopaedic Surgeons guidelines and current evidence.
Results
The vast majority of the included videos offered poor information quality, reliability,
and accuracy. Videos that were uploaded by medically trained professionals showed
significantly higher information quality regarding rehabilitation (P = .006 for JAMA score, P < .001 for GQS, and P = .001 for rehabilitation score) and regarding RTS (P < .001 for JAMA score, P < .001 for GQS, and P < .001 for RTS score) compared with commercial videos or personal-testimony videos.
Multivariate linear regression also revealed medically trained professionals as significant
predictors of higher information quality regarding rehabilitation (β = 0.496 [P < .001] for JAMA score, β = 1.3 [P < .001] for GQS, and β = 3.7 [P < .001] for rehabilitation score) and RTS (β = 0.754 [P < .001] for JAMA score, β = 1.3 [P < .001] for GQS, and β = 5.3 [P < .001] for RTS score).
Conclusions
The average information quality, reliability, and accuracy of YouTube videos regarding
rehabilitation and RTS after ACLR are poor. The information quality of related YouTube
videos from medically trained professionals is significantly higher compared with
commercial videos or personal-testimony videos.
Clinical Relevance
Current YouTube videos regarding rehabilitation and RTS after ACLR do not meet the
necessary quality standards. Physicians should also be able to provide alternative
sources of high-quality information.
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Article info
Publication history
Published online: July 14, 2020
Accepted:
July 6,
2020
Received:
March 11,
2020
See commentary on page 3048Footnotes
The authors report the following potential conflicts of interest or sources of funding: R.W. receives personal fees from Stryker and DePuy Synthes, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
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© 2020 by the Arthroscopy Association of North America
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- Editorial Commentary: YouTube Videos Provide Poor-Quality Medical Information: Don’t Believe What You Watch!ArthroscopyVol. 36Issue 12
- PreviewProviding accurate information to patients regarding health conditions, treatment options, and prognosis is a crucial aspect of medical management and an ethical obligation. Office visits may be limited due to time constraints imposed by scheduling, which may result in missed opportunities to provide extensive information when history, physical examination, review of diagnostic testing, and planning is required. As the Internet is now an established platform and easily accessible, patients are increasingly seeking information from websites out of curiosity and for additional questions pertaining to their health condition.
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