在线视频在前交叉韧带重建后康复和重返运动方面提供的信息质量、可靠性和准确性较差。
Online Videos Provide Poor Information Quality, Reliability, and Accuracy Regarding Rehabilitation and Return to Sport After Anterior Cruciate Ligament Reconstruction.
机构信息
Department of Orthopaedic and Trauma Surgery, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.
Department of Orthopaedics, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
出版信息
Arthroscopy. 2020 Dec;36(12):3037-3047. doi: 10.1016/j.arthro.2020.07.013. Epub 2020 Jul 15.
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.
目的
调查 YouTube 上有关前交叉韧带重建 (ACLR) 后康复和重返运动 (RTS) 的信息质量。
方法
使用洋葱路由器软件和预定义的搜索词，系统地纳入了 140 个关于 ACLR 后康复和 RTS 的 YouTube 视频。使用三种评分系统分析纳入的视频：(1)美国医学会杂志 (JAMA) 基准标准；(2)全球质量评分 (GQS)；以及 (3)根据美国矫形外科医师学会指南和当前证据制定的 ACLR 后康复和 ACLR 后 RTS 评分。
结果
绝大多数纳入的视频提供的信息质量、可靠性和准确性较差。由医学专业人员上传的视频在康复方面的信息质量明显更高（JAMA 评分的 P 值为.006，GQS 的 P 值<.001，ACL 后康复评分的 P 值为.001），RTS 方面的信息质量也更高（JAMA 评分的 P 值<.001，GQS 的 P 值<.001，RTS 评分的 P 值<.001），与商业视频或个人证词视频相比。多变量线性回归还显示，医学专业人员是康复信息质量较高的显著预测因素（JAMA 评分的 β 值为 0.496[P<.001]，GQS 的 β 值为 1.3[P<.001]，ACL 后康复评分的 β 值为 3.7[P<.001]）和 RTS（JAMA 评分的 β 值为 0.754[P<.001]，GQS 的 β 值为 1.3[P<.001]，RTS 评分的 β 值为 5.3[P<.001]）。
结论
关于 ACLR 后康复和 RTS 的 YouTube 视频的平均信息质量、可靠性和准确性较差。来自医学专业人员的相关 YouTube 视频的信息质量明显高于商业视频或个人证词视频。
临床相关性
目前关于 ACLR 后康复和 RTS 的 YouTube 视频不符合必要的质量标准。医生还应该能够提供高质量信息的替代来源。
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