Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Aravaca, Madrid, Spain.
Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Aravaca, Madrid, Spain.
PeerJ. 2022 Sep 30;10:e14150. doi: 10.7717/peerj.14150. eCollection 2022.
Migraine is the second leading cause of disability worldwide, engendering a high economic cost in developed countries. The adverse events related to pharmacological treatment use have increased interest in non-pharmacological interventions such as exercise. YouTube offers a public source of information for migraine patients regarding exercise interventions for migraine improvement. However, this information has not been validated to ensure the quality and validity of its content.
This qualitative content analysis study aims to review and evaluate YouTube videos regarding exercise for migraine.
A systematic review of the current evidence regarding exercise for migraine was performed to establish evidence classification and grades of recommendation with the Scottish Intercollegiate Guidelines Network tool. The data sources were PubMed, PEDro, Cochrane, EBSCO, Google Scholar and Web of Science. The quality of YouTube videos on exercise in migraine was reviewed using the Global Quality Scale and DISCERN scale. Finally, the classification in grades of recommendation was used to evaluate the included videos in terms of the various exercise modalities.
The classification into recommendation grades showed a grade B for aerobic exercise, yoga and changes in lifestyle behavior regarding exercise. A total of 129 videos were included. The healthcare and exercise professional authors produced higher quality videos with a significant statistical difference, although the alternative therapists and patients' videos had a greater impact and a higher viewership based on correlation analysis. The evaluation of the videos based on the recommendation grades could only include 90 videos. 71% of these videos showed a B grade of recommendation, which corresponded to fewer than half of the total included videos.
YouTube needs higher quality videos on exercise for migraine, and healthcare and exercise professional authors need to improve their scoping strategies to acquire more views. The authors of YouTube videos should have better access to the best current evidence regarding exercise interventions in migraine.
偏头痛是全球第二大致残原因，在发达国家造成了高昂的经济成本。与药物治疗相关的不良事件增加了人们对非药物干预措施（如运动）的兴趣。YouTube 为偏头痛患者提供了一个关于运动干预改善偏头痛的公共信息来源。然而，这些信息尚未经过验证，无法确保其内容的质量和有效性。
本定性内容分析研究旨在审查和评估有关运动治疗偏头痛的 YouTube 视频。
使用苏格兰校际指南网络工具对当前有关运动治疗偏头痛的证据进行系统回顾，以确定证据分类和推荐等级。数据来源包括 PubMed、PEDro、Cochrane、EBSCO、Google Scholar 和 Web of Science。使用全球质量量表和 DISCERN 量表对有关偏头痛运动的 YouTube 视频质量进行了审查。最后，根据推荐等级的分类，评估了各种运动方式的视频。
推荐等级分类显示有氧运动、瑜伽和生活方式行为改变的推荐等级为 B。共纳入 129 个视频。医疗保健和运动专业作者制作的视频质量更高，具有显著的统计学差异，尽管根据相关分析，替代治疗师和患者的视频具有更大的影响力和更高的收视率。基于推荐等级的视频评估仅能包括 90 个视频。这些视频中有 71%的推荐等级为 B，这一比例不到纳入视频总数的一半。
YouTube 需要更多有关偏头痛运动的高质量视频，医疗保健和运动专业作者需要改进其范围界定策略以获得更多的浏览量。YouTube 视频作者应该更容易获得有关偏头痛运动干预的最佳最新证据。
