Laggner Roberta, Huber Dominikus, Hasenoehrl Timothy, Sternik Julia, Stoffer Marx Michaela, Weber-Stallecker Rita, Crevenna Richard, Thalhammer Gerhild, Heisinger Stephan
Department of Orthopedics and Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria.
Department of Internal Medicine I, Division of Clinical Oncology, Medical University of Vienna, 1090 Vienna, Austria.
J Clin Med. 2024 Aug 9;13(16):4691. doi: 10.3390/jcm13164691.
: Fractures of the distal radius are among the most common bone injuries, and their frequency is constantly increasing, leading to an elevated need for subsequent rehabilitation. This growing need has led to the emergence of online content aimed at providing guidance on rehabilitation. Nonetheless, unreviewed online content raises concerns about its reliability; therefore, the objective of this study was to evaluate the quality, reliability, and comprehensiveness of online videos concerning rehabilitation following a distal radius fracture. : A total of 240 YouTube videos were screened, identifying 33 videos that met the inclusion criteria. These selected videos were evaluated by five independent experts from various professional groups, using the Global Quality Scale, the DISCERN reliability tool, and the JAMA Benchmark Score, as well as a structured set of questions to assess their comprehensiveness and coverage of pertinent aspects. : The observers' assessment of the Global Quality Scale exhibited a broad spectrum of viewpoints, indicating considerable variability in evaluations. In most cases, therapy aligned well with the diagnosed condition, and most raters deemed the indication and instruction in the videos acceptable. A proportion of 87% of the videos was deemed suitable for home training by at least three raters. However, a concerning trend emerged, as potential risks and pitfalls were scarcely addressed. : The moderate overall quality of the videos and the divergence in expert opinions highlight the need for a regulatory authority to ensure adherence to guidelines and maintain high-quality content. Additionally, our results raise concerns about the applicability of established assessment tools in this context.
桡骨远端骨折是最常见的骨损伤之一,其发生率持续上升,导致后续康复需求增加。这种不断增长的需求促使了旨在提供康复指导的在线内容的出现。然而,未经审核的在线内容引发了对其可靠性的担忧;因此,本研究的目的是评估桡骨远端骨折后康复相关在线视频的质量、可靠性和全面性。
共筛选了240个YouTube视频,确定了33个符合纳入标准的视频。这些选定的视频由来自不同专业组的五名独立专家进行评估,使用全球质量量表、DISCERN可靠性工具、JAMA基准评分,以及一组结构化问题来评估其全面性和对相关方面的涵盖情况。
观察者对全球质量量表的评估呈现出广泛的观点,表明评估存在相当大的变异性。在大多数情况下,治疗与诊断病情相符,大多数评分者认为视频中的适应症和指导是可以接受的。至少三名评分者认为87%的视频适合家庭训练。然而,出现了一个令人担忧的趋势,即潜在风险和陷阱几乎未被提及。
视频的整体质量中等以及专家意见的分歧凸显了需要一个监管机构来确保遵守指南并维持高质量内容。此外,我们的结果引发了对既定评估工具在此背景下适用性的担忧。