IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milan, Italy.
Department of Biomedical Science for Health, University of Milan, Milan, Italy.
J Orthop Traumatol. 2024 Nov 24;25(1):57. doi: 10.1186/s10195-024-00805-y.
This study aimed to assess the validity and informational value of the material provided on TikTok regarding frozen shoulders. The hypothesis was that the video content on this platform would not provide adequate and valid information.
The current study focused on frozen shoulder videos on the TikTok social media platform. The terms "frozen shoulder" and/or "adhesive capsulitis" were used as keywords for an extensive online search of video content on TikTok, and the first 100 videos were included. Out-of-topic, non-English, and duplicated videos were excluded from the analysis. The duration and numbers of likes, shares, and views were recorded for each video. Further, videos were categorized based on the source (physiotherapist/osteopath, medical doctor, or private user), type of information (physical therapy, etiopathogenesis, anatomy, clinical examination, patient experience, or symptoms), video content (rehabilitation, education, or patient experience/testimony), and the presence of music or a voice. The assessment of the video content's quality and reliability was performed by two experienced shoulder surgeons using the DISCERN instrument, the Journal of the American Medical Association (JAMA) benchmark criteria, and the Global Quality Score (GQS).
A total of 100 videos were included in the analysis, of which 86 (86.0%) were published by physiotherapists/osteopaths. Most of the information and video content focused on physical therapy and rehabilitation (83.0% and 84.0%, respectively). Eighty-four (84.0%) videos included voice comments, while the remaining featured music. The mean number of views was 2,142,215.32 ± 6,148,794.63, while the mean numbers of likes, comments, and shares were 58,438.67 ± 201,863.54, 550.81 ± 1712.22, and 3327.43 ± 7320.81, respectively. The mean video duration was 110.20 ± 116.43 s. The mean DISCERN score, JAMA score, and GQS were 16.17 ± 2.36, 0.61 ± 0.51, and 1.18 ± 0.41, respectively. Videos posted by medical doctors or private users received higher scores than those posted by physiotherapists/osteopaths (p < 0.05).
The educational value of videos published on TikTok was poor; videos posted by medical doctors exhibited better quality and educational value than those of physiotherapists or osteopaths. It is the responsibility of orthopedic surgeons to investigate the potential benefits, consequences, and implications of TikTok video content for the health of frozen shoulder patients and to propose necessary adjustments. Given the rapid growth of TikTok, further research is needed.
Level IV-cross-sectional study.
本研究旨在评估 TikTok 上有关冻结肩的内容的有效性和信息价值。假设是该平台上的视频内容无法提供足够和有效的信息。
本研究重点关注 TikTok 社交媒体平台上的冻结肩视频。使用“冻结肩”和/或“粘连性肩关节囊炎”作为关键字，在 TikTok 上进行了广泛的在线视频内容搜索，并纳入了前 100 个视频。与主题无关、非英语和重复的视频被排除在分析之外。记录每个视频的时长以及点赞、分享和观看次数。此外，根据来源（物理治疗师/整骨医生、医生或私人用户）、信息类型（物理治疗、病因发病机制、解剖学、临床检查、患者体验或症状）、视频内容（康复、教育或患者体验/见证）以及是否存在音乐或语音对视频进行分类。两位经验丰富的肩部外科医生使用 DISCERN 工具、《美国医学会杂志》（JAMA）基准标准和全球质量评分（GQS）对视频内容的质量和可靠性进行评估。
共有 100 个视频被纳入分析，其中 86 个（86.0%）由物理治疗师/整骨医生发布。大多数信息和视频内容都集中在物理治疗和康复上（分别为 83.0%和 84.0%）。84 个（84.0%）视频包含语音评论，而其余的则配有音乐。平均观看次数为 2,142,215.32±6,148,794.63，平均点赞数、评论数和分享数分别为 58,438.67±201,863.54、550.81±1712.22 和 3327.43±7320.81。平均视频时长为 110.20±116.43 s。DISCERN 评分、JAMA 评分和 GQS 分别为 16.17±2.36、0.61±0.51 和 1.18±0.41。医生或私人用户发布的视频得分高于物理治疗师/整骨医生发布的视频（p<0.05）。
TikTok 上发布的视频教育价值较低；医生发布的视频质量和教育价值高于物理治疗师或整骨医生。骨科医生有责任研究 TikTok 视频内容对冻结肩患者健康的潜在益处、后果和影响，并提出必要的调整。鉴于 TikTok 的快速发展，需要进一步研究。
IV 级-横断面研究。
