PMID- 38145222
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231225
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 11
IP  - 12
DP  - 2023 Dec
TI  - Analyzing the Quality, Reliability, and Educational Value of ACL Rehabilitation 
      Exercises on TikTok: A Cross-Sectional Study.
PG  - 23259671231218668
LID - 10.1177/23259671231218668 [doi]
LID - 23259671231218668
AB  - BACKGROUND: Videos relating to rehabilitation exercises for common injuries 
      relevant to younger populations such as anterior cruciate ligament (ACL) tear 
      receive high view counts on social media platforms such as TikTok. 
      PURPOSE/HYPOTHESIS: The purpose of this study was to analyze the quality, 
      reliability, and educational value of TikTok videos among the patient population 
      for ACL injury. It was hypothesized that TikTok videos related to ACL 
      rehabilitation exercises would lack quality, reliability, and educational value. 
      STUDY DESIGN: Cross-sectional study. METHODS: TikTok was queried for relevant 
      videos using the hashtags "#ACLrehab" and "#ACLexercises." For each included 
      video, the type of uploader (general user or health care professional) was 
      identified. In addition, the number of views, likes, shares, comments, and 
      favorites for each included video was recorded, and the content of each video was 
      graded using the DISCERN (a well-validated informational analysis tool) and the 
      ACL exercise education score (ACLEES - a custom-designed tool for the evaluation 
      of ACL-related exercises). RESULTS: A total of 111 videos with 5,520,660 
      cumulative views were included; the median number of views per video was 9801.0 
      (interquartile range [IQR], 3583.0-28,000.0). Of these videos, 84 and 27 were 
      created by the general public and health care professionals, respectively. The 
      videos collectively received 335,577 likes, 2969 comments, 22,856 favorites, and 
      6142 shares, with a median of 439 (IQR, 111-1374), 10 (IQR, 2.5-25.5), 54 (IQR, 
      18-172.5), and 12 (IQR, 2-36), respectively. The tabulated scores for the DISCERN 
      and ACLEES between general users and health care professionals were all 
      statistically nonsignificant. Health care professionals had a higher percentage 
      of videos with a "very poor" DISCERN score in comparison with the general public 
      (66.67% vs 53.57%, respectively). CONCLUSION: The overall educational value of 
      the TikTok videos related to ACL rehabilitation exercises was very poor. Health 
      care professionals should be aware of the broad distribution of ACL 
      rehabilitation exercise videos that are accessible on TikTok and raise awareness 
      of the deficiencies of the platform as a medium for educational medical-related 
      information.
CI  - (c) The Author(s) 2023.
FAU - Bethell, Mikhail A
AU  - Bethell MA
AD  - School of Medicine, Duke University, Durham, North Carolina, USA.
FAU - Anastasio, Albert T
AU  - Anastasio AT
AD  - Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North 
      Carolina, USA.
FAU - Adu-Kwarteng, Kwabena
AU  - Adu-Kwarteng K
AD  - School of Medicine, Duke University, Durham, North Carolina, USA.
FAU - Tabarestani, Troy Q
AU  - Tabarestani TQ
AD  - School of Medicine, Duke University, Durham, North Carolina, USA.
FAU - Lau, Brian C
AU  - Lau BC
AD  - Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North 
      Carolina, USA.
LA  - eng
PT  - Journal Article
DEP - 20231221
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC10748931
OTO - NOTNLM
OT  - ACL
OT  - TikTok
OT  - educational value
OT  - rehabilitation
OT  - reliability
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: B.C.L. has received grants from Zimmer Biomet 
      Holdings and DJO, education payments from SouthTech Orthopedics and Smith & 
      Nephew, and hospitality payments from Stryker and Wright Medical Technology. 
      AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM 
      has not conducted an independent investigation on the OPD and disclaims any 
      liability or responsibility relating thereto.
EDAT- 2023/12/25 06:42
MHDA- 2023/12/25 06:43
PMCR- 2023/12/21
CRDT- 2023/12/25 04:55
PHST- 2023/05/17 00:00 [received]
PHST- 2023/07/11 00:00 [accepted]
PHST- 2023/12/25 06:43 [medline]
PHST- 2023/12/25 06:42 [pubmed]
PHST- 2023/12/25 04:55 [entrez]
PHST- 2023/12/21 00:00 [pmc-release]
AID - 10.1177_23259671231218668 [pii]
AID - 10.1177/23259671231218668 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2023 Dec 21;11(12):23259671231218668. doi: 
      10.1177/23259671231218668. eCollection 2023 Dec.