Advertisement

Suitability of YouTube Videos for Learning Knee Stability Tests: A Cross-sectional Review

  • Myungeun Yoo
    Affiliations
    Department of Rehabilitation Medicine, Rehabilitation Institute of Neuromuscular Disease, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
    Search for articles by this author
  • Juntaek Hong
    Affiliations
    Department of Rehabilitation Medicine, Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
    Search for articles by this author
  • Chan Woong Jang
    Correspondence
    Corresponding author Chan Woong Jang, MD, Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsandong-gu, Goyang 10444, Korea.
    Affiliations
    Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea
    Search for articles by this author

      Abstract

      Objective

      To verify the suitability and reliability of YouTube videos pertaining to the 5 most commonly used knee stability tests for educational purposes.

      Design

      Cross-sectional observational study.

      Setting

      YouTube videos were categorized into 2 groups according to their sources: professional and nonprofessional groups. Only videos that satisfied the purpose and procedure parts among comprehensiveness scores were defined as suitable for educational purposes. For evaluating the reliability, the modified DISCERN was used. One-way analysis of variance and Kruskal-Wallis test were used to compare continuous and categorical variables, respectively.

      Participants

      Research on YouTube videos (N=218) from November 13, 2019, to November 17, 2019, was done using the following keywords: “anterior drawer test knee,” “Lachman test knee,” “posterior drawer test,” “valgus knee test,” and “varus knee test.”

      Interventions

      Not applicable.

      Main Outcome Measures

      Comprehensiveness score that focused on the purpose, procedure, interpretation, and limitations or precautions of the test were developed by the authors, and modified DISCERN score.

      Results

      In terms of the suitability for educational purposes, 126 videos (58%) were classified into the suitable group, and 92 (42%) were classified into the unsuitable group. Neither group had significantly more views, views per posting days, likes, dislikes, or posting days. When comparing the comprehensiveness and reliability scores of each group, significant differences between groups were identified. Only 47 videos met the limitations/precautions category. A total of 155 videos (71%) were from the professional group and 63 videos (29%) were from the nonprofessional group. Significant differences were found in views, views per posting days, likes, and dislikes between the professional group and nonprofessional group.

      Conclusions

      YouTube should not be used for learning about knee stability tests. Professionals, especially those in rehabilitation medicine, should pay more attention to uploading high-quality videos with reliable content.

      Keywords

      List of abbreviations:

      ACL (anterior cruciate ligament), LCL (lateral collateral ligament), MCL (medial collateral ligament), PCL (posterior cruciate ligament)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • De Inocencio J.
        Epidemiology of musculoskeletal pain in primary care.
        Arch Dis Child. 2004; 89: 431-434
        • Cunningham L.S.
        • Kelsey J.L.
        Epidemiology of musculoskeletal impairments and associated disability.
        Am J Public Health. 1984; 74: 574-579
        • Majewski M.
        • Susanne H.
        • Klaus S.
        Epidemiology of athletic knee injuries: a 10-year study.
        Knee. 2006; 13: 184-188
        • Orientale E.
        • Kosowicz L.
        • Alerte A.
        • et al.
        Using web-based video to enhance physical examination skills in medical students.
        Fam Med. 2008; 40: 471
        • Choules A.
        The use of elearning in medical education: a review of the current situation.
        Postgrad Med J. 2007; 83: 212-216
        • Pusponegoro H.D.
        • Soebadi A.
        • Surya R.
        Web-based versus conventional training for medical students on infant gross motor screening.
        Telemed J E Health. 2015; 21: 992-997
        • Madathil K.C.
        • Rivera-Rodriguez A.J.
        • Greenstein J.S.
        • Gramopadhye A.K.
        Healthcare information on YouTube: a systematic review.
        Health Informatics J. 2015; 21: 173-194
        • Azer S.A.
        • Aleshaiwi S.M.
        • Algrain H.A.
        • Alkhelaif R.A.
        Nervous system examination on YouTube.
        BMC Med Educ. 2012; 12: 126
        • Azer S.A.
        • Algrain H.A.
        • AlKhelaif R.A.
        • AlEshaiwi S.M.
        Evaluation of the educational value of YouTube videos about physical examination of the cardiovascular and respiratory systems.
        J Med Internet Res. 2013; 15: e241
        • Lewis S.P.
        • Heath N.L.
        • Sornberger M.J.
        • Arbuthnott A.E.
        Helpful or harmful? An examination of viewers' responses to nonsuicidal self-injury videos on YouTube.
        J Adolesc Health. 2012; 51: 380-385
        • Dubey D.
        • Amritphale A.
        • Sawhney A.
        • Dubey D.
        • Srivastav N.
        Analysis of YouTube as a source of information for West Nile Virus infection.
        Clin Med Res. 2014; 12: 129-132
        • Fischer J.
        • Geurts J.
        • Valderrabano V.
        • Hügle T.
        Educational quality of YouTube videos on knee arthrocentesis.
        J Clin Rheumatol. 2013; 19: 373-376
        • Lee H.
        • Choi A.
        • Jang Y.
        • Lee J.I.
        YouTube as a learning tool for four shoulder tests.
        Prim Health Care Res Dev. 2018 Oct 30; ([Epub ahead of print])
        • Lee J.S.
        • Seo H.S.
        • Hong T.H.
        YouTube as a source of patient information on gallstone disease.
        World J Gastroenterol. 2014; 20: 4066
        • Malanga G.A.
        • Mautner K.
        Musculoskeletal physical examination e-book: an evidence-based approach.
        Elsevier Health Sciences, Philadelphia2016
        • Charnock D.
        • Shepperd S.
        • Needham G.
        • Gann R.
        DISCERN: an instrument for judging the quality of written consumer health information on treatment choices.
        J Epidemiol Community Health. 1999; 53: 105-111
        • Rittberg R.
        • Dissanayake T.
        • Katz S.J.
        A qualitative analysis of methotrexate self-injection education videos on YouTube.
        Clinical Rheumatol. 2016; 35: 1329-1333
        • Singh A.G.
        • Singh S.
        • Singh P.P.
        YouTube for information on rheumatoid arthritis—a wakeup call?.
        J Rheumatol. 2012; 39: 899-903
        • Akgun T.
        • Karabay C.Y.
        • Kocabay G.
        • et al.
        Learning electrocardiogram on YouTube: how useful is it?.
        J Electrocardiol. 2014; 47: 113-117
        • Nason G.J.
        • Kelly P.
        • Kelly M.E.
        • et al.
        YouTube as an educational tool regarding male urethral catheterization.
        Scand J Urol. 2015; 49: 189-192
      1. Jansen BJ, Spink A. An analysis of web documents retrieved and viewed. Proceedings of the International Conference on Internet Computing; 2003 Jun 23-26; University Park, PA; 2003. p 65-69.