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While half of YouTube videos on stroke rehabilitation are of high quality, reliability varies significantly by source, with academic medical centers and healthcare professionals producing higher quality content than independent users. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 22, 2025Rheumatology International11 citationsOpen Access

YouTube as a source of information for stroke rehabilitation: a cross-sectional analysis of quality and reliability of videos

MAMeirgul I. AssylbekSouth Kazakhstan Medical Academy OZOlena ZimbaDanylo Halytsky Lviv National Medical University AAAhmet AkyolUniversity of Health Science

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Abstract

INTRODUCTION: Due to YouTube's meteoric rise in popularity, the quality and reliability of health-related videos on YouTube are being questioned, particularly in specialized fields like stroke rehabilitation. This research aimed to assess the quality and reliability of YouTube videos relevant to stroke rehabilitation. METHOD: Video listing was conducted on December 17, 2024, using the keywords "Stroke Rehabilitation", "Stroke Physical Therapy", "Stroke Neurophysiotherapy", and "Stroke Physical Therapy Techniques" as query terms. A final sample of 72 videos was selected upon completion and evaluated according to inclusion and exclusion criteria. The Global Quality Scale (GQS), Modified DISCERN Questionnaire, JAMA Benchmark Criteria, and Patient Education Materials Assessment Tool for Audio/Visual Materials (PEMAT-A/V) were among the evaluation tools used to analyze each video. Researchers captured the videos' fundamental components and compared the quality classifications. RESULTS: Of the 72 videos examined, 29.2% (n = 21) were categorized as low quality, 20.8% (n = 15) as intermediate level, and 50% (n = 36) as high quality. Videos generated by academic medical centers (77.8%) and nonphysician healthcare professionals (59.4%) were primarily of high quality, while videos from independent users (100%) and TV channels (66.7%) displayed the lowest quality. Significant differences were observed when comparing quality groups based on daily views, likes, and comments (p < 0.05). The lowest scores were detected in the low-quality group. Significant correlations were identified between GQS and other evaluative instruments (p < 0.001), indicating consistency across evaluation frameworks. CONCLUSION: YouTube possesses considerable potential as an instructional tool for stroke rehabilitation. The inconsistency in video quality underscores the necessity for enhanced content control, editing, and the advocacy of high-quality, evidence-based resources. Promoting collaboration among academics, healthcare professionals, and content producers could augment the platform's instructional efficacy.

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