The Virtual Shoulder Physical Exam.
Ontology highlight
ABSTRACT:
SUBMITTER: Pinnamaneni S
PROVIDER: S-EPMC8077973 | biostudies-literature | 2021 Feb
REPOSITORIES: biostudies-literature
Publications
The Virtual Shoulder Physical Exam.
Pinnamaneni Sridhar S Lamplot Joseph D JD Rodeo Scott A SA Swensen-Buza Stephanie S Lawton Cort D CD Dines Joshua S JS Young Warren K WK Taylor Samuel A SA
HSS journal : the musculoskeletal journal of Hospital for Special Surgery 20210221 1
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Project description:BackgroundThe internet has an increasing role in both patient and physician education. While several recent studies critically appraised the quality and accuracy of web-based written information available to patients, no studies have evaluated such parameters for open-access video content designed for provider use.Questions/purposesThe primary goal of the study was to determine the accuracy of internet-based instructional videos featuring the shoulder physical examination.MethodsAn assessment of quality and accuracy of said video content was performed using the basic shoulder examination as a surrogate for the "best-case scenario" due to its widely accepted components that are stable over time. Three search terms ("shoulder," "examination," and "shoulder exam") were entered into the four online video resources most commonly accessed by orthopaedic surgery residents (VuMedi, G9MD, Orthobullets, and YouTube). Videos were captured and independently reviewed by three orthopaedic surgeons. Quality and accuracy were assessed in accordance with previously published standards.ResultsOf the 39 video tutorials reviewed, 61% were rated as fair or poor. Specific maneuvers such as the Hawkins test, O'Brien sign, and Neer impingement test were accurately demonstrated in 50, 36, and 27% of videos, respectively. Inter-rater reliability was excellent (mean kappa 0.80, range 0.79-0.81).ConclusionOur results suggest that information presented in open-access video tutorials featuring the physical examination of the shoulder is inconsistent. Trainee exposure to such potentially inaccurate information may have a significant impact on trainee education.
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