Evaluating the Distribution, Quality, and Educational Value of Videos Related to Shoulder Instability Exercises on the Social Media Platform TikTok.
Date
2023-06
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Abstract
Background
Because of the lack of scientific oversight, the quality, applicability, and consistency of healthcare-related TikTok videos have become a focus of research exploration. The orthopaedic surgery literature lags behind other medical fields in analyzing the widespread utilization of TikTok videos for medical information delivery.Methods
TikTok was queried using the hashtag #shoulderstabilityexercises, and 109 videos were included. The videos were collected by two authors and independently evaluated using DISCERN (a well-validated informational analysis tool) and shoulder stability exercise education score (a self-designed tool for the evaluation of shoulder instability-related exercises).Results
DISCERN scores of videos uploaded by general users had significantly lower scores in all four categories than those uploaded by healthcare professionals (P < 0.001, P = 0.005, P = 0.002, and P < 0.001). For the shoulder stability exercise education score, general users had a significantly lower score than the healthcare professionals at 3.36 and 4.91 on a 25-point scale, respectively (P = 0.034). General users had more videos graded as very poor (84.2%) in comparison to the number of videos uploaded by healthcare professionals deemed very poor (51.5%). However, the remainder of healthcare professionals had their videos graded as poor (48.5%).Conclusion
Despite slightly improved video quality from healthcare professionals, the overall educational of the videos related to shoulder instability exercises was poor.Type
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Bethell, Mikhail A, Albert T Anastasio, Joshua R Taylor, Troy Q Tabarestani, Christopher S Klifto and Oke Anakwenze (2023). Evaluating the Distribution, Quality, and Educational Value of Videos Related to Shoulder Instability Exercises on the Social Media Platform TikTok. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 7(6). 10.5435/jaaosglobal-d-23-00034 Retrieved from https://hdl.handle.net/10161/28308.
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Scholars@Duke

Christopher Scott Klifto
Christopher S. Klifto grew up outside Philadelphia. He graduated from Carnegie Mellon University where he received a degree in Chemical and Biomechanical Engineering. He received his medical degree from Rutgers-Robert Wood Johnson Medical School, and completed his Orthopaedic residency and Hand and Upper Extremity fellowship at NYU- Hospital for Joint Diseases.
Dr. Klifto is an orthopaedic surgeon specializing in upper extremity. He treats orthopaedic conditions for the shoulder and elbow including arthritis, rotator cuff injuries, labral tears, frozen shoulder, sports injuries, fractures, tendon injuries, cubital tunnel syndrome. He treats patients both conservatively and surgically; meeting with each patient, hearing their goals and determining the best plan of care together. He specializes in shoulder surgeries such as reverse total shoulder arthroplasty, anatomic shoulder arthroplasty and shoulder hemiarthroplasty. He also performs rotator cuff repair, shoulder labral reconstruction, and shoulder arthroscopy. He treats upper extremity fractures including shoulder and clavicle, humeral shaft, and elbow injuries. He chose orthopaedics from having injuries himself over the years, so he understands what patients are going through when they see him and treat them with as much compassion and respect as possible. "I am very involved in Research, with a particular focus in the shoulder. The research here at Duke is second to none; the best minds are here in one area, all collaborating and trying to figure out how to get better. The most gratifying part of my job is to see patients get back to the level of activity where they would like to be.”
He is a Clinical Associate Professor at Duke University. He has published articles in nationally recognized publications on many conditions of the upper extremity and continues to actively conduct clinical research and contribute to national textbooks.
Dr. Klifto serves as the division lead of shoulder and elbow surgery at the Durham VA in addition to his clinical practice at Duke Orthopaedics/North Carolina Orthopaedic Clinic.
Dr. Klifto lives in Durham with his wife Meredith, an Ophthalmologist. He has three wonderful daughters (Madeline, Anna, and Grace) and a labradoodle named Goose that are the joys of his life. He enjoys golf, fishing, skiing, tennis, kite boarding and professional and collegiate sports.

Oke Adrian Anakwenze
Complex shoulder and elbow surgeon, researcher and innovator.
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