Evaluating online video platforms for dynamic balance exercises: a focus on YouTube

The objective of this study was to evaluate the content, reliability and quality of YouTube® videos related to dynamic balance exercise training.

'Dynamic balance exercises' was searched on YouTube in English in August 2025, and a total of 91 videos were watched. The videos were categorized based on their content features and source of upload. The reliability of the information was assessed using the modified DISCERN (mDISCERN) tool, while video quality was evaluated through the Global Quality Scale (GQS) and the JAMA benchmark criteria. Two physiotherapists with expertise in sports rehabilitation independently reviewed each video. In cases of discrepancy, a third independent evaluator provided the final judgment to ensure objectivity. (ClinicalTrials.gov Identifier NCT07117734).

The findings indicate that among the 91 exercise videos focusing on dynamic balance exercises, 69 (76%) were classified as useful, while 22 (24%) contained inaccurate information. mDISCERN, GQS and JAMA scores exhibited statistically significant differences based on the source of the video (p = 0.001, p = 0.001 and p = 0.001 respectively). It was observed that videos uploaded by healthcare providers demonstrated greater quality and reliability. Additionally, the linear regression analysis revealed no significant associations between the GQS, mDISCERN, and JAMA scores and the Video Power Index (VPI). Inter-rater reliability, assessed using Cohen's kappa, showed moderate agreement for mDISCERN (0.503), GQS (0.549), and JAMA (0.528).

While the majority of videos were useful, a portion still contained misleading information. Commonly used metrics such as VPI and view ratio do not necessarily reflect content accuracy. Therefore, paying attention to the credentials or professional background of video creators may help users access higher-quality and more reliable content.