{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T14:37:33Z","timestamp":1785249453125,"version":"3.55.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aimed to compare the effectiveness of artificial intelligence (AI)-generated, personalized video-based exercise instructions with traditional paper-based leaflets in improving exercise adherence and accuracy among patients with Achilles tendinitis and plantar fasciitis, and to evaluate whether this approach can serve as a practical tool for home exercise education that enables physicians and physiotherapists to easily create customized exercise programs without the need for advanced technical expertise or external resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>159 patients diagnosed with Achilles tendinitis or plantar fasciitis were randomized into 2 groups, with 103 completing the study in the paper exercise group (n\u2009=\u200947) and video exercise group (n\u2009=\u200956). The video group received exercise instructions created using the Google Veo 3 AI platform, whereas the paper group received standard AAOS\/OrthoInfo leaflets. Exercise adherence was assessed using the Exercise Adherence Rating Scale (EARS), and exercise accuracy was evaluated through a 3-stage scoring system for 4 specific foot stretching exercises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was no significant difference between the groups in overall exercise adherence rates (71% vs 73%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.276). The mean EARS scores were 18.4\u2009\u00b1\u20093.1 for the paper group and 18.9\u2009\u00b1\u20093.4 for the video group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.412). However, the video group demonstrated significantly higher accuracy in complex exercises, particularly the Towel Curls (2.82\u2009\u00b1\u20090.27 vs 2.23\u2009\u00b1\u20090.31,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Subgroup analysis revealed that educational level affected adherence in the paper group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.012), whereas no such difference was observed in the video group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.624).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>AI-generated video instructions demonstrate comparable effectiveness to traditional printed leaflets in supporting short-term exercise adherence and may enhance exercise accuracy, particularly for complex, multistep movements. This low-cost approach may enable health care professionals to readily create personalized exercise programs without copyright concerns or the need for advanced technical skills - offering a practical and scalable adjunct to conventional home exercise education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level II, randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114261436388","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T01:22:15Z","timestamp":1776302535000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["AI-Generated Exercise Videos vs Traditional Leaflets: A Novel Approach to Home Exercise Education in Achilles Tendinitis and Plantar Fasciitis: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0301-3432","authenticated-orcid":false,"given":"Nuri Koray","family":"\u00dclgen","sequence":"first","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Said","family":"Nazl\u0131g\u00fcl","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihat","family":"Yi\u011fit","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arslan Ka\u011fan","family":"Arslan","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Or\u00e7un","family":"Akkurt","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-023-00870-3"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16101912"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12020242"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arrct.2023.100258"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14175942"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-025-08658-0"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1142\/S1013702520500079"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40945-022-00148-z"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2020-102955"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15141834"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14092942"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/jep.70230"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.22532"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.4103\/1110-1148.182305"},{"key":"e_1_3_3_16_2","unstructured":"Foot and Ankle Conditioning Program. 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