{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T18:24:51Z","timestamp":1768415091359,"version":"3.49.0"},"reference-count":48,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Soonchunhyang University Research Fund","award":["1022-0033"],"award-info":[{"award-number":["1022-0033"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and objectives: Most Koreans obtain medical information from the Internet. Despite the vast amount of information available, there is a possibility that patients acquire false information or are dissatisfied. Chronic ankle instability (CAI) is one of the most common sports injuries that develops after an ankle sprain. Although the information available on the Internet related to CAI has been evaluated in other countries, such studies have not been conducted in Korea. Materials and Methods: The key term \u201cchronic ankle instability\u201d was searched on the three most commonly used search engines in Korea. The top 150 website results were classified into university hospital, private hospital, commercial, non-commercial, and unspecified websites by a single investigator. The websites were rated according to the quality of information using the DISCERN instrument, accuracy score, and exhaustivity score. Results: Of the 150 websites, 96 were included in the analysis. University and private hospital websites had significantly higher DISCERN, accuracy, and exhaustivity scores compared to the other websites. Conclusions: Accurate medical information is essential for improving patient satisfaction and treatment outcomes. The quality of websites should be improved to provide high-quality medical information to patients, which can be facilitated by doctors.<\/jats:p>","DOI":"10.3390\/medicina58101315","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T22:36:44Z","timestamp":1663713404000},"page":"1315","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of the Quality of Information Available on the Internet Regarding Chronic Ankle Instability"],"prefix":"10.3390","volume":"58","author":[{"given":"Sung-Joon","family":"Yoon","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun-Bum","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8777-0603","authenticated-orcid":false,"given":"Ki-Jin","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hee-Jun","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2002-5021","authenticated-orcid":false,"given":"Yong-Cheol","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang-Hwa","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byung-Ryul","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eui-Dong","family":"Yeo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Veterans Health Service Medical Center, Seoul 05368, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong-Seop","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Nowon Eulji Medical Center, Eulji University, 68 Hangeulbiseok-ro, Nowon-gu, Seoul 01830, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung-Hun","family":"Won","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Seoul, 59 Daesagwan-ro, Yongsan-gu, Seoul 04401, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7220-3868","authenticated-orcid":false,"given":"Jae-Young","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhong-Won","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Konkuk University Medical Center, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4579-1008","authenticated-orcid":false,"given":"Woo-Jong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"ref_1","unstructured":"International Telecommunication Union (2022, August 29). Measuring the Information Society Report. Available online: https:\/\/www.itu.int\/en\/ITU-D\/Statistics\/Pages\/publications\/misr2018.aspx."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"55","DOI":"10.4258\/jksmi.2004.10.1.55","article-title":"Selection Criteria and Utilization of Health Information on the Internet by Consumers","volume":"10","author":"Kim","year":"2004","journal-title":"J. Korean Soc. Med. Inform."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.2196\/jmir.5729","article-title":"Internet Health Information Seeking and the Patient-Physician Relationship: A Systematic Review","volume":"19","author":"Tan","year":"2017","journal-title":"J. Med. Internet Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1136\/bmj.331.7524.1034","article-title":"Information for patients on medicines","volume":"331","author":"Shaw","year":"2005","journal-title":"BMJ"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/s13047-021-00480-w","article-title":"The epidemiology of chronic ankle instability with perceived ankle instability- a systematic review","volume":"14","author":"Lin","year":"2021","journal-title":"J. Foot Ankle Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"41","DOI":"10.3810\/psm.2012.11.1987","article-title":"A new paradigm for rehabilitation of patients with chronic ankle instability","volume":"40","author":"Donovan","year":"2012","journal-title":"Phys. Sportsmed."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e2820","DOI":"10.7717\/peerj.2820","article-title":"The concurrent validity and reliability of the Leg Motion system for measuring ankle dorsiflexion range of motion in older adults","volume":"5","year":"2017","journal-title":"PeerJ"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.humov.2017.08.013","article-title":"Electromiography comparison of distal and proximal lower limb muscle activity patterns during external perturbation in subjects with and without functional ankle instability","volume":"55","author":"Kazemi","year":"2017","journal-title":"Hum. Mov. Sci."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"603","DOI":"10.4085\/1062-6050-447-17","article-title":"Epidemiology of Ankle Sprains and Chronic Ankle Instability","volume":"54","author":"Herzog","year":"2019","journal-title":"J. Athl. Train."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"305","DOI":"10.3113\/FAI.2008.0305","article-title":"Ligament laxity following inversion injury with and without chronic ankle instability","volume":"29","author":"Hubbard","year":"2008","journal-title":"Foot Ankle Int."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1136\/bjsm.28.2.112","article-title":"An epidemiological survey on ankle sprain","volume":"28","author":"Yeung","year":"1994","journal-title":"Br. J. Sports Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1177\/107110070602701019","article-title":"Current concepts: Lateral ankle instability","volume":"27","author":"DiGiovanni","year":"2006","journal-title":"Foot Ankle Int."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"608","DOI":"10.5435\/00124635-200810000-00006","article-title":"Management of acute and chronic ankle instability","volume":"16","author":"Maffulli","year":"2008","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.fcl.2006.07.004","article-title":"Conservative management of chronic ankle instability","volume":"11","author":"Ajis","year":"2006","journal-title":"Foot Ankle Clin."},{"key":"ref_15","first-page":"1399","article-title":"Lateral instability of the ankle joint (1). Non-surgical treatment is the first choice--20 per cent may need ligament surgery","volume":"88","author":"Karlsson","year":"1991","journal-title":"Lakartidningen"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"55","DOI":"10.14193\/jkfas.2018.22.2.55","article-title":"Chronic Lateral Ankle Instability","volume":"22","author":"Kim","year":"2018","journal-title":"JKFAS"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.fas.2021.05.003","article-title":"Quality and readability of online resources on chronic ankle instability","volume":"28","author":"Schwarz","year":"2022","journal-title":"Foot Ankle Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"77","DOI":"10.4184\/jkss.2020.27.2.77","article-title":"Evaluation of the Source and Quality of Information Regarding Cervical Disc Herniation on Websites","volume":"27","author":"Hong","year":"2020","journal-title":"J. Korean Soc. Spine Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/S0738-3991(02)00124-6","article-title":"Evaluating the reliability and validity of three tools to assess the quality of health information on the Internet","volume":"50","author":"Ademiluyi","year":"2003","journal-title":"Patient Educ. Couns."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1055\/s-2003-45491","article-title":"Analysis of paediatric neuro-oncological information on the Internet in German language","volume":"215","author":"Bartels","year":"2003","journal-title":"Klin. Padiatr."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Commission of the European Communities (2002). Brussels. eEurope 2002: Quality Criteria for Health Related Websites. J. Med. Internet Res., 4, e15.","DOI":"10.2196\/jmir.4.3.e15"},{"key":"ref_22","first-page":"650","article-title":"Quality of childhood brain tumour information on the Internet in French language","volume":"90","author":"Hargrave","year":"2003","journal-title":"Bull. Cancer"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1215\/15228517-2005-008","article-title":"Quality of health information on the Internet in pediatric neuro-oncology","volume":"8","author":"Hargrave","year":"2006","journal-title":"Neuro Oncol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1007\/s00381-005-1238-x","article-title":"Childhood brain tumour information on the Internet in the Chinese language","volume":"22","author":"Lau","year":"2006","journal-title":"Childs Nerv. Syst."},{"key":"ref_25","first-page":"343","article-title":"Evaluation of neuro-oncology information for French speaking patients on the Internet","volume":"53","author":"Dimitriu","year":"2007","journal-title":"Neurochirurgie"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1136\/bmj.324.7337.577","article-title":"Breast cancer on the world wide web: Cross sectional survey of quality of information and popularity of websites","volume":"324","author":"Meric","year":"2002","journal-title":"BMJ"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"S45","DOI":"10.1007\/s10067-015-3014-y","article-title":"Education for patients with rheumatoid arthritis in Latin America and the Caribbean","volume":"34","author":"Khoury","year":"2015","journal-title":"Clin. Rheumatol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.berh.2004.03.008","article-title":"Patient education","volume":"18","author":"Schrieber","year":"2004","journal-title":"Best Pract. Res. Clin. Rheumatol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1001\/jamaneurol.2018.3376","article-title":"Effect of Intensive Patient Education vs. Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain: A Randomized Clinical Trial","volume":"76","author":"Traeger","year":"2019","journal-title":"JAMA Neurol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e143","DOI":"10.2196\/jmir.9013","article-title":"Web-Based Patient Education in Orthopedics: Systematic Review","volume":"20","author":"Dekkers","year":"2018","journal-title":"J. Med. Internet Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s00586-009-0973-1","article-title":"Patient information and education with modern media: The Spine Society of Europe Patient Line","volume":"18","author":"Sell","year":"2009","journal-title":"Eur. Spine J."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/0738-3991(95)00723-D","article-title":"Cost-benefit analysis of patient education","volume":"26","author":"Bartlett","year":"1995","journal-title":"Patient Educ. Couns."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.1097\/01.brs.0000231771.14965.e4","article-title":"A population-based survey of back pain beliefs in Canada","volume":"31","author":"Gross","year":"2006","journal-title":"Spine"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1142\/S0218810403001716","article-title":"The Web: Friend or Foe of the Hand Surgeon?","volume":"8","author":"Sproule","year":"2003","journal-title":"Hand Surg."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"S199","DOI":"10.1016\/j.otsr.2018.09.005","article-title":"Arthroscopic treatment of chronic ankle instability: Prospective study of outcomes in 286 patients","volume":"104","author":"Lopes","year":"2018","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"166","DOI":"10.4055\/jkoa.2008.43.2.166","article-title":"Analysis of Homepages Relating to Lumbar Disc Surgery in Orthopaedic and Neurosurgical Hospitals","volume":"43","author":"Shim","year":"2008","journal-title":"J. Korean Orthop. Assoc."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"123","DOI":"10.4184\/jkss.2021.28.4.123","article-title":"Analysis of the Quality of the Internet Web Sites Providing Informations and Treatment Options about Lumbar Stenosis","volume":"28","author":"Chang","year":"2021","journal-title":"J. Korean Soc. Spine Surg."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.yebeh.2014.09.053","article-title":"Use of the DISCERN tool for evaluating web searches in childhood epilepsy","volume":"41","author":"Cerminara","year":"2014","journal-title":"Epilepsy Behav."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1016\/j.wneu.2012.11.003","article-title":"Evaluation of the quality of information on the Internet available to patients undergoing cervical spine surgery","volume":"82","author":"Weil","year":"2014","journal-title":"World Neurosurg."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1136\/jech.53.2.105","article-title":"DISCERN: An instrument for judging the quality of written consumer health information on treatment choices","volume":"53","author":"Charnock","year":"1999","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1007\/s11845-018-1790-5","article-title":"Quality of information on the Internet-has a decade made a difference?","volume":"187","author":"Kulasegarah","year":"2018","journal-title":"Ir. J. Med. Sci."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"2695","DOI":"10.1097\/01.brs.0000188266.22041.c2","article-title":"Surfing for scoliosis: The quality of information available on the Internet","volume":"30","author":"Mathur","year":"2005","journal-title":"Spine"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.spinee.2010.02.009","article-title":"Quality of information concerning cervical disc herniation on the Internet","volume":"10","author":"Morr","year":"2010","journal-title":"Spine J."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2691","DOI":"10.1001\/jama.287.20.2691","article-title":"Empirical studies assessing the quality of health information for consumers on the world wide web: A systematic review","volume":"287","author":"Eysenbach","year":"2002","journal-title":"JAMA"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1111\/j.1463-1318.2005.00882.x","article-title":"A critical appraisal of internet resources on colorectal cancer","volume":"8","author":"John","year":"2006","journal-title":"Colorectal Dis."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"105824","DOI":"10.1016\/j.jfludis.2020.105824","article-title":"Quality and readability of internet information about stuttering","volume":"67","author":"Zraick","year":"2021","journal-title":"J. Fluen. Disord."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"24","DOI":"10.4066\/AMJ.2014.1900","article-title":"Quality of patient health information on the Internet: Reviewing a complex and evolving landscape","volume":"7","author":"Fahy","year":"2014","journal-title":"Australas. Med. J."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/S0010-4825(98)00037-7","article-title":"The Health On the Net Code of Conduct for medical and health Websites","volume":"28","author":"Boyer","year":"1998","journal-title":"Comput. Biol. Med."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/58\/10\/1315\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:34:57Z","timestamp":1760142897000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/58\/10\/1315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,20]]},"references-count":48,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["medicina58101315"],"URL":"https:\/\/doi.org\/10.3390\/medicina58101315","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,20]]}}}