Research Article
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Yapay zeka ile egzersiz doğruluğu ve anlatımının değerlendirilmesi: Spesifik olmayan boyun ağrısında servikal egzersizler üzerine bir çalışma

Year 2025, Volume: 11 Issue: 2, 148 - 155, 30.08.2025
https://doi.org/10.30569/adiyamansaglik.1635840

Abstract

Amaç: Bu çalışmada, ChatGPT 4.0'ın spesifik olmayan boyun ağrısı olan bireylere servikal egzersiz talimatları vermedeki doğruluğu ve anlatımı değerlendirildi.
Gereç ve Yöntem: Çalışma Ekim 2024 ile Ocak 2025 arasında yürütüldü. Sıklıkla önerilen servikal egzersizler, literatür taraması yoluyla seçildi. ChatGPT 4.0'dan bu egzersizleri farklı pozisyonlarda açıklaması istendi. Doğruluk ve anlatım kalitesi, uzman bir ekip tarafından Öğrenme Hedefi İnceleme Aracı kullanılarak değerlendirildi. Egzersiz puanları için ortalamaları ve standart sapmaları hesaplamak üzere istatistiksel analiz JASP yazılımı kullanılarak gerçekleştirildi.
Bulgular: Sırtüstü pozisyonda kraniyoservikal fleksiyon egzersizleri en yüksek doğruluğa (3,65±0,518) sahipti. Ancak, özellikle ayakta ve dört ayak üzerinde yapılan egzersizler için anlatım puanları daha düşüktü (1,5±0,535). Uzmanlar doğruluğu ve anlaşılırlığı artırmak için düzeltmeler önerdiler.
Sonuç: ChatGPT 4.0 egzersiz önerileri sağlama konusunda umut vadetmektedir. Ancak, egzersizlerin doğruluğu ve anlatımında iyileştirmelere ihtiyaç vardır. Gelecekteki araştırmalar, geliştiriciler ve sağlık profesyonelleriyle yapay zeka iş birliğinin entegrasyonuna odaklanmalıdır.

Ethical Statement

No human data were evaluated or treated in this study. Therefore, ethical approval was not required for this study.

Supporting Institution

This research did not receive financial support from any institution or individual.

Thanks

We thank the physiotherapists who rated the accuracy and expression of the exercises in the study.

References

  • Dalvi APR, Dias RM, Junger WL. ChatGPT in the health sciences: pause and ponder. Environ Health. 2023;22(1):64. doi:10.1186/s12940-023-01014-6
  • Islam MR, Urmi TJ, Mosharrafa RA, Rahman MS, Kadir MF. Role of ChatGPT in health science and research: A correspondence addressing potential application. Health Sci Rep. 2023;6(10):e1625. doi:10.1002/hsr2.1625
  • Campbell K, Louie P, Levine B, Gililland J. using patient engagement platforms in the postoperative management of patients. Curr Rev Musculoskelet Med. 2020;13(4):479-484. doi:10.1007/s12178-020-09638-8
  • Dilsizian SE, Siegel EL. Artificial intelligence in medicine and cardiac imaging: harnessing big data and advanced computing to provide personalized medical diagnosis and treatment. Curr Cardiol Rep. 2014;16(1):441. doi:10.1007/s11886-013-0441-8
  • Nadarzynski T, Miles O, Cowie A, Ridge D. Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study. Digit Health. 2019;5:2055207619871808. doi:10.1177/2055207619871808
  • Athota L, Shukla VK, Pandey N, Rana A. Chatbot for healthcare system using artificial intelligence. IEEE. 2020:619-622.
  • Tustumi F, Andreollo NA, Aguilar-Nascimento JE. Future of the language models in healthcare: The role of Chatgpt. Arq Bras Cir Dig. 2023;36:e1727. doi:10.1590/0102-672020230002e1727
  • Dergaa I, Ben Saad H, El Omri A, et al. Using artificial intelligence for exercise prescription in personalised health promotion: A critical evaluation of OpenAI’s GPT-4 model. journal article. Biol Sport. 2024;41(2):221-241. doi:10.5114/biolsport.2024.133661
  • Mendes-Fernandes T, Puente-González AS, Márquez-Vera MA, et al. Effects of Global Postural Reeducation versus Specific Therapeutic Neck Exercises on Pain, Disability, Postural Control, and Neuromuscular Efficiency in Women with Chronic Nonspecific Neck Pain: Study Protocol for a Randomized, Parallel, Clinical Trial. Int J Environ Res Public Health. 2021;18(20):10704.
  • Abdel-Aziem AA, Mohamed RR, Draz AH, et al. The effect of McKenzie protocol vs. deep neck flexor and scapulothoracic exercises in subjects with chronic neck pain - a randomized controlled study. Eur Rev Med Pharmacol Sci. 2022;26(9):3138-3150.
  • Shiravi S, Letafatkar A, Bertozzi L, et al. Efficacy of Abdominal Control Feedback and Scapula Stabilization Exercises in Participants With Forward Head, Round Shoulder Postures and Neck Movement Impairment. Sports Health. 2019;11(3):272-279.
  • Bezerra LMR, Melo TMS, Gomes VMDSA, et al. Home exercises for neck pain: A Delphi survey. Physiother Res Int. 2023;28(2):e1982.
  • Gross A, Kay TM, Paquin JP, Blanchette S, et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2015;1(1):CD004250.
  • Sakinepoor A, Cheragh ZA, Degens H, Mazidi M. Neck stabilization exercise and dynamic neuromuscular stabilization reduce pain intensity, forward head angle and muscle activity of employees with chronic non-specific neck pain: A retrospective study. J Exp Orthop. 2025;12(1):e70188.
  • Calafiore D, Marotta N, Longo UG, et al. The efficacy of manual therapy and therapeutic exercise for reducing chronic non-specific neck pain: A systematic review and meta-analysis. J Back Musculoskelet Rehabil. 2025:10538127241304110.
  • Gaban GLNA, Vægter HB, Vivaldini MRS, et al. Acute and long-term effect of specific and non-specific exercises in patients with chronic neck pain: A protocol for a randomized controlled trial. Exp Physiol. 2025;110(1):58-67.
  • Vargo J, Nesbit JC, Belfer K, Archambault A. Learning object evaluation: computer-mediated collaboration and inter-rater reliability. Int J Comput Appl. 2003;25(3):198-205.
  • Javaid M, Haleem A, Singh RP. A study on ChatGPT for Industry 4.0: Background, potentials, challenges, and eventualities. JET. 2023;1:127-143.
  • Frosolini A, Franz L, Benedetti S, et al. Assessing the accuracy of ChatGPT references in head and neck and ENT disciplines. Eur Arch Otorhinolaryngol. 2023;280(11):5129-5133.
  • Hoch CC, Wollenberg B, Lüers JC, et al. ChatGPT's quiz skills in different otolaryngology subspecialties: an analysis of 2576 single-choice and multiple-choice board certification preparation questions. Eur Arch Otorhinolaryngol. 2023;280(9):4271-4278. doi:10.1007/s00405-023-08051-4
  • Wright BM, Bodnar MS, Moore AD, et al. Is ChatGPT a trusted source of information for total hip and knee arthroplasty patients? Bone Jt Open. 2024;5(2):139-146. doi:10.1302/2633-1462.52.Bjo-2023-0113.R1
  • Schütz P, Lob S, Chahed H, et al. ChatGPT as an information source for patients with migraines: A qualitative case study. Healthcare. 2024;12(16):1594.
  • Szczesniewski JJ, Tellez Fouz C, Ramos Alba A, Diaz Goizueta FJ, García Tello A, Llanes González L. ChatGPT and most frequent urological diseases: analysing the quality of information and potential risks for patients. World J Urol. 2023;41(11):3149-3153. doi:10.1007/s00345-023-04563-0
  • Frosolini A, Gennaro P, Cascino F, Gabriele G. In reference to "Role of Chat GPT in public health", to highlight the AI's incorrect reference generation. Ann Biomed Eng. Oct 2023;51(10):2120-2122. doi:10.1007/s10439-023-03248-4

Assessment of exercise accuracy and explanation with artificial intelligence: A study on cervical exercises for nonspecific neck pain

Year 2025, Volume: 11 Issue: 2, 148 - 155, 30.08.2025
https://doi.org/10.30569/adiyamansaglik.1635840

Abstract

Aim: This study evaluated the accuracy and explanation of ChatGPT 4.0 in providing cervical exercise instructions to individuals with nonspecific neck pain.
Materials and Methods: The study was conducted between October 2024 and January 2025. Frequently recommended cervical exercises were selected through a literature review. ChatGPT 4.0 was asked to explain these exercises in different positions. Accuracy and explanation quality were assessed using the Learning Objective Review Tool by an expert team. Statistical analysis was performed using JASP software to calculate means and standard deviations for scores.
Results: Craniocervical flexion exercises in the supine position had the highest accuracy score (3.65±0.518). However, explanation scores were lower, especially for exercises in standing and quadruped positions (1.5±0.535). Experts suggested corrections for clarity and detail.
Conclusion: ChatGPT 4.0 shows promise for exercise recommendations, but accuracy and explanation need improvement. Future research should focus on integration of artificial intelligence collaboration with developers and healthcare professionals.

Ethical Statement

No human data were evaluated or treated in this study. Therefore, ethical approval was not required for this study.

Supporting Institution

This research did not receive financial support from any institution or individual.

Thanks

We thank the physiotherapists who rated the accuracy and expression of the exercises in the study.

References

  • Dalvi APR, Dias RM, Junger WL. ChatGPT in the health sciences: pause and ponder. Environ Health. 2023;22(1):64. doi:10.1186/s12940-023-01014-6
  • Islam MR, Urmi TJ, Mosharrafa RA, Rahman MS, Kadir MF. Role of ChatGPT in health science and research: A correspondence addressing potential application. Health Sci Rep. 2023;6(10):e1625. doi:10.1002/hsr2.1625
  • Campbell K, Louie P, Levine B, Gililland J. using patient engagement platforms in the postoperative management of patients. Curr Rev Musculoskelet Med. 2020;13(4):479-484. doi:10.1007/s12178-020-09638-8
  • Dilsizian SE, Siegel EL. Artificial intelligence in medicine and cardiac imaging: harnessing big data and advanced computing to provide personalized medical diagnosis and treatment. Curr Cardiol Rep. 2014;16(1):441. doi:10.1007/s11886-013-0441-8
  • Nadarzynski T, Miles O, Cowie A, Ridge D. Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study. Digit Health. 2019;5:2055207619871808. doi:10.1177/2055207619871808
  • Athota L, Shukla VK, Pandey N, Rana A. Chatbot for healthcare system using artificial intelligence. IEEE. 2020:619-622.
  • Tustumi F, Andreollo NA, Aguilar-Nascimento JE. Future of the language models in healthcare: The role of Chatgpt. Arq Bras Cir Dig. 2023;36:e1727. doi:10.1590/0102-672020230002e1727
  • Dergaa I, Ben Saad H, El Omri A, et al. Using artificial intelligence for exercise prescription in personalised health promotion: A critical evaluation of OpenAI’s GPT-4 model. journal article. Biol Sport. 2024;41(2):221-241. doi:10.5114/biolsport.2024.133661
  • Mendes-Fernandes T, Puente-González AS, Márquez-Vera MA, et al. Effects of Global Postural Reeducation versus Specific Therapeutic Neck Exercises on Pain, Disability, Postural Control, and Neuromuscular Efficiency in Women with Chronic Nonspecific Neck Pain: Study Protocol for a Randomized, Parallel, Clinical Trial. Int J Environ Res Public Health. 2021;18(20):10704.
  • Abdel-Aziem AA, Mohamed RR, Draz AH, et al. The effect of McKenzie protocol vs. deep neck flexor and scapulothoracic exercises in subjects with chronic neck pain - a randomized controlled study. Eur Rev Med Pharmacol Sci. 2022;26(9):3138-3150.
  • Shiravi S, Letafatkar A, Bertozzi L, et al. Efficacy of Abdominal Control Feedback and Scapula Stabilization Exercises in Participants With Forward Head, Round Shoulder Postures and Neck Movement Impairment. Sports Health. 2019;11(3):272-279.
  • Bezerra LMR, Melo TMS, Gomes VMDSA, et al. Home exercises for neck pain: A Delphi survey. Physiother Res Int. 2023;28(2):e1982.
  • Gross A, Kay TM, Paquin JP, Blanchette S, et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2015;1(1):CD004250.
  • Sakinepoor A, Cheragh ZA, Degens H, Mazidi M. Neck stabilization exercise and dynamic neuromuscular stabilization reduce pain intensity, forward head angle and muscle activity of employees with chronic non-specific neck pain: A retrospective study. J Exp Orthop. 2025;12(1):e70188.
  • Calafiore D, Marotta N, Longo UG, et al. The efficacy of manual therapy and therapeutic exercise for reducing chronic non-specific neck pain: A systematic review and meta-analysis. J Back Musculoskelet Rehabil. 2025:10538127241304110.
  • Gaban GLNA, Vægter HB, Vivaldini MRS, et al. Acute and long-term effect of specific and non-specific exercises in patients with chronic neck pain: A protocol for a randomized controlled trial. Exp Physiol. 2025;110(1):58-67.
  • Vargo J, Nesbit JC, Belfer K, Archambault A. Learning object evaluation: computer-mediated collaboration and inter-rater reliability. Int J Comput Appl. 2003;25(3):198-205.
  • Javaid M, Haleem A, Singh RP. A study on ChatGPT for Industry 4.0: Background, potentials, challenges, and eventualities. JET. 2023;1:127-143.
  • Frosolini A, Franz L, Benedetti S, et al. Assessing the accuracy of ChatGPT references in head and neck and ENT disciplines. Eur Arch Otorhinolaryngol. 2023;280(11):5129-5133.
  • Hoch CC, Wollenberg B, Lüers JC, et al. ChatGPT's quiz skills in different otolaryngology subspecialties: an analysis of 2576 single-choice and multiple-choice board certification preparation questions. Eur Arch Otorhinolaryngol. 2023;280(9):4271-4278. doi:10.1007/s00405-023-08051-4
  • Wright BM, Bodnar MS, Moore AD, et al. Is ChatGPT a trusted source of information for total hip and knee arthroplasty patients? Bone Jt Open. 2024;5(2):139-146. doi:10.1302/2633-1462.52.Bjo-2023-0113.R1
  • Schütz P, Lob S, Chahed H, et al. ChatGPT as an information source for patients with migraines: A qualitative case study. Healthcare. 2024;12(16):1594.
  • Szczesniewski JJ, Tellez Fouz C, Ramos Alba A, Diaz Goizueta FJ, García Tello A, Llanes González L. ChatGPT and most frequent urological diseases: analysing the quality of information and potential risks for patients. World J Urol. 2023;41(11):3149-3153. doi:10.1007/s00345-023-04563-0
  • Frosolini A, Gennaro P, Cascino F, Gabriele G. In reference to "Role of Chat GPT in public health", to highlight the AI's incorrect reference generation. Ann Biomed Eng. Oct 2023;51(10):2120-2122. doi:10.1007/s10439-023-03248-4
There are 24 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Research Article
Authors

Dilara Onan 0000-0001-9505-6135

Halime Arıkan 0000-0003-2381-9978

Publication Date August 30, 2025
Submission Date February 19, 2025
Acceptance Date May 18, 2025
Published in Issue Year 2025 Volume: 11 Issue: 2

Cite

AMA Onan D, Arıkan H. Assessment of exercise accuracy and explanation with artificial intelligence: A study on cervical exercises for nonspecific neck pain. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi. August 2025;11(2):148-155. doi:10.30569/adiyamansaglik.1635840