Early exposure to haptic feedback enhances performance in surgical simulator training : a prospective randomized crossover study in surgical residents
Identifieur interne : 006109 ( Main/Exploration ); précédent : 006108; suivant : 006110Early exposure to haptic feedback enhances performance in surgical simulator training : a prospective randomized crossover study in surgical residents
Auteurs : P. Ström [Suède] ; L. Hedman [Suède] ; L. S Rna [Suède] ; A. Kjellin [Suède] ; T. Wredmark [Suède] ; L. Fell Nder-Tsai [Suède]Source :
- Surgical endoscopy [ 0930-2794 ] ; 2006.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie, Simulation, Formation professionnelle.
English descriptors
Abstract
Background: In the literature of skill acquisition and transfer of skills, it often is assumed that the rate of skill acquisition depends on what has been learned in a similar context (i.e., surgical simulators providing haptic feedback). This study aimed to analyze whether the addition of haptic feedback early in the training phase for image-guided surgical simulation improves performance. Methods: A randomized crossover study design was used, in which 38 surgical residents were randomized to begin a 2-h simulator training session with either haptic or nonhaptic training followed by crossover after 1 h. The graphic context was a virtual upper abdomen. The residents performed two diathermy tasks. Two validated tests were used to control for differences in visual-spatial ability: the BasIQ general cognitive ability test and Mental Rotation Test A (MRT-A). Results: After 2 h of training, the group that had started with haptic feedback performed the two diathermy tasks significantly better (p < 0.05, unpaired t-test). Only the group that had started with haptic training significantly improved during the last 1-h session (p < 0.01, paired t-test). Conclusion: The findings indicate that haptic feedback could be important in the early training phase of skill acquisition in image-guided surgical simulator training.
Affiliations:
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Hedman</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Division of Surgery. Department for Science Intervention and Technology, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Psychology, Umeå University</s1><s2>901 87, Umeå</s2><s3>SWE</s3><sZ>2 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>901 87, Umeå</wicri:noRegion></affiliation></author><author><name sortKey="S Rna, L" sort="S Rna, L" uniqKey="S Rna L" first="L." last="S Rna">L. S Rna</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Biomedical Engineering, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska, University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>3 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Kjellin, A" sort="Kjellin, A" uniqKey="Kjellin A" first="A." last="Kjellin">A. Kjellin</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Division of Surgery. Department for Science Intervention and Technology, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Wredmark, T" sort="Wredmark, T" uniqKey="Wredmark T" first="T." last="Wredmark">T. 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Fell Nder-Tsai</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Division of Orthopaedics, Department for Science Intervention and Technology, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">06-0493938</idno><date when="2006">2006</date><idno type="stanalyst">PASCAL 06-0493938 INIST</idno><idno type="RBID">Pascal:06-0493938</idno><idno type="wicri:Area/PascalFrancis/Corpus">000C29</idno><idno type="wicri:Area/PascalFrancis/Curation">000877</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000A17</idno><idno type="wicri:doubleKey">0930-2794:2006:Strom P:early:exposure:to</idno><idno type="wicri:Area/Main/Merge">006374</idno><idno type="wicri:Area/Main/Curation">006109</idno><idno type="wicri:Area/Main/Exploration">006109</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Early exposure to haptic feedback enhances performance in surgical simulator training : a prospective randomized crossover study in surgical residents</title><author><name sortKey="Strom, P" sort="Strom, P" uniqKey="Strom P" first="P." last="Ström">P. Ström</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Division of Orthopaedics, Department for Science Intervention and Technology, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Hedman, L" sort="Hedman, L" uniqKey="Hedman L" first="L." last="Hedman">L. Hedman</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Division of Surgery. Department for Science Intervention and Technology, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Psychology, Umeå University</s1><s2>901 87, Umeå</s2><s3>SWE</s3><sZ>2 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>901 87, Umeå</wicri:noRegion></affiliation></author><author><name sortKey="S Rna, L" sort="S Rna, L" uniqKey="S Rna L" first="L." last="S Rna">L. S Rna</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Biomedical Engineering, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska, University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>3 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Kjellin, A" sort="Kjellin, A" uniqKey="Kjellin A" first="A." last="Kjellin">A. Kjellin</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Division of Surgery. Department for Science Intervention and Technology, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Wredmark, T" sort="Wredmark, T" uniqKey="Wredmark T" first="T." last="Wredmark">T. Wredmark</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Division of Orthopaedics, Department for Science Intervention and Technology, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Fell Nder Tsai, L" sort="Fell Nder Tsai, L" uniqKey="Fell Nder Tsai L" first="L." last="Fell Nder-Tsai">L. Fell Nder-Tsai</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Division of Orthopaedics, Department for Science Intervention and Technology, Center for Advanced Medical Simulation, Karolinska Institutet at Karolinska University Hospital Huddinge</s1><s2>141 86, Stockholm</s2><s3>SWE</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Surgical endoscopy</title><title level="j" type="abbreviated">Surg. endosc.</title><idno type="ISSN">0930-2794</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Surgical endoscopy</title><title level="j" type="abbreviated">Surg. endosc.</title><idno type="ISSN">0930-2794</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Guidance</term><term>Occupational training</term><term>Performance evaluation</term><term>Simulation</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie</term><term>Evaluation performance</term><term>Simulation</term><term>Formation professionnelle</term><term>Guidage</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Simulation</term><term>Formation professionnelle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: In the literature of skill acquisition and transfer of skills, it often is assumed that the rate of skill acquisition depends on what has been learned in a similar context (i.e., surgical simulators providing haptic feedback). This study aimed to analyze whether the addition of haptic feedback early in the training phase for image-guided surgical simulation improves performance. Methods: A randomized crossover study design was used, in which 38 surgical residents were randomized to begin a 2-h simulator training session with either haptic or nonhaptic training followed by crossover after 1 h. The graphic context was a virtual upper abdomen. The residents performed two diathermy tasks. Two validated tests were used to control for differences in visual-spatial ability: the BasIQ general cognitive ability test and Mental Rotation Test A (MRT-A). Results: After 2 h of training, the group that had started with haptic feedback performed the two diathermy tasks significantly better (p < 0.05, unpaired t-test). Only the group that had started with haptic training significantly improved during the last 1-h session (p < 0.01, paired t-test). Conclusion: The findings indicate that haptic feedback could be important in the early training phase of skill acquisition in image-guided surgical simulator training.</div></front></TEI><affiliations><list><country><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><country name="Suède"><region name="Svealand"><name sortKey="Strom, P" sort="Strom, P" uniqKey="Strom P" first="P." last="Ström">P. Ström</name></region><name sortKey="Fell Nder Tsai, L" sort="Fell Nder Tsai, L" uniqKey="Fell Nder Tsai L" first="L." last="Fell Nder-Tsai">L. Fell Nder-Tsai</name><name sortKey="Hedman, L" sort="Hedman, L" uniqKey="Hedman L" first="L." last="Hedman">L. Hedman</name><name sortKey="Hedman, L" sort="Hedman, L" uniqKey="Hedman L" first="L." last="Hedman">L. Hedman</name><name sortKey="Kjellin, A" sort="Kjellin, A" uniqKey="Kjellin A" first="A." last="Kjellin">A. Kjellin</name><name sortKey="S Rna, L" sort="S Rna, L" uniqKey="S Rna L" first="L." last="S Rna">L. S Rna</name><name sortKey="Wredmark, T" sort="Wredmark, T" uniqKey="Wredmark T" first="T." last="Wredmark">T. Wredmark</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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