The virtual haptic back: a simulation for training in palpatory diagnosis.
Identifieur interne : 001196 ( PubMed/Checkpoint ); précédent : 001195; suivant : 001197The virtual haptic back: a simulation for training in palpatory diagnosis.
Auteurs : John N. Howell [États-Unis] ; Robert R. Conatser ; Robert L. Williams ; Janet M. Burns ; David C. ElandSource :
- BMC medical education [ 1472-6920 ] ; 2008.
English descriptors
- KwdEn :
- Anatomy (education), Back (anatomy & histology), Back Pain (diagnosis), Computer Simulation, Computer-Assisted Instruction, Education, Medical, Undergraduate, Female, Humans, Middle Aged, Models, Anatomic, Ohio, Osteopathic Medicine (education), Palpation (methods), Task Performance and Analysis, User-Computer Interface.
- MESH :
- geographic : Ohio.
- anatomy & histology : Back.
- diagnosis : Back Pain.
- education : Anatomy, Osteopathic Medicine.
- methods : Palpation.
- Computer Simulation, Computer-Assisted Instruction, Education, Medical, Undergraduate, Female, Humans, Middle Aged, Models, Anatomic, Task Performance and Analysis, User-Computer Interface.
Abstract
Models and simulations are finding increased roles in medical education. The Virtual Haptic Back (VHB) is a virtual reality simulation of the mechanical properties of the human back designed as an aid to teaching clinical palpatory diagnosis.
DOI: 10.1186/1472-6920-8-14
PubMed: 18387190
Affiliations:
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pubmed:18387190Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The virtual haptic back: a simulation for training in palpatory diagnosis.</title><author><name sortKey="Howell, John N" sort="Howell, John N" uniqKey="Howell J" first="John N" last="Howell">John N. Howell</name><affiliation wicri:level="2"><nlm:affiliation>Interdisciplinary Institute for Neuromusculoskeletal Research and the Department of Biomedical Sciences, Ohio University College of Osteopathic Medicine, Athens, OH 45701, USA. howell@ohio.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Interdisciplinary Institute for Neuromusculoskeletal Research and the Department of Biomedical Sciences, Ohio University College of Osteopathic Medicine, Athens, OH 45701</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Conatser, Robert R" sort="Conatser, Robert R" uniqKey="Conatser R" first="Robert R" last="Conatser">Robert R. Conatser</name></author><author><name sortKey="Williams, Robert L" sort="Williams, Robert L" uniqKey="Williams R" first="Robert L" last="Williams">Robert L. Williams</name></author><author><name sortKey="Burns, Janet M" sort="Burns, Janet M" uniqKey="Burns J" first="Janet M" last="Burns">Janet M. Burns</name></author><author><name sortKey="Eland, David C" sort="Eland, David C" uniqKey="Eland D" first="David C" last="Eland">David C. Eland</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1186/1472-6920-8-14</idno><idno type="RBID">pubmed:18387190</idno><idno type="pmid">18387190</idno><idno type="wicri:Area/PubMed/Corpus">001490</idno><idno type="wicri:Area/PubMed/Curation">001490</idno><idno type="wicri:Area/PubMed/Checkpoint">001196</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The virtual haptic back: a simulation for training in palpatory diagnosis.</title><author><name sortKey="Howell, John N" sort="Howell, John N" uniqKey="Howell J" first="John N" last="Howell">John N. Howell</name><affiliation wicri:level="2"><nlm:affiliation>Interdisciplinary Institute for Neuromusculoskeletal Research and the Department of Biomedical Sciences, Ohio University College of Osteopathic Medicine, Athens, OH 45701, USA. howell@ohio.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Interdisciplinary Institute for Neuromusculoskeletal Research and the Department of Biomedical Sciences, Ohio University College of Osteopathic Medicine, Athens, OH 45701</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Conatser, Robert R" sort="Conatser, Robert R" uniqKey="Conatser R" first="Robert R" last="Conatser">Robert R. Conatser</name></author><author><name sortKey="Williams, Robert L" sort="Williams, Robert L" uniqKey="Williams R" first="Robert L" last="Williams">Robert L. Williams</name></author><author><name sortKey="Burns, Janet M" sort="Burns, Janet M" uniqKey="Burns J" first="Janet M" last="Burns">Janet M. Burns</name></author><author><name sortKey="Eland, David C" sort="Eland, David C" uniqKey="Eland D" first="David C" last="Eland">David C. Eland</name></author></analytic><series><title level="j">BMC medical education</title><idno type="eISSN">1472-6920</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anatomy (education)</term><term>Back (anatomy & histology)</term><term>Back Pain (diagnosis)</term><term>Computer Simulation</term><term>Computer-Assisted Instruction</term><term>Education, Medical, Undergraduate</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Models, Anatomic</term><term>Ohio</term><term>Osteopathic Medicine (education)</term><term>Palpation (methods)</term><term>Task Performance and Analysis</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ohio</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Back</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Back Pain</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Anatomy</term><term>Osteopathic Medicine</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Palpation</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Computer Simulation</term><term>Computer-Assisted Instruction</term><term>Education, Medical, Undergraduate</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Models, Anatomic</term><term>Task Performance and Analysis</term><term>User-Computer Interface</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Models and simulations are finding increased roles in medical education. The Virtual Haptic Back (VHB) is a virtual reality simulation of the mechanical properties of the human back designed as an aid to teaching clinical palpatory diagnosis.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">18387190</PMID><DateCreated><Year>2008</Year><Month>05</Month><Day>01</Day></DateCreated><DateCompleted><Year>2008</Year><Month>05</Month><Day>30</Day></DateCompleted><DateRevised><Year>2014</Year><Month>09</Month><Day>04</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6920</ISSN><JournalIssue CitedMedium="Internet"><Volume>8</Volume><PubDate><Year>2008</Year></PubDate></JournalIssue><Title>BMC medical education</Title><ISOAbbreviation>BMC Med Educ</ISOAbbreviation></Journal><ArticleTitle>The virtual haptic back: a simulation for training in palpatory diagnosis.</ArticleTitle><Pagination><MedlinePgn>14</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1472-6920-8-14</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Models and simulations are finding increased roles in medical education. The Virtual Haptic Back (VHB) is a virtual reality simulation of the mechanical properties of the human back designed as an aid to teaching clinical palpatory diagnosis.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Eighty-nine first year medical students of the Ohio University College of Osteopathic Medicine carried out six, 15-minute practice sessions with the VHB, plus tests before and after the sessions in order to monitor progress in identifying regions of simulated abnormal tissue compliance. Students palpated with two digits, fingers or thumbs, by placing them in gimbaled thimbles at the ends of PHANToM 3.0(R) haptic interface arms. The interface simulated the contours and compliance of the back surface by the action of electric motors. The motors limited the compression of the virtual tissues induced by the palpating fingers, by generating counterforces. Users could see the position of their fingers with respect to the back on a video monitor just behind the plane of the haptic back. The abnormal region varied randomly among 12 locations between trials. During the practice sessions student users received immediate feedback following each trial, indicating either a correct choice or the actual location of the abnormality if an incorrect choice had been made. This allowed the user to feel the actual abnormality before going on to the next trial. Changes in accuracy, speed and Weber fraction across practice sessions were analyzed using a repeated measures analysis of variance.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Students improved in accuracy and speed of diagnosis with practice. The smallest difference in simulated tissue compliance users were able to detect improved from 28% (SD = 9.5%) to 14% (SD = 4.4%) during the practice sessions while average detection time decreased from 39 (SD = 19.8) to 17 (SD = 11.7) seconds. When asked in anonymous evaluation questionnaires if they judged the VHB practice to be helpful to them in the clinical palpation and manual medicine laboratory, 41% said yes, 51% said maybe, and 8% said no.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The VHB has potential value as a teaching aid for students in the initial phases of learning palpatory diagnosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Howell</LastName><ForeName>John N</ForeName><Initials>JN</Initials><AffiliationInfo><Affiliation>Interdisciplinary Institute for Neuromusculoskeletal Research and the Department of Biomedical Sciences, Ohio University College of Osteopathic Medicine, Athens, OH 45701, USA. howell@ohio.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Conatser</LastName><ForeName>Robert R</ForeName><Initials>RR</Initials></Author><Author ValidYN="Y"><LastName>Williams</LastName><ForeName>Robert L</ForeName><Initials>RL</Initials><Suffix>2nd</Suffix></Author><Author ValidYN="Y"><LastName>Burns</LastName><ForeName>Janet M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Eland</LastName><ForeName>David C</ForeName><Initials>DC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2008</Year><Month>04</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Med Educ</MedlineTA><NlmUniqueID>101088679</NlmUniqueID><ISSNLinking>1472-6920</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Can J Exp Psychol. 2004 Mar;58(1):32-45</RefSource><PMID Version="1">15072207</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Am Osteopath Assoc. 2008 Jan;108(1):29-36</RefSource><PMID Version="1">18258699</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Exp Psychol Hum Percept Perform. 1997 Dec;23(6):1680-707</RefSource><PMID Version="1">9425675</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000715">Anatomy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000193">education</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001415">Back</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000033">anatomy & histology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001416">Back Pain</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003198">Computer Simulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003194">Computer-Assisted Instruction</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D004504">Education, Medical, Undergraduate</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D008953">Models, Anatomic</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D009820">Ohio</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010021">Osteopathic Medicine</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000193">education</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010173">Palpation</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013647">Task Performance and Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014584">User-Computer Interface</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC2362113</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2007</Year><Month>5</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2008</Year><Month>4</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2008</Year><Month>4</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>4</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>5</Month><Day>31</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>4</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">1472-6920-8-14</ArticleId><ArticleId IdType="doi">10.1186/1472-6920-8-14</ArticleId><ArticleId IdType="pubmed">18387190</ArticleId><ArticleId IdType="pmc">PMC2362113</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><noCountry><name sortKey="Burns, Janet M" sort="Burns, Janet M" uniqKey="Burns J" first="Janet M" last="Burns">Janet M. Burns</name><name sortKey="Conatser, Robert R" sort="Conatser, Robert R" uniqKey="Conatser R" first="Robert R" last="Conatser">Robert R. Conatser</name><name sortKey="Eland, David C" sort="Eland, David C" uniqKey="Eland D" first="David C" last="Eland">David C. Eland</name><name sortKey="Williams, Robert L" sort="Williams, Robert L" uniqKey="Williams R" first="Robert L" last="Williams">Robert L. Williams</name></noCountry><country name="États-Unis"><region name="Ohio"><name sortKey="Howell, John N" sort="Howell, John N" uniqKey="Howell J" first="John N" last="Howell">John N. Howell</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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