scholarly journals Enhanced Training Benefits of Video Recording Surgery With Automated Hand Motion Analysis

2021 ◽  
Author(s):  
Colin F. Mackenzie ◽  
Shiming Yang ◽  
Evan Garofalo ◽  
Peter Fu-Ming Hu ◽  
Darcy Watts ◽  
...  
Keyword(s):  
Motion Analysis ◽  
Shannon Entropy ◽  
Motion Tracking ◽  
Axillary Artery ◽  
Video Recording ◽  
Surgical Performance ◽  
Widespread Application ◽  
Hand Motion ◽  
Timing Data ◽  
And Training

Abstract Background Hand motion analysis by video recording during surgery has potential for evaluation of surgical performance. The aim was to identify how technical skill during open surgery can be measured unobtrusively by video recording during a surgical procedure. We hypothesized that procedural-step timing, hand movements, instrument use and Shannon entropy differ with expertise and training and are concordant with a performance-based validated individual procedure score. Methods Surgeon and non-surgeon participants with varying training and levels of expertise were video recorded performing axillary artery exposure and control (AA) on un-preserved cadavers. Color-coded gloves permitted motion-tracking and automated extraction of entropy data from recordings. Timing and instrument-use metrics were obtained through observational video reviews. Shannon entropy measured speed, acceleration and direction by computer-vision algorithms. Findings were compared with individual procedure score for AA performance Results Experts had lowest entropy values, idle time, active time and shorter time to divide pectoralis minor, using fewer instruments. Residents improved with training, without reaching expert levels, and showed deterioration 12–18 months later. Individual procedure scores mirrored these results. Non-surgeons differed substantially. Conclusions Hand motion entropy and timing metrics discriminate levels of surgical skill and training, and these findings are congruent with individual procedure score evaluations. These measures can be collected using consumer-level cameras and analyzed automatically with free software. Hand motion with video timing data may have widespread application to evaluate resident performance and can contribute to the range of evaluation and testing modalities available to educators, training course designers and surgical quality assurance programs.

Assessing Learning Effort with Hand Motion Tracking Methods

2020 ◽  
Author(s):  
Hansol Rheem ◽  
David V. Becker ◽  
Scotty D. Craig
Keyword(s):  
Motion Tracking ◽  
Hand Motion

RELATIONSHIP BETWEEN SURGEON'S PHYSIOLOGICAL AND KINEMATIC PARAMETERS AND THE QUALITY OF SURGICAL PERFORMANCE AND WORKLOAD IN LAPAROSCOPIC TRAINING

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
J A Sánchez-Margallo ◽  
J Castillo Rabazo ◽  
D Durán Rey ◽  
I López-Agudelo ◽  
M R González-Portillo ◽  
...  
Keyword(s):  
Heart Rate ◽  
Objective Evaluation ◽  
Laparoscopic Training ◽  
Evaluation Tool ◽  
Surgical Performance ◽  
Hand Motion ◽  
Task Load ◽  
Tissue Manipulation ◽  
Level Of Experience

Abstract INTRODUCTION This study presents the first steps and results towards the development of a system for predicting the quality of surgical performance and workload in laparoscopic training. MATERIAL AND METHODS Surgeons wore a smartwatch which recorded their heart rate and hand motion during each laparoscopic procedure. Data was then correlated with both the Surgery Task Load Index (SURG-TLX) subjective questionnaire and the Global Operational Assessment of Laparoscopic Skills (GOALS) objective evaluation tool. Statistical analysis was conducted in order to study the relationship between parameters and to compare the results according to the surgeons’ level of experience. RESULTS Nine laparoscopic surgeons participated in this study, five gynecologists and four digestive surgeons. Gynecological surgeons showed a positive correlation between their level of experience, heart rate, hand motion, and GOALS score, except for bimanual dexterity. The reduction in the variability of hand accelerations led to improved tissue handling. Digestive surgeons showed a negative correlation between their level of experience and the reported temporal demand and complexity of the procedure. Novice digestive surgeons reported increased workload during surgery, mainly in mental, physical, and temporal workload. In both surgical specialties, it was observed that reduction in surgical workload was associated with improved GOALS score. CONCLUSIONS Preliminary results showed that bimanual dexterity is independent of the experience of gynecological surgeons. During laparoscopic surgical procedures, reduced variability in hand accelerations leads to better tissue manipulation. In addition, in gynecological and upper gastrointestinal procedures, reduced surgical workload is associated with improved surgical performance.

scholarly journals Use of a virtual world system in sports coach education for reproducing team handball movements

2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Antonio Lopes ◽  
Bruno Pires ◽  
Marcio Cardoso ◽  
Arnaldo Santos ◽  
Filipe Peixinho ◽  
...  
Keyword(s):  
Second Life ◽  
Video Recording ◽  
Team Sports ◽  
External Control ◽  
Coach Education ◽  
Team Handball ◽  
Desktop Application ◽  
Training Programmes ◽  
Sports Coaching ◽  
And Training

The continuous need for education and the significant changes in European policies and regulations overseeing sports coaching and training require the adjustment of teaching models and methods to the needs and potential of teachers, students, and technology. In educational and training programmes for team sports coaching, it is common to use a group of athletes or video to demonstrate physical, technical, and tactical procedures. This requires significant human resources, both while developing the procedures and to reproduce them. Furthermore, both cases (live execution by athletes or video recording) are limited in visual perspective and detail. For this reason, specific software for demonstrating tactical procedures is sometimes used. But existing software presents significant limitations, for instance, when one cannot change procedures in real time nor can one interact with the audience. This article focus on the development of a new resource: a software system combining tri-dimensional automated avatars in the Second Life world, an external control server, and an helper desktop application. Using this system, coaches enrolled in education/training programs can more easily be involved, even taking a player’s role, and analyze movements from various points of view. This system aims to contribute to the improvement of the team handball coach education programs by supporting the understanding of the dynamics between defensive and offensive players in the organized phase of a handball game, using shared 3-D simulations with avatars.

scholarly journals Does caffeine consumption affect laparoscopic skills in a motion tracking analysis? A prospective, randomized, blinded crossover trial

2021 ◽  
Author(s):  
Felix von Bechtolsheim ◽  
Florian Oehme ◽  
Michael Maruschke ◽  
Sofia Schmidt ◽  
Alfred Schneider ◽  
...  
Keyword(s):  
Motion Analysis ◽  
Motion Tracking ◽  
Crossover Trial ◽  
Potential Interaction ◽  
Caffeine Intake ◽  
Caffeine Consumption ◽  
Laparoscopic Skills ◽  
The Central Nervous System ◽  
And Performance ◽  
Laparoscopic Performance

Abstract Background Coffee can increase vigilance and performance, especially during sleep deprivation. The hypothetical downside of caffeine in the surgical field is the potential interaction with the ergonomics of movement and the central nervous system. The objective of this trial was to investigate the influence of caffeine on laparoscopic performance. Methods Fifty laparoscopic novices participated in this prospective randomized, blinded crossover trial and were trained in a modified FLS curriculum until reaching a predefined proficiency. Subsequently, all participants performed four laparoscopic tasks twice, once after consumption of a placebo and once after a caffeinated (200 mg) beverage. Comparative analysis was performed between the cohorts. Primary endpoint analysis included task time, task errors, OSATS score and a performance analysis with an instrument motion analysis (IMA) system. Results Fifty participants completed the study. Sixty-eight percent of participants drank coffee daily. The time to completion for each task was comparable between the caffeine and placebo cohorts for PEG transfer (119 s vs 121 s; p = 0.73), precise cutting (157 s vs 163 s; p = 0.74), gallbladder resection (190 s vs 173 s; p = 0.6) and surgical knot (171 s vs 189 s; p = 0.68). The instrument motion analysis showed no significant differences between the caffeine and placebo groups in any parameters: instrument volume, path length, idle, velocity, acceleration, and instrument out of view. Additionally, OSATS scores did not differ between groups, regardless of task. Major errors occurred similarly in both groups, except for one error criteria during the circle cutting task, which occurred significantly more often in the caffeine group (34% vs. 16%, p < 0.05). Conclusion The objective IMA and performance scores of laparoscopic skills revealed that caffeine consumption does not enhance or impair the overall laparoscopic performance of surgical novices. The occurrence of major errors is not conclusive but could be negatively influenced in part by caffeine intake.

scholarly journals Hand motion analysis of the pianist

1995 ◽  
Vol 31 (Supplement) ◽  
pp. 74-77
Author(s):  
Naotaka Sakai ◽  
Tomihisa Koshino ◽  
Fong-Chin Su ◽  
Michael C Liu ◽  
Allen T Bishop ◽  
...  
Keyword(s):  
Motion Analysis ◽  
Hand Motion

Abstract 115: Video Review and Time-Motion Analysis of the Causes of No-Flow Intervals as Recorded by Accelerometer During Cardiopulmonary Resuscitation

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Yi-Chia Lee ◽  
Huang-Fu Yeh ◽  
Yen-Pin Chen ◽  
Chun-Yi Chang ◽  
Wei-Ting Chen ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Motion Analysis ◽  
Video Recording ◽  
Electric Activity ◽  
Flow Duration ◽  
Video Review ◽  
Video Recordings ◽  
Time Motion ◽  
Comprehensive Information

Objectives: Accelerometer (Q-CPR) has been developed and promoted to monitor the quality of cardiopulmonary resuscitation (CPR). Although the device registers the occurrence of no-flow intervals, it does not provide comprehensive information on the causes leading to these no-flow intervals. This study is aimed to analyze causes leading to CPR interruptions registered by Q-CPR by reviewing corresponding video recordings of the resuscitation sessions. Methods: Accelerometer recordings (Q-CPR, Philips) of 20 CPR episodes from December 2010 to April 2014 in a tertiary university ED were obtained. Frequency, timing, duration, and types of no-flow intervals, defined as no-flow duration >= 1.5 seconds, were reviewed. Video recordings of the corresponding CPR sessions were reviewed. Causes leading no flow intervals registered by Q-CPR were categorized and analyzed. Results: The duration of CPR reviewed for the cases averaged 8.59 minutes (range 2.23 - 19.04 minutes). No-flow intervals (pauses >= 1.5 seconds) occurred 122 times (averaged one interruption every 1.27 minutes of CPR) with an average no-flow intervals of 6.45 seconds (range 1.54 - 51.50 seconds). Through detail review of the video-recordings corresponding to the no-flow intervals registered by Q-CPR, the leading causes of no-flow intervals are associated with pulse checks for pulseless electric activity- PEA (19.5%), pre-shock pauses (13.9%), ultrasound exam (11.6%) and intubation (9.6%), as displayed in the following chart. Conclusion: Video recording and time-motion analysis provide detailed information on the causes leading to no-flow intervals registered by QCPR, and could complement information acquired by Q-CPR. Measures should be taken to address leading causes of CPR interruption, especially pulse checks for PEA and pre-shock pauses, to promote quality of CPR.

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