Virtual Reality in Orthopedic Surgeons Training

Nowadays the use of Virtual Reality (VR) based surgical simulators or training environments is becoming more and more spread in the medical world. These are usually dedicated to the development and improvement of novice trainees’ skills by helping them to learn different surgical techniques, to use proper instrumentation or to practice surgical protocols, but also in the training of expert surgeons for conserving their skills, for planning or rehearsing new, complicated or rare procedures. In this general context of interest, our paper aims at answering the following questions: What are the main requirements for a haptic device in order to be successfully used in the virtual training of orthopedic surgeons? What requirements are mandatory to be included in an orthopedic surgery haptic-based training application for providing a realistic user’s experience? These are legitimate questions considering that surgical education can really benefit the advantages offered by such virtual simulators only if they can satisfy a list of requirements among which high level of immersion and interactivity, realistic 3D virtual models and constraints of anatomical structures, good correspondence between real and simulated cases (i.e. a natural ‘behavior’ and ‘feeling’ of simulated anatomy). The focus of the literature review presented in this paper will be on orthopedic VR simulators for drilling, sawing and fixing implants screws, pins and plates, with an emphasize on devices’ characteristics and applications features. This study enrolls in the trend of improving user’s immersion experience at a cost as low as possible, representing the basis on which an innovative and affordable haptic device and an application for training basic orthopedic surgical skills are proposed for development in further research.

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Virtual Reality Exposure Training for Musicians: Its Effect on Performance Anxiety and Quality

Medical Problems of Performing Artists ◽

10.21091/mppa.2015.3032 ◽

2015 ◽

Vol 30 (3) ◽

pp. 169-177 ◽

Cited By ~ 12

Author(s):

Josiane Bissonnette ◽

Francis Dubé ◽

Martin D Provencher ◽

Maria T Moreno Sala

Keyword(s):

Virtual Reality ◽

Trait Anxiety ◽

Music Performance ◽

Performance Anxiety ◽

Training Group ◽

Control Group ◽

Virtual Training ◽

Music Performance Anxiety ◽

High Level ◽

Virtual Reality Exposure

Music performance anxiety affects numerous musicians, with many of them reporting impairment of performance due to this problem. This exploratory study investigated the effects of virtual reality exposure training on students with music performance anxiety. Seventeen music students were randomly assigned to a control group (n=8) or a virtual training group (n=9). Participants were asked to play a musical piece by memory in two separate recitals within a 3-week interval. Anxiety was then measured with the Personal Report of Confidence as a Performer Scale and the S-Anxiety scale from the State-Trait Anxiety Inventory (STAI-Y). Between pre- and post-tests, the virtual training group took part in virtual reality exposure training consisting of six 1-hour long sessions of virtual exposure. The results indicate a significant decrease in performance anxiety for musicians in the treatment group for those with a high level of state anxiety, for those with a high level of trait anxiety, for women, and for musicians with high immersive tendencies. Finally, between the pre- and post-tests, we observed a significant increase in performance quality for the experimental group, but not for the control group.

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Method of virtual reality for early comprehensive rehabilitation of patients with acute stroke

Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery) ◽

10.33920/med-01-2001-04 ◽

2020 ◽

pp. 39-45

Author(s):

N. Nozdryukhina ◽

E. Kabayeva ◽

E. Kirilyuk ◽

K. Tushova ◽

A. Karimov

Keyword(s):

Virtual Reality ◽

Literature Review ◽

Acute Stroke ◽

Functional Outcome ◽

Recovery Process ◽

Stroke Patients ◽

Post Stroke ◽

Stroke Disability ◽

Comprehensive Rehabilitation ◽

High Level

Despite significant advances in the treatment and rehabilitation of stroke, level of post-stroke disability remains at a fairly high level. Recent innovative developments in the rehabilitation of these patients provide good results in terms of functional outcome. One of such developments is method of virtual reality (VR), which affects not only the speed and volume of regaining movement, as well as coordination, but also normalizes the psycho-emotional background, increasing the motivation of patients to improve the recovery process. This article provides a literature review of the use of the VR method in the rehabilitation of post-stroke patients, neurophysiological aspects of recovery of lost functions using this method are considered.

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Consensus guidelines for validation of virtual reality surgical simulators

Simulation in Healthcare The Journal of the Society for Simulation in Healthcare ◽

10.1097/01.sih.0000244452.43542.47 ◽

2006 ◽

Vol 1 (3) ◽

pp. 171-179 ◽

Cited By ~ 28

Author(s):

F J. Carter ◽

M P. Schijven ◽

R Aggarwal ◽

T Grantcharov ◽

N K. Francis ◽

...

Keyword(s):

Virtual Reality ◽

Consensus Guidelines ◽

Surgical Simulators

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Puzzles Unpuzzled

Proceedings of the ACM on Human-Computer Interaction ◽

10.1145/3474696 ◽

2021 ◽

Vol 5 (CHI PLAY) ◽

pp. 1-24

Author(s):

Andrey Krekhov ◽

Katharina Emmerich ◽

Ronja Rotthaler ◽

Jens Krueger

Keyword(s):

Virtual Reality ◽

Real Life ◽

Basic Structure ◽

Design Framework ◽

Emotional Challenges ◽

Related Research ◽

Board Games ◽

Current State ◽

Prior Literature ◽

High Level

Escape rooms exist in various forms, including real-life facilities, board games, and digital implementations. The underlying idea is always the same: players have to solve many diverse puzzles to (virtually) escape from a locked room. Within the last decade, we witnessed a rapidly increasing popularity of such games, which also amplified the amount of related research. However, the respective academic landscape is mostly fragmented in its current state, lacking a common model and vocabulary that would withstand these games' variety. This manuscript aims to establish such a foundation for the analysis and construction of escape rooms. In a first step, we derive a high-level design framework from prior literature. Then, as our main contribution, we establish an atomic puzzle taxonomy that closes the gap between the analog and digital domains. The taxonomy is developed in multiple steps: we compose a basic structure based on previous literature and systematically refine it by analyzing 39 analog and digital escape room games, including recent virtual reality representatives. The final taxonomy consists of mental, physical, and emotional challenges, thereby providing a robust and approachable basis for future works across all application domains that deal with escape rooms or puzzles in general.

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Virtual reality in Education. Broken promises or new hope?

10.14742/ascilite2021.0111 ◽

2021 ◽

Author(s):

B. L. McGee ◽

Lisa Jacka

Keyword(s):

Virtual Reality ◽

Learning Environments ◽

Evidence Based ◽

Research Needs ◽

Business Environments ◽

Global Pandemic ◽

Technology Changes ◽

Software And Hardware ◽

High Level ◽

K 12

Virtual reality in one form or another has been around for over 50 years, most notably in entertainment and business environments. Technology-focused teachers have been leading the way with attempts at utilising and integrating virtual reality into K-12 and Higher Education. However, as quickly as technology changes so does the enthusiasm for the use in educational contexts. Much of this is due to the high-level cost (time and money) with no evidence-based educational return. In 2020 the global pandemic forced the education sector to innovate to provide authentic learning environments for students. The time is right for virtual reality to take centre stage. Over 171 million people worldwide currently use virtual reality, and the market in education is expected to grow by 42% over the next five years. This paper focuses on a range of virtual reality literature encompassing work across the spectrum of software and hardware, identifying where more educational implementation and research needs to be done and providing a perspective on future possibilities focusing on current affordances.

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Immersion, interactivity and three-dimensionality: virtual reality documentation of media art installations

10.32920/ryerson.14662947 ◽

2021 ◽

Author(s):

Kira A. Brown

Keyword(s):

Virtual Reality ◽

Case Studies ◽

Three Dimensional ◽

Research Paper ◽

Sensory Experience ◽

Three Dimensions ◽

Media Art ◽

Essential Information ◽

Art Installation ◽

High Level

This research paper explores the possibilities for virtual reality (VR) documentation of media art installations. Based on an analysis of the characteristics of media art, and a survey of current documentation strategies, this paper investigates the viability of three-dimensional documentation. Four cross-disciplinary case studies are presented and analysed to demonstrate that VR documentation provides an immersive and richer reconstruction of a media art installation in three dimensions. In addition, the interactive components can be simulated within the VR environment, offering the possibility for curators and visitors to virtually re-experience the artwork. The case studies show that, although the creation of VR documentation can be costly and time-consuming, and currently requires a high-level of expertise, it can be a useful addition to established documentation strategies by providing essential information about the visual aspects of the artwork, its environment and the user’s multi-sensory experience.

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Management of the Crooked Nose

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1283 ◽

2016 ◽

Vol 7 (3) ◽

pp. 168-172

Author(s):

Jessica W Scordino ◽

Frederick J Stucker

Keyword(s):

Surgical Techniques ◽

Successful Outcome ◽

Open Approach ◽

Form And Function ◽

Crooked Nose ◽

Self Image ◽

Level Of Satisfaction ◽

High Level ◽

And Function ◽

Nasal Function

ABSTRACT Aim: To describe an approach for the diagnosis and management of patients presenting with crooked nose. Background Patients with crooked nose suffer from functional ailments, most significant nasal obstruction, as well as esthetic concerns which may impact their self-image as well as others’ perception of them. As such, management of the crooked nose is an especially challenging task in that it demands careful attention to both nasal function and appearance. There are a plethora of surgical techniques which may be utilized, and the surgeon's approach must be tailored to each individual patient's presentation. Technique Accurate diagnosis is imperative for a successful outcome and relies on a thorough history and careful physical examination. Surgical intervention may be addressed by either an endonasal or open approach based on the location and severity of the deformity. It is helpful to break down the nose in vertical thirds when planning your surgical approach. Different techniques are used to address the upper third comprising the nasal bones, middle third composed of the upper lateral cartilages and septum, and the lower third composed of the lower lateral cartilages and caudal septum. Conclusion Management of the crooked nose is a technically challenging endeavor that highlights the need to address both form and function for a successful outcome. Effective treatment can significantly improve a patient's quality of life leading to a high level of satisfaction for both the patient and the surgeon. How to cite this article Scordino JW, Stucker FJ. Management of the Crooked Nose. Int J Head Neck Surg 2016;7(3):168-172.

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An update on best practice in the diagnosis and management of post-prostatectomy anastomotic strictures

Therapeutic Advances in Urology ◽

10.1177/1756287217701391 ◽

2017 ◽

Vol 9 (5) ◽

pp. 99-110 ◽

Cited By ~ 5

Author(s):

Nicholas R Rocco ◽

Jack M Zuckerman

Keyword(s):

Best Practice ◽

Surgical Techniques ◽

Surgical Reconstruction ◽

First Line ◽

Indwelling Catheter ◽

Diagnosis And Management ◽

Anastomotic Strictures ◽

Vesicourethral Anastomosis ◽

High Level ◽

Transurethral Incision

Postprostatectomy vesicourethral anastomotic stenosis (VUAS) remains a challenging problem for both patient and urologist. Improved surgical techniques and perioperative identification and treatment of risk factors has led to a decline over the last several decades. High-level evidence to guide management is lacking, primarily relying on small retrospective studies and expert opinion. Endourologic therapies, including dilation and transurethral incision or resection with or without adjunct injection of scar modulators is considered first-line management. Recalcitrant VUAS requires surgical reconstruction of the vesicourethral anastomosis, and in poor surgical candidates, a chronic indwelling catheter or urinary diversion may be the only option. This review provides an update in the diagnosis and management of postprostatectomy VUAS.

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