Document Detail


Effects of expertise, practice and contextual interference on adaptations to visuo-motor misalignment.
MedLine Citation:
PMID:  18391291     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The cognitive demands of endoscopic surgery are amplified when rotations of the displayed surgical field cause discrepancies between intended and actual movements. While Visuo-Motor Misalignment (VMM) often impairs surgical technical performance, motor learning literature has demonstrated adaptation acquisition with practice. It is unknown whether these findings can be generalized to complex tasks of surgery. Two experiments investigated VMM adaptation processes within a laparoscopic context. The first examined the effects of practice and angle of visual rotation while the second investigated if, and how, the Contextual Interference Effect facilitates VMM adaptations. Laparoscopic performance was positively affected with smaller angles of visual rotation (p<.001) and increasing trials (p<.001). While not significant, performance was better after blocked versus random practice. In order to facilitate VMM adaptation acquisition, it is recommended that future simulated trainers incorporate the capacity for practice under visual rotation with flexibility in practice schedule.
Authors:
Allison Kurahashi; Kyle Leming; Heather Carnahan; Adam Dubrowski
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Studies in health technology and informatics     Volume:  132     ISSN:  0926-9630     ISO Abbreviation:  Stud Health Technol Inform     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-05-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214582     Medline TA:  Stud Health Technol Inform     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  225-9     Citation Subset:  T    
Affiliation:
Dept. of Surgery, University of Toronto, Canada.
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MeSH Terms
Descriptor/Qualifier:
Computer Simulation*
Endoscopy*
Humans
Ontario
Psychomotor Performance*
User-Computer Interface

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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