Robotic surgery and training: electromyographic correlates of robotic laparoscopic training

Surgical Endoscopy
Timothy N JudkinsNick Stergiou

Abstract

Robotic laparoscopic surgery has been shown to decrease task completion time, reduce errors, and decrease training time, as compared with manual laparoscopic surgery. However, current literature has not addressed the physiologic effects, in particular muscle responses, to training with a robotic surgical system. The authors seek to determine the frequency response of electromyographic (EMG) signals of specific arm and hand muscles with training using the da Vinci Surgical System. Seven right-handed medical students were trained in three tasks with the da Vinci Surgical System over 4 weeks. These subjects, along with eight control subjects, were tested before and after training. Electromyographic (EMG) signals were collected from four arm and hand muscles during the testing sessions, and the median EMG frequency and bandwidth were computed. The median frequency and frequency bandwidth both were increased after training for two of the three tasks. The results suggest that training reduces muscle fatigue as a result of faster and more deliberate movements. These changes occurred predominantly in muscles that were the dominant muscles for each task, whereas the more demanding task recruited more diverse motor units. An evaluation o...Continue Reading

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Citations

Dec 21, 2006·Surgical Endoscopy·Mohamed R AliBobby BhaskerRao
Apr 11, 2008·Surgical Endoscopy·Dimitrios KatsavelisNick Stergiou
Apr 30, 2008·Surgical Endoscopy·Timothy N JudkinsNick Stergiou
Oct 12, 2012·Surgical Endoscopy·Demetrios N Moris, Dimitrios Linos
Nov 1, 2009·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Kemp H KernstineIhab Beblawi
Apr 13, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Francisco J Pérez-DuarteJesús Usón-Gargallo
Dec 1, 2012·Journal of Robotic Surgery·Irene H SuhKa-Chun Siu
Nov 3, 2010·Clinical Biomechanics·Shane R WurdemanNicholas Stergiou
Dec 2, 2008·Journal of Biomechanics·Timothy N JudkinsNick Stergiou
Jun 21, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Irene SuhKa-Chun Siu
Nov 21, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·C FreschiA Cuschieri
Apr 23, 2013·Gait & Posture·Joshua L HaworthNicholas Stergiou
Sep 8, 2010·Surgical Innovation·Ka-Chun SiuNick Stergiou
Jan 1, 2008·Journal of Robotic Surgery·Timothy N JudkinsNick Stergiou
Jan 8, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Stefan MietzschMichael Boettcher
Nov 23, 2021·Frontiers in Robotics and AI·Benjamin GautierMustafa Suphi Erden

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