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The validation of an instrumented simulator for the assessment of performance and outcome of knot tying skill: A pilot study

  • David Rojas
  • , Sayra Cristancho
  • , Claudia Rueda
  • , Lawrence Grierson
  • , Alex Monclou
  • , Adam Dubrowski

    Research output: Chapter in Book/Conference proceedingConference and proceedingspeer-review

    10 Scopus citations

    Abstract

    The construct validity of a surgical bench-top simulator with built-in computer acquired assessments was examined. It features two parallel elastic tubes instrumented with flexion sensors that simulate the walls of a wound. Participants from three groups (9 novices, 7 intermediates, 9 experts) performed 10 two-handed, double square knots. The peak tensions at the initiation of the first knot, the completion of the first knot and the completion of the second knot, as well as measures of movement economy indicated technical performance. Product quality was indicated by knot stability defined as the amount of slippage of the knot under the tension. There were significant differences between experts and novices for peak tension on first knot (p=.03), movement economy (p=.02), and knot stability (p=.002). The results support the construct validity of these objective measures.

    Original languageEnglish
    Title of host publicationMedicine Meets Virtual Reality 18
    Subtitle of host publicationNextMed, MMVR18
    PublisherIOS Press
    Pages517-523
    Number of pages7
    ISBN (Print)9781607507055
    DOIs
    StatePublished - 2011

    Publication series

    NameStudies in Health Technology and Informatics
    Volume163
    ISSN (Print)0926-9630
    ISSN (Electronic)1879-8365

    Keywords

    • Simulation
    • computer-based assessment
    • technical skills

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