Use of a Virtual Reality Simulator for Tendon Repair Training: Randomized Controlled Trial

BackgroundVirtual reality (VR) simulators have become widespread tools for training medical students and residents in medical schools. Students using VR simulators are provided with a 3D human model to observe the details by using multiple senses and they can participate in a...

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Main Authors: Tsz-Ngai Mok, Junyuan Chen, Jinghua Pan, Wai-Kit Ming, Qiyu He, Tat-Hang Sin, Jialin Deng, Jieruo Li, Zhengang Zha
Format: Article
Language:English
Published: JMIR Publications 2021-07-01
Series:JMIR Serious Games
Online Access:https://games.jmir.org/2021/3/e27544
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author Tsz-Ngai Mok
Junyuan Chen
Jinghua Pan
Wai-Kit Ming
Qiyu He
Tat-Hang Sin
Jialin Deng
Jieruo Li
Zhengang Zha
author_facet Tsz-Ngai Mok
Junyuan Chen
Jinghua Pan
Wai-Kit Ming
Qiyu He
Tat-Hang Sin
Jialin Deng
Jieruo Li
Zhengang Zha
author_sort Tsz-Ngai Mok
collection DOAJ
description BackgroundVirtual reality (VR) simulators have become widespread tools for training medical students and residents in medical schools. Students using VR simulators are provided with a 3D human model to observe the details by using multiple senses and they can participate in an environment that is similar to reality. ObjectiveThe aim of this study was to promote a new approach consisting of a shared and independent study platform for medical orthopedic students, to compare traditional tendon repair training with VR simulation of tendon repair, and to evaluate future applications of VR simulation in the academic medical field. MethodsIn this study, 121 participants were randomly allocated to VR or control groups. The participants in the VR group studied the tendon repair technique via the VR simulator, while the control group followed traditional tendon repair teaching methods. The final assessment for the medical students involved performing tendon repair with the “Kessler tendon repair with 2 interrupted tendon repair knots” (KS) method and the “Bunnell tendon repair with figure 8 tendon repair” (BS) method on a synthetic model. The operative performance was evaluated using the global rating scale. ResultsOf the 121 participants, 117 participants finished the assessment and 4 participants were lost to follow-up. The overall performance (a total score of 35) of the VR group using the KS method and the BS method was significantly higher (P<.001) than that of the control group. Thus, participants who received VR simulator training had a significantly higher score on the global rating scale than those who received traditional tendon repair training (P<.001). ConclusionsOur study shows that compared with the traditional tendon repair method, the VR simulator for learning tendon suturing resulted in a significant improvement of the medical students in the time in motion, flow of operation, and knowledge of the procedure. Therefore, VR simulator development in the future would most likely be beneficial for medical education and clinical practice. Trial RegistrationChinese Clinical Trial Registry ChiCTR2100046648; http://www.chictr.org.cn/hvshowproject.aspx?id=90180
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spelling doaj.art-12737b40c01043b8848c5f3cfb9a2dae2023-08-28T17:02:48ZengJMIR PublicationsJMIR Serious Games2291-92792021-07-0193e2754410.2196/27544Use of a Virtual Reality Simulator for Tendon Repair Training: Randomized Controlled TrialTsz-Ngai Mokhttps://orcid.org/0000-0002-4256-3333Junyuan Chenhttps://orcid.org/0000-0002-4973-7244Jinghua Panhttps://orcid.org/0000-0003-3741-3397Wai-Kit Minghttps://orcid.org/0000-0002-8846-7515Qiyu Hehttps://orcid.org/0000-0003-3062-5020Tat-Hang Sinhttps://orcid.org/0000-0002-5650-8845Jialin Denghttps://orcid.org/0000-0002-2373-4360Jieruo Lihttps://orcid.org/0000-0001-7025-2332Zhengang Zhahttps://orcid.org/0000-0002-5954-9618 BackgroundVirtual reality (VR) simulators have become widespread tools for training medical students and residents in medical schools. Students using VR simulators are provided with a 3D human model to observe the details by using multiple senses and they can participate in an environment that is similar to reality. ObjectiveThe aim of this study was to promote a new approach consisting of a shared and independent study platform for medical orthopedic students, to compare traditional tendon repair training with VR simulation of tendon repair, and to evaluate future applications of VR simulation in the academic medical field. MethodsIn this study, 121 participants were randomly allocated to VR or control groups. The participants in the VR group studied the tendon repair technique via the VR simulator, while the control group followed traditional tendon repair teaching methods. The final assessment for the medical students involved performing tendon repair with the “Kessler tendon repair with 2 interrupted tendon repair knots” (KS) method and the “Bunnell tendon repair with figure 8 tendon repair” (BS) method on a synthetic model. The operative performance was evaluated using the global rating scale. ResultsOf the 121 participants, 117 participants finished the assessment and 4 participants were lost to follow-up. The overall performance (a total score of 35) of the VR group using the KS method and the BS method was significantly higher (P<.001) than that of the control group. Thus, participants who received VR simulator training had a significantly higher score on the global rating scale than those who received traditional tendon repair training (P<.001). ConclusionsOur study shows that compared with the traditional tendon repair method, the VR simulator for learning tendon suturing resulted in a significant improvement of the medical students in the time in motion, flow of operation, and knowledge of the procedure. Therefore, VR simulator development in the future would most likely be beneficial for medical education and clinical practice. Trial RegistrationChinese Clinical Trial Registry ChiCTR2100046648; http://www.chictr.org.cn/hvshowproject.aspx?id=90180https://games.jmir.org/2021/3/e27544
spellingShingle Tsz-Ngai Mok
Junyuan Chen
Jinghua Pan
Wai-Kit Ming
Qiyu He
Tat-Hang Sin
Jialin Deng
Jieruo Li
Zhengang Zha
Use of a Virtual Reality Simulator for Tendon Repair Training: Randomized Controlled Trial
JMIR Serious Games
title Use of a Virtual Reality Simulator for Tendon Repair Training: Randomized Controlled Trial
title_full Use of a Virtual Reality Simulator for Tendon Repair Training: Randomized Controlled Trial
title_fullStr Use of a Virtual Reality Simulator for Tendon Repair Training: Randomized Controlled Trial
title_full_unstemmed Use of a Virtual Reality Simulator for Tendon Repair Training: Randomized Controlled Trial
title_short Use of a Virtual Reality Simulator for Tendon Repair Training: Randomized Controlled Trial
title_sort use of a virtual reality simulator for tendon repair training randomized controlled trial
url https://games.jmir.org/2021/3/e27544
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