Objective assessment of manual dexterity for surgeons

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Abstract/Contents

Abstract
I present the design and implementation of a manual dexterity assessment system that can measure hand movement data using Inertial Measurement Unit (IMU) sensors. These wireless sensors consist of a 3-axis accelerometer, a 3-axis gyroscope, and a 3-axis magnetometer; and record at the rate of 30 data samples per second. The Purdue Pegboard test and the O'Connor Tweezer Dexterity test are timed manual dexterity assessment tests with accomplishment measured by a single outcome metric -- speed. However, accuracy is often more important than speed in surgical tasks. I have modified both of these standardized tests to incorporate an assessment of accuracy. For the integrated system, I show the results of two validation studies: (1) Construct validity and (2) Concurrent validity. I also propose a new method to interpret hand movement data for objective assessment of manual dexterity, called EDGE (ElectroDextroGramExam). The EDGE model derives analogies from the gait analysis and the ECG (ElectroCardioGram). By dividing each cycle of a repetitive task into discrete phases, we can better understand the differences between the motion characteristics of a novice versus an expert surgeon. This would help in providing a meaningful feedback to the learners for improving their manual skills.

Description

Type of resource text
Form electronic; electronic resource; remote
Extent 1 online resource.
Publication date 2016
Issuance monographic
Language English

Creators/Contributors

Associated with Sharma, Pankaj
Associated with Stanford University, Department of Electrical Engineering.
Primary advisor Srivastava, Sakti
Thesis advisor Srivastava, Sakti
Thesis advisor Nishimura, Dwight George
Thesis advisor Shenoy, Krishna V. (Krishna Vaughn)
Advisor Nishimura, Dwight George
Advisor Shenoy, Krishna V. (Krishna Vaughn)

Subjects

Genre Theses

Bibliographic information

Statement of responsibility Pankaj Sharma.
Note Submitted to the Department of Electrical Engineering.
Thesis Thesis (Ph.D.)--Stanford University, 2016.
Location electronic resource

Access conditions

Copyright
© 2016 by Pankaj Sharma
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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