Dataset of prefrontal transcranial direct-current stimulation to improve early surgical knot-tying skills.

作者: Ara Darzi , Adam J Woods , Daniel R Leff , Harsimrat Singh , James Ashcroft

DOI: 10.1016/J.DIB.2021.106905

关键词: Low skilledPrefrontal cortexPhysical medicine and rehabilitationSubjective workloadKnot tyingTranscranial direct-current stimulationSurgical skillsMedicine

摘要: Abstract Transcranial direct-current stimulation (tDCS) has previously demonstrated promising effects in improving surgical performance with motor region [1] , [2] [3] [4] . However, extensive prior research revealed an important role of the prefrontal cortex skill development [5 6] This article presents data a double-blind randomized sham-controlled trial investigating effect tDCS on knot-tying [7] Data was collected from active (n = 20) and sham group across three blocks: pre-, online- (during) post-tDCS. Group block differences were analyzed using Generalized linear mixed model supported Friedman's test. Further sub-analyses conducted to compare high vs. low skilled individuals initial last knots. Subjective workload assessed after each SURG-TLX questionnaire side-effects recorded additional survey.

参考文章(14)
Richard W Homan, John Herman, Phillip Purdy, Cerebral location of international 10–20 system electrode placement Electroencephalography and Clinical Neurophysiology. ,vol. 66, pp. 376- 382 ,(1987) , 10.1016/0013-4694(87)90206-9
Daniel Richard Leff, Clare E. Elwell, Felipe Orihuela-Espina, Louis Atallah, David T. Delpy, Ara W. Darzi, Guang Zhong Yang, Changes in prefrontal cortical behaviour depend upon familiarity on a bimanual co-ordination task: an fNIRS study. NeuroImage. ,vol. 39, pp. 805- 813 ,(2008) , 10.1016/J.NEUROIMAGE.2007.09.032
Mark R. Wilson, Jamie M. Poolton, Neha Malhotra, Karen Ngo, Elizabeth Bright, Rich S. W. Masters, Development and Validation of a Surgical Workload Measure: The Surgery Task Load Index (SURG-TLX) World Journal of Surgery. ,vol. 35, pp. 1961- 1969 ,(2011) , 10.1007/S00268-011-1141-4
Prateek C. Gandiga, Friedhelm C. Hummel, Leonardo G. Cohen, Transcranial DC stimulation (tDCS): a tool for double-blind sham-controlled clinical studies in brain stimulation. Clinical Neurophysiology. ,vol. 117, pp. 845- 850 ,(2006) , 10.1016/J.CLINPH.2005.12.003
Mouza T. Goova, Lisa A. Hollett, Seifu T. Tesfay, Rajiv B. Gala, Nancy Puzziferri, Farid J. Kehdy, Daniel J. Scott, Implementation, construct validity, and benefit of a proficiency-based knot-tying and suturing curriculum. Journal of Surgical Education. ,vol. 65, pp. 309- 315 ,(2008) , 10.1016/J.JSURG.2008.04.004
Anna Fertonani, Clarissa Ferrari, Carlo Miniussi, What do you feel if I apply transcranial electric stimulation? Safety, sensations and secondary induced effects Clinical Neurophysiology. ,vol. 126, pp. 2181- 2188 ,(2015) , 10.1016/J.CLINPH.2015.03.015
Daniel J. Scott, Mouza T. Goova, Seifu T. Tesfay, A cost-effective proficiency-based knot-tying and suturing curriculum for residency programs. Journal of Surgical Research. ,vol. 141, pp. 7- 15 ,(2007) , 10.1016/J.JSS.2007.02.043
P. Ciechanski, A. Cheng, O. Damji, S. Lopushinsky, K. Hecker, Z. Jadavji, A. Kirton, Effects of transcranial direct-current stimulation on laparoscopic surgical skill acquisition: a randomized clinical trial Brain Stimulation. ,vol. 10, pp. 534- ,(2017) , 10.1016/J.BRS.2017.01.555
Patrick Ciechanski, Adam Cheng, Steven Lopushinsky, Kent Hecker, Liu Shi Gan, Stefan Lang, Kourosh Zareinia, Adam Kirton, Effects of Transcranial Direct-Current Stimulation on Neurosurgical Skill Acquisition: A Randomized Controlled Trial. World Neurosurgery. ,vol. 108, pp. 876- ,(2017) , 10.1016/J.WNEU.2017.08.123
Hemel Narendra Modi, Harsimrat Singh, Guang-Zhong Yang, Ara Darzi, Daniel Richard Leff, A decade of imaging surgeons' brain function (part II): A systematic review of applications for technical and nontechnical skills assessment. Surgery. ,vol. 162, pp. 1130- 1139 ,(2017) , 10.1016/J.SURG.2017.09.002