Autonomic stress response of physiotherapy student in the different scenarios of an objective structured clinical examination

Background: As medical education evolves, innovative methods like virtual reality (VR) and 3D-printed mannequins are increasingly used to simulate high-stress medical scenarios realistically. This study investigates the effectiveness of VR and 3D-printed mannequins in replicating stress levels during pericardiocentesis training, comparing their impact on the emotional and physiological responses of learners. Methods: We enrolled 108 final-year medical students who were randomized to train with both VR and 3D-printed mannequins. Heart rate variability (HRV) analysis was employed to assess stress responses. Additionally, a secondary analysis examined the influence of demographic factors, lifestyle, medication use, and academic stress on these responses. Results: Both VR and traditional mannequin-based training methods proved equally effective in simulating the stress levels encountered in real medical procedures. Our findings indicate significant interactions between stress markers and demographic factors, which highlights the complex nature of stress responses in medical education and underscores the necessity for personalized training approaches. Conclusion: The study validates the use of VR as a viable alternative to traditional mannequins, capable of simulating the technical skills and emotional pressures of medical procedures such as pericardiocentesis. Incorporating VR into medical training programs may enhance learning outcomes and accessibility, particularly in settings constrained by resources.

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Influence of Combined Transcranial and Peripheral Electromagnetic Stimulation on the Autonomous Nerve System on Delayed Onset Muscle Soreness in Young Athletes. A Randomized Clinical Trial.

Keirven,

Sierra,

González-de-la-Flor

et al. 2024

Preprint

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Background Delayed Onset Muscle Soreness (DOMS) has been extensively studied by scientists and sports teams over the last few decades. Eccentric exercises impact physiology and recovery, as shown in recent studies. This study investigates the effects of combined transcranial and peripheral electromagnetic stimulation on the autonomic nervous system in 48 young athletes. Participants were divided into four groups: Control (n = 12), Peripheral (n = 13), Transcranial (n = 11), and Combined (n = 12). The autonomic nervous system was assessed through Heart Rate Variability (HRV) monitoring before and after the eccentric session that induced DOMS and at 24h, 48h, and 72h post-session. Results The Combined Group showed increased activation in various HRV parameters, including LF (p < 0.001), HF (p < 0.001), and the LF/HF power ratio (p < 0.001). These results indicate that combined transcranial and peripheral electromagnetic stimulation enhances recovery in athletes after 72 hours. Conclusions Paired-associative electromagnetic stimulation positively influences the autonomic nervous system response in young athletes, promoting recovery without disrupting the typical physiological recovery process in DOMS.

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Autonomic stress response of physiotherapy student in the different scenarios of an objective structured clinical examination

Cited by 3 publications

References 39 publications

Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests

Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests

Comparative Analysis of Stress Responses in Medical Students Using Virtual Reality Versus Traditional 3D-Printed Mannequins for Pericardiocentesis Training

Influence of Combined Transcranial and Peripheral Electromagnetic Stimulation on the Autonomous Nerve System on Delayed Onset Muscle Soreness in Young Athletes. A Randomized Clinical Trial.

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