Effectiveness of Virtual Reality Training in Orthopaedic Surgery

Aïm, Florence; Lonjon, Guillaume; Hannouche, Didier; Nizard, Rémy

doi:10.1016/j.arthro.2015.07.023

Cited by 200 publications

(119 citation statements)

References 36 publications

(68 reference statements)

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“…That is, seductive details may be present in VR programs beyond the program currently studied, as certain essential aspects of VR may be seductive details (e.g., immersion and digital environment). Authors often assume that the natural allure of VR improves learning (Aïm et al, ; Alaker et al, ; Howard, ), but this notion is counter to research on seductive details (Lehman et al, ; Rey, ; Towler et al, ). Future research should continue integrating seductive detail research with the CBT and VR training literature.…”

Section: Discussionmentioning

confidence: 99%

“…A VR training program is a CBT in which instructional material is presented in a digital environment that permits user interaction and replicates a real or imagined space (Aïm et al, ; Gavish et al, ; Mirghani et al, ). Trainees navigate this space using an avatar in either a first‐ or third‐person perspective, wherein an avatar is a digital representation of the user—often taking the visual form of a human in VR training applications.…”

Section: Literature Reviewmentioning

confidence: 99%

“…“Why‐based” meta‐cognitive strategies are effective for longer training programs, whereas “think aloud” meta‐cognitive strategies are effective for shorter training programs (Mesmer‐Magnus & Viswesvaran, ). Some VR training programs require trainees to participate over extended periods of time (e.g., multiple hours), but current research and practices primarily focuses on shorter VR training programs that are applied to train a specific task (e.g., less than an hour; Ahlberg et al, ; Aïm et al, ; Alaker et al, ; Gavish et al, ; Johnson et al, ; Park & Lim, ). Due to the popularity of short VR training programs, we investigate the impact of “think aloud” meta‐cognitive strategies.Hypothesis “Think aloud” meta‐cognitive strategy pre‐training interventions result in greater learning from a VR training program . Hypothesis Seductive details in VR training programs prompt distraction .…”

Section: Literature Reviewmentioning

confidence: 99%

“…The popularity of virtual reality (VR), the computer‐generated simulation of a three‐dimensional environment with interactive capabilities, for organizational training purposes has greatly expanded with the advent of powerful computing technology. VR enables learning in a safe and controlled digital environment, and the technology can be implemented in an array of training contexts—the most popular and presently being used in healthcare and military applications (Aïm, Lonjon, Hannouche, & Nizard, ; Alaker, Wynn, & Arulampalam, ; Mirghani et al, ). Despite widespread use, notable concerns exist with the application of VR for training purposes.…”

Section: Introductionmentioning

confidence: 99%

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Pre‐training interventions to counteract seductive details in virtual reality training programs

Howard

Lee

2019

Human Resource Dev Quarterly

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We propose that (a) certain aspects of virtual reality (VR) training programs are seductive details, (b) these seductive details prompt trainee distraction and/or cognitive overload, and (c) pre‐training interventions can benefit learning from VR training programs by targeting these mechanisms. In Study 1, we apply a meta‐cognitive strategy pre‐training intervention, which targets distraction, and a habituation pre‐training intervention, which targets cognitive overload. Habituation had no effect, whereas meta‐cognitive strategies worsened learning. Qualitative results indicated the meta‐cognitive strategy intervention prompted trainees to become more cognitively engaged in the distracting seductive details of the VR training program. In Study 2, we tested an alternative pre‐training intervention, attentional advice, to reduce distraction and increase learning. The attentional advice pre‐training intervention was successful, as trainees demonstrated greater learning when provided attentional advice. Together, all proposals were supported. VR can contain seductive details that cause distraction, and attentional advice can improve learning by reducing distraction.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pre‐training interventions to counteract seductive details in virtual reality training programs

Howard

Lee

2019

Human Resource Dev Quarterly

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“…When developing skills, our senses (i.e., sight, hearing, taste, touch, and smell) are key to determine and fine-tune our responses [2]. These interactions and the correlation of all sensory modalities to convey information on the environment have been widely addressed [3] particularly, on how we perceive haptics and its influence on other senses, which can alter the experience for better or for worse [4].…”

Section: Introductionmentioning

confidence: 99%

Audio effects on haptics perception during drilling simulation

Valbuena

Uribe-Quevedo

Velasco-Vivas

2017

I2+D

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La realidad virtual ha proporcionado inmersión e interacción a través de entornos generados por computador que intentan reproducir experiencias de la vida real a través de estímulos sensoriales. El realismo puede lograrse a través de interacciones multimodales que pueden mejorar la inmersión y las interacciones si se diseñan adecuadamente. Los avances más notorios están relacionados con la computación gráfica, donde el foto-realismo es la tendencia actual. Asimismo, se tienen otros avances relacionados con el sonido, la háptica y en menor medida, el olfato y el gusto. En la actualidad, las características de los sistemas de realidad virtual (sonido visual-háptico) se están utilizando masivamente en entretenimiento (por ejemplo, cine, videojuegos, arte) y en otros escenarios (por ejemplo, inclusión social, educación, capacitación, terapia y turismo). Por otra parte, la reducción de costos de las tecnologías de realidad virtual ha dado lugar a la disponibilidad a nivel de consumo, de varios tipos de dispositivos hápticos. Dichos dispositivos ofrecen experiencias de baja fidelidad debido a las propiedades de los sensores, pantallas y otros dispositivos electromecánicos, que pueden no ser adecuados para experiencias de alta precisión o en situaciones reales que requieran destreza. Sin embargo, se han realizado investigaciones sobre cómo superar o compensar la falta de fidelidad para proporcionar una experiencia de usuario atractiva utilizando historias, interacciones multimodales y elementos de juego.Nuestro trabajo se centra en analizar los posibles efectos de la percepción auditiva sobre la retroalimentación háptica dentro de un escenario de perforación con taladro, que implica interacciones multimodales. Esta tarea tiene múltiples aplicaciones en medicina, elaboración y construcción. Comparamos dos escenarios en los que dos grupos de participantes tuvieron que perforar madera mientras escuchaban sonidos contextuales y no contextuales. Además, recopilamos su percepción utilizando una encuesta después de completar la tarea. A partir de los resultados, establecemos que el sonido influye en la percepción háptica, pero se requieren más experimentos para comprender mejor las implicaciones y posibles aplicaciones médicas.

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Use of Three‐Dimensional (3D) Airway Modeling and Virtual Reality for Diagnosis, Communication, and Surgical Planning of Complex Airway Stenosis

Cho,

Spirou,

Decker

et al. 2024

Head & Neck

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ObjectiveWe hypothesized that a method to segment human airways from clinical cases and import them into a case presentation environment in Virtual Reality (VR) could be developed to model and visualize complex airway stenosis for efficient surgical planning.MethodsOne normal and two pathological airways modeled from CT scans at a slice thickness of 0.625 mm were processed. A multidisciplinary team composed of airway surgeons, VR engineers, educators, and radiologists collaborated to create a clinically relevant VR rendering and explanatory Narrations of the three clinical cases. Segmentation and postprocessing were completed in the Mimics Innovation Suite v24 from Materialize. Structures were segmented from the level of bifurcation of common carotid arteries to the level of bifurcation of the main bronchi, including cartilaginous and bony airway structures, vessels, and soft tissues. They were then postprocessed into 3D image volumes and imported into syGlass (IstoVisio Inc.), a VR software.ResultsDirect visualization and free manipulation of these 3D airway models within the VR environment provided improved geometrical and anatomical details compared to traditional two‐dimensional (2D) CT. Then, specialized presentation and active learning tools developed for scientific communication using the VR environment permitted the creation of VR Narrations to explain pathological cases.ConclusionThe method to segment human airways from clinical cases used in this paper, combined with intuitive VR tools to overlay segmentation and image data in an active learning environment, shows potential in the use of 3D airway modeling and VR in clinical practice for the description and surgical planning of complex airways. Further work is needed to validate the use of these models in clinical practice and patient education.Level of EvidenceLevel 4.

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Effectiveness of Virtual Reality Training in Orthopaedic Surgery

Cited by 200 publications

References 36 publications

Pre‐training interventions to counteract seductive details in virtual reality training programs

Pre‐training interventions to counteract seductive details in virtual reality training programs

Audio effects on haptics perception during drilling simulation

Use of Three‐Dimensional (3D) Airway Modeling and Virtual Reality for Diagnosis, Communication, and Surgical Planning of Complex Airway Stenosis

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