Haptic Simulation for Acupuncture Needle Manipulation

Lee, In Seon; Lee, Taehyung; Shin, Woo Chul; Wallraven, Christian; Lee, Hyangsook; Park, Hi-Joon; Lee, Hyejung; Chae, Younbyoung

doi:10.1089/acm.2013.0475

Cited by 14 publications

(13 citation statements)

References 18 publications

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“…We have recently developed and validated an artificial human model based on biomechanical force characteristics similar to human acupoints for acupuncture manipulation training [ 12 ]. Our artificial phantom acupoint device has several strong points, such as being inexpensive and portable and providing easy handling of the acupuncture needle.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Phantom-Based Education System for Acupuncture Manipulation

Lee

Park

et al. 2015

PLoS ONE

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BackgroundAlthough acupuncture manipulation has been regarded as one of the important factors in clinical outcome, it has been difficult to train novice students to become skillful experts due to a lack of adequate educational program and tools.ObjectivesIn the present study, we investigated whether newly developed phantom acupoint tools would be useful to practice-naïve acupuncture students for practicing the three different types of acupuncture manipulation to enhance their skills.MethodsWe recruited 12 novice students and had them practice acupuncture manipulations on the phantom acupoint (5% agarose gel). We used the Acusensor 2 and compared their acupuncture manipulation techniques, for which the target criteria were depth and time factors, at acupoint LI11 in the human body before and after 10 training sessions. The outcomes were depth of needle insertion, depth error from target criterion, time of rotating, lifting, and thrusting, time error from target criteria and the time ratio.ResultsAfter 10 training sessions, the students showed significantly improved outcomes in depth of needle, depth error (rotation, reducing lifting/thrusting), thumb-forward time error, thumb-backward time error (rotation), and lifting time (reinforcing lifting/thrusting).ConclusionsThe phantom acupoint tool could be useful in a phantom-based education program for acupuncture-manipulation training for students. For advanced education programs for acupuncture manipulation, we will need to collect additional information, such as patient responses, acupoint-specific anatomical characteristics, delicate tissue-like modeling, haptic and visual feedback, and data from an acupuncture practice simulator.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Phantom-Based Education System for Acupuncture Manipulation

Lee

Park

et al. 2015

PLoS ONE

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“…최근 중국 및 미국에서 捻轉 및 提揷-徐疾 수기법을 중심으로 침 자 수기법의 움직임을 계량화하고자 수기법 수행 동안 침 의 움직임을 기록하는 다양한 장비들이 개발된 바 있다 3,4) . 이 장비들을 통해 적합한 수기법의 양식이나 수기법 표준 화를 위한 연구들이 이루어진 바 있으며 5,6) , 또한 이러한 내용을 침자 수기법 교육에 활용하려는 노력들이 진행되고 있다 7,8) .…”

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“…침구의학분야에서도 최 근 침자 수기법의 교육을 위해 도구로서 일상생활에서 쉽 게 구할 수 있는 물품 중에서 족삼리 경혈 자침 시 시술자 의 침감 및 침-조직 사이의 점성계수에 가장 가까운 도구 를 제시하였다 12) . 또한 본 연구진의 사전 연구에서, 다양한 농도의 아가로즈 젤(agarose gel)을 이용하여 인체 주요 경혈부위에서 측정된 침 -조직 사이 점성계수에 기반을 둔 최적의 팬텀경혈 모델을 제시하기도 하였다 8) . 그러나 침자 수기법 교육 시 학습되어야 할 침자 수기법의 구체적 인 손의 움직임 형태를 교육 대상자에게 어떤 방식으로 표 현하여 전달해야하는지, 교육 대상자가 수행한 수기법을 어떻게 평가하고 피드백을 주어야하는지에 대한 연구는 부 재한 실정이다.…”

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Development of Acupuncture Manipulation Education System

Lim¹,

Jung²,

Lee³

et al. 2014

The Acupuncture

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Objectives : Acupuncture manipulation, a kind of sophisticated hand movements, has been considered a fundamental skill for acupuncture practice. In this study, we aimed to develop acupuncture manipulation education system(AMES) using visual feedback of acupuncture manipulation. We also investigated whether or not acupuncture practice-naïve students could enhance their acupuncture manipulation skills after AMES training. Methods : Using AMES and motion sensor, we visualized a time-series motion template(intended motion) and participant's own motion(actual motion) manipulating an acupuncture needle. Ten students were trained with complex lifting/thrusting techniques for 8 training trials. We compared the motion pattern error of the students between the first and the last trials. Results : In our pilot experiment, half of the participants showed significantly improved manipulation skills in complex lifting/thrusting techniques after training with AMES which is developed in this study, while the other half of the participants did not show significant improvements. Conclusions : The AMES could be useful in acupuncture-manipulation training for students. Our findings suggest that novice can improve sophisticated hand movement for acupuncture manipulation with sensorimotor learning using visual feedback.

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“…The introduction of a body part model in acupuncture education is very useful for the learner. Body parts or organ sets have been created, and others have developed a 3-D interactive virtual environment, phantoms or integrated platforms to assist learners in acupuncture training [22][23][24][25]. However, such types of models or virtual training simulation systems still cannot provide sensations similar to those felt when practicing on the human body.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Detection Acupuncture Needling Training: Description of the Method

Chen¹,

Hou²

2019

Acupuncture - Resolving Old Controversies and Pointing New Pathways

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Acupuncture is unique to Chinese medicine and is widely used in practice. In order to avoid the complication of pneumothorax due to needle puncture of the lungs, we developed an ultrasound detection acupuncture (UDA) approach to measure the safe needle depth to improve patient safety. This study established a UDA training program and recruited trainees in our hospital to validate the effectiveness of the program. The trainees attended an eight-hour course, and practiced their skills using an acupuncture simulator model of GB21. Pre-and post-test data were analyzed. The level of satisfaction of the trainees was assessed by interview. In total, 16 trainees completed the course. Kendall's coefficient for the program was 0.82, and the average CVI was 0.98, showing good reliability and validity. Trainees exhibited significant improvement in terms of reduction of the incidence of pneumothorax after completing the course (P < 0.05), and the trainees were satisfied with the teaching of the ultrasound skill. Feedback from interviews showed that use of ultrasound to measure the safe needle depth may improve the mastery of acupuncture point GB21 and reduce the fear of causing pneumothorax.

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Haptic Simulation for Acupuncture Needle Manipulation

Abstract: Application of force-validated phantom acupoints based on human data will be a helpful tool for training and will contribute to a more comprehensive understanding of the characteristics of acupuncture manipulation.

Cited by 14 publications

References 18 publications

Evaluation of Phantom-Based Education System for Acupuncture Manipulation

Evaluation of Phantom-Based Education System for Acupuncture Manipulation

Development of Acupuncture Manipulation Education System

Ultrasound Detection Acupuncture Needling Training: Description of the Method

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