Training Effects of Visual Stroboscopic Impairment on Surgical Performance: A Randomized-Controlled Trial

Zavlin, Dmitry; Chegireddy, Vishwanath; Nguyen-Lee, John J.; Shih, Linden; Nia, Anna M.; Friedman, Jeffrey D.; Echo, Anthony

doi:10.1016/j.jsurg.2018.07.018

Cited by 4 publications

(12 citation statements)

References 25 publications

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“…Five different commercially available brands of eyewear device were used to provide stroboscopic visual disruption across the 15 studies ( Table 2 ). The most common devices to feature in the studies were the Nike Vapor Strobe (Nike, Beaverton, OR) ( n = 7) [ 9 , 15 , 18 , 43 , 44 , 49 ] and the newer version of the eyewear, the Senaptec Strobes ( n = 4) [ 40 , 41 , 47 , 50 , 51 ]. Other devices included the Visionup Strobe glasses ( n = 1) [ 42 ], Plato goggles ( n = 2) [ 46 , 48 ], and MJ Impulse ( n = 1) [ 16 ].…”

Section: Resultsmentioning

confidence: 99%

Stroboscopic visual training: The potential for clinical application in neurological populations

Das,

Walker,

Barry

et al. 2023

PLOS Digit Health

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Visual problems are common in people who have neurological injury or disease, with deficits linked to postural control and gait impairment. Vision therapy could be a useful intervention for visual impairment in various neurological conditions such as stroke, head injury, or Parkinson’s disease. Stroboscopic visual training (SVT) has been shown to improve aspects of visuomotor and cognitive performance in healthy populations, but approaches vary with respect to testing protocols, populations, and outcomes. The purpose of this structured review was to examine the use of strobe glasses as a training intervention to inform the development of robust protocols for use in clinical practice. Within this review, any studies using strobe glasses as a training intervention with visual or motor performance–related outcomes was considered. PubMed, Scopus, and ProQuest databases were searched in January 2023. Two independent reviewers (JD and RM) screened articles that used strobe glasses as a training tool. A total of 33 full text articles were screened, and 15 met inclusion/exclusion criteria. Reported outcomes of SVT included improvements in short–term memory, attention, and visual response times, with emerging evidence for training effects translating to balance and physical performance. However, the lack of standardisation across studies for SVT protocols, variation in intervention settings, duration and outcomes, and the limited evidence within clinical populations demonstrates that further work is required to determine optimal strobe dosage and delivery. This review highlights the potential benefits, and existing research gaps regarding the use of SVT in clinical practice, with recommendations for clinicians considering adopting this technology as part of future studies in this emerging field.

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Section: Resultsmentioning

confidence: 99%

Stroboscopic visual training: The potential for clinical application in neurological populations

Das,

Walker,

Barry

et al. 2023

PLOS Digit Health

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“…The current prevailing theory postulates that increased utilization of kinesthetic and proprioceptive sensory cues compensates for altered visual flow and aids in skill acquisition. 24,25 Our study was completed on silicone suture pads that, while widely available, convenient, and cheap, do not replicate real tissues that will likely be encountered in clinical settings. Similar materials have been utilized in other, similar studies, but we cannot say if conclusions drawn from training protocols on these materials would have a sizeable impact on outcome of suturing in real human tissues.…”

Section: Discussionmentioning

confidence: 99%

“…The current prevailing theory postulates that increased utilization of kinesthetic and proprioceptive sensory cues compensates for altered visual flow and aids in skill acquisition. 24,25…”

Section: Discussionmentioning

confidence: 99%

“…5,[10][11][12][15][16][17][18][19] Studies have shown that structured or repeated suture training enhances trainee suture quality, and the addition of stroboscopic goggles to training has been shown to be of further benefit. 2,3,[20][21][22][23][24][25][26] With advanced practice techniques, acquisition of motor skills can be enhanced and made more efficient. 14 Zavlin et al 24 demonstrated that stroboscopic goggles subjectively improve suture quality as assessed by self-reported anxiety and mental workload questionnaires.…”

Section: Introductionmentioning

confidence: 99%

“…2,3,[20][21][22][23][24][25][26] With advanced practice techniques, acquisition of motor skills can be enhanced and made more efficient. 14 Zavlin et al 24 demonstrated that stroboscopic goggles subjectively improve suture quality as assessed by self-reported anxiety and mental workload questionnaires. Other studies have used subjective assessment as a rating of suturing accuracy; [25][26][27][28][29][30] however, no prior studies have objectively measured the impact of stroboscopic goggle use on suture accuracy and precision.…”

Section: Introductionmentioning

confidence: 99%

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Use of Stroboscopic Goggles in Suture Training Improves Precision and Accuracy

Hinton,

Brantley,

Berulava

et al. 2023

The American Surgeon™

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Background This study aimed to quantify the impact of intermittent visual occlusion via stroboscopic goggles on suture accuracy and precision. Methods This crossover study recruited and randomized 72 graduate students to train with stroboscopic goggles early or late in structured suture practice. Participants completed assessments of 10 running sutures with 2 training sessions between baseline and follow-up assessments. The procedure was repeated after crossover. Suture photos were analyzed using ImageJ. Total error among all measurements represented accuracy; standard deviation of error represented precision. Intra- and inter-group trends were identified with Wilcoxon rank-sum tests. Results Both groups significantly improved in accuracy in the sessions immediately following goggle use, but the group that used goggles later in training continued improving in accuracy and precision while the group that trained with stroboscopic goggles early plateaued. Conclusions Using stroboscopic goggles showed quantifiable benefit for augmenting suture training with greatest effect after initial skill acquisition is completed.

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An early review of stroboscopic visual training: insights, challenges and accomplishments to guide future studies

Wilkins

Appelbaum

2019

International Review of Sport and Exercise Psychology

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Training Effects of Visual Stroboscopic Impairment on Surgical Performance: A Randomized-Controlled Trial

Cited by 4 publications

References 25 publications

Stroboscopic visual training: The potential for clinical application in neurological populations

Stroboscopic visual training: The potential for clinical application in neurological populations

Use of Stroboscopic Goggles in Suture Training Improves Precision and Accuracy

An early review of stroboscopic visual training: insights, challenges and accomplishments to guide future studies

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