Forearm Muscle Activity Patterns during Open Thyroidectomy Using 8-Channel Surface Electromyography

Choi Yun Suk; Joo Hyun-jin; Ahn Jong-Hyuk; Kong Hyoun-Joong; Yi Jin Wook

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자료유형: 학술저널

저자정보: Choi Yun Suk (Department of Surgery Inha University Hospital Inha University College of Medicine Incheon Korea.) Joo Hyun-jin (Transdisciplinary Department of Medicine & Advanced Technology Seoul National University Hospit) Ahn Jong-Hyuk (Department of Surgery Seoul National University Hospital Seoul National University College of Medic) Kong Hyoun-Joong (Transdisciplinary Department of Medicine & Advanced Technology Seoul National University Hospit) Yi Jin Wook (Department of Surgery Inha University Hospital Inha University College of Medicine Incheon Korea.)

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제21권 제1호

발행연도: 2021.1

수록면: 27 - 37 (11page)

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Purpose: Quantitative analysis of forearm muscle movements during actual surgery has not yet been performed. The aim of this study was to evaluate forearm muscle activity patterns during open thyroid lobectomy using 8-channel surface electromyography, specifically Myo gesture-control arm bands Methods: We developed a raw-signal recording program based on output from a Myo device. Eight Myo electrodes were allocated to the following adjacent forearm muscles: pronator teres (PT), brachioradialis (BR), extensor carpi radialis & brevis (ECR), extensor digitorum (ED), extensor carpi ulnaris (ECU), flexor carpi ulnaris (FCU), palmaris longus (PL), and flexor carpi radialis (FCR). EMG signals were measured from the time of skin incision to the end of thyroid lobectomy. Root mean square (RMS) value was used to indicate muscle activity during surgery. Results: Total of 10 thyroid lobectomies (5 right and 5 left lobectomies) were performed with Myo devices. The right arm muscles had higher RMS values than the left arm muscles (mean RMS 632.427 versus 367.170, P<0.001). In the right arm, PT, BR, ECR, FCU, PL and FCR showed higher mean RMS values, which means that the right arm made a greater variety of movements than the left arm. Only ED and ECU showed higher mean RMS values in the left arm, which means that the left arm muscles acted to counteract the motion of the right arm. Conclusion: We are the first to quantitatively evaluate forearm muscle activity patterns during thyroid lobectomy. More detailed research will be needed to apply our results in other surgical fields.

#Electromyography #Muscle fatigue #Thyroidectomy #Ergonomics #Surgeons

참고문헌 (20)

참고문헌 신청

강상희 / 2015 / High Occupational Stress and Low Career Satisfaction of Korean Surgeons / Journal of Korean Medical Science 30(2):133~139

Stucky CH / 2018 / Surgeon symptoms, strain, and selections: systematic review and meta-analysis of surgical ergonomics / Ann Med Surg (Lond) 27:1~8

Szeto GP / 2013 / A comparison of surgeon's postural muscle activity during robotic-assisted and laparoscopic rectal surgery / J Robot Surg 7:305~308

Tenore FVG / 2009 / Decoding of individuated finger movements using surface electromyography / IEEE Trans Biomed Eng 56:1427~1434

Yoon SH / 2016 / Evaluation of surgeon's muscle fatigue during thoracoscopic pulmonary lobectomy using interoperative surface electromyography / J Thorac Dis 8:1162~1169

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이 논문의 저자 정보

Choi Yun Suk

소속기관 Department of Surgery Inha University Hospital Inha University College of Medicine Incheon Korea.