Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis

Mary S. L. Goble; Nicholas Raison; Ayah Mekhaimar; Prokar Dasgupta; Kamran Ahmed

doi:10.1177/1553350621990480

Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis

Mary S. L. Goble, Nicholas Raison, Ayah Mekhaimar, Prokar Dasgupta, Kamran Ahmed

MRC Centre for Transplantation, Guy’s Hospital, King’s College London, UK
Department of Urology, Guy’s and St Thomas’ NHS Foundation Trust, King’s Health Partners, London, UK

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

Objective. Motor imagery (MI) is widely used to improve technical skills in sports and has been proven to be effective in neurorehabilitation and surgical education. This review aims to identify the key characteristics of MI protocols for implementation into surgical curricula. Design. This study is a systematic review and meta-analysis. PubMed, MEDLINE, Embase and PsycINFO databases were systematically searched. The primary outcome was the impact of MI training on measured outcomes, and secondary outcomes were study population, MI intervention characteristics, study primary outcome measure and subject rating of MI ability (systematic review registration: PROSPERO CRD42019121895). Results. 456 records were screened, 60 full texts randomising 2251 participants were reviewed and 39 studies were included in meta-analysis. MI was associated with improved outcome in 35/60 studies, and pooled analysis also showed improved outcome on all studies with a standardised mean difference of.39 (95% CI:.12,.67, P =.005). In studies where MI groups showed improved outcomes, the median duration of training was 24 days (mode 42 days), and the median duration of each individual MI session was 30 minutes (range <1 minute-120 minutes). Conclusions. MI training protocols for use in surgical education could have the following characteristics: MI training delivered in parallel to existing surgical training, in a flexible format; inclusion of a brief period of relaxation, followed by several sets of repetitions of MI and a refocusing period. This is a step towards the development of a surgical MI training programme, as a low-cost, low-risk tool to enhance practical skills.

Original language	English
Pages (from-to)	329-351
Number of pages	23
Journal	Surgical Innovation
Volume	28
Issue number	3
Early online date	12 Mar 2021
DOIs	https://doi.org/10.1177/1553350621990480
Publication status	Published - Jun 2021

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@article{da96834cd90743be9526e9469167418f,

title = "Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis",

abstract = "Objective. Motor imagery (MI) is widely used to improve technical skills in sports and has been proven to be effective in neurorehabilitation and surgical education. This review aims to identify the key characteristics of MI protocols for implementation into surgical curricula. Design. This study is a systematic review and meta-analysis. PubMed, MEDLINE, Embase and PsycINFO databases were systematically searched. The primary outcome was the impact of MI training on measured outcomes, and secondary outcomes were study population, MI intervention characteristics, study primary outcome measure and subject rating of MI ability (systematic review registration: PROSPERO CRD42019121895). Results. 456 records were screened, 60 full texts randomising 2251 participants were reviewed and 39 studies were included in meta-analysis. MI was associated with improved outcome in 35/60 studies, and pooled analysis also showed improved outcome on all studies with a standardised mean difference of.39 (95% CI:.12,.67, P =.005). In studies where MI groups showed improved outcomes, the median duration of training was 24 days (mode 42 days), and the median duration of each individual MI session was 30 minutes (range <1 minute-120 minutes). Conclusions. MI training protocols for use in surgical education could have the following characteristics: MI training delivered in parallel to existing surgical training, in a flexible format; inclusion of a brief period of relaxation, followed by several sets of repetitions of MI and a refocusing period. This is a step towards the development of a surgical MI training programme, as a low-cost, low-risk tool to enhance practical skills.",

author = "Goble, {Mary S. L.} and Nicholas Raison and Ayah Mekhaimar and Prokar Dasgupta and Kamran Ahmed",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Grant awarded from the Royal College of Surgeons. The funders had no involvement in the study design, the collection, analysis and interpretation of data; in the writing of the report and in the decision to submit the paper for publication. Publisher Copyright: {\textcopyright} The Author(s) 2021. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

month = jun,

doi = "10.1177/1553350621990480",

language = "English",

volume = "28",

pages = "329--351",

journal = "Surgical Innovation",

issn = "1553-3506",

publisher = "SAGE Publications Inc.",

number = "3",

}

TY - JOUR

T1 - Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis

AU - Goble, Mary S. L.

AU - Raison, Nicholas

AU - Mekhaimar, Ayah

AU - Dasgupta, Prokar

AU - Ahmed, Kamran

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Grant awarded from the Royal College of Surgeons. The funders had no involvement in the study design, the collection, analysis and interpretation of data; in the writing of the report and in the decision to submit the paper for publication. Publisher Copyright: © The Author(s) 2021. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/6

Y1 - 2021/6

N2 - Objective. Motor imagery (MI) is widely used to improve technical skills in sports and has been proven to be effective in neurorehabilitation and surgical education. This review aims to identify the key characteristics of MI protocols for implementation into surgical curricula. Design. This study is a systematic review and meta-analysis. PubMed, MEDLINE, Embase and PsycINFO databases were systematically searched. The primary outcome was the impact of MI training on measured outcomes, and secondary outcomes were study population, MI intervention characteristics, study primary outcome measure and subject rating of MI ability (systematic review registration: PROSPERO CRD42019121895). Results. 456 records were screened, 60 full texts randomising 2251 participants were reviewed and 39 studies were included in meta-analysis. MI was associated with improved outcome in 35/60 studies, and pooled analysis also showed improved outcome on all studies with a standardised mean difference of.39 (95% CI:.12,.67, P =.005). In studies where MI groups showed improved outcomes, the median duration of training was 24 days (mode 42 days), and the median duration of each individual MI session was 30 minutes (range <1 minute-120 minutes). Conclusions. MI training protocols for use in surgical education could have the following characteristics: MI training delivered in parallel to existing surgical training, in a flexible format; inclusion of a brief period of relaxation, followed by several sets of repetitions of MI and a refocusing period. This is a step towards the development of a surgical MI training programme, as a low-cost, low-risk tool to enhance practical skills.

AB - Objective. Motor imagery (MI) is widely used to improve technical skills in sports and has been proven to be effective in neurorehabilitation and surgical education. This review aims to identify the key characteristics of MI protocols for implementation into surgical curricula. Design. This study is a systematic review and meta-analysis. PubMed, MEDLINE, Embase and PsycINFO databases were systematically searched. The primary outcome was the impact of MI training on measured outcomes, and secondary outcomes were study population, MI intervention characteristics, study primary outcome measure and subject rating of MI ability (systematic review registration: PROSPERO CRD42019121895). Results. 456 records were screened, 60 full texts randomising 2251 participants were reviewed and 39 studies were included in meta-analysis. MI was associated with improved outcome in 35/60 studies, and pooled analysis also showed improved outcome on all studies with a standardised mean difference of.39 (95% CI:.12,.67, P =.005). In studies where MI groups showed improved outcomes, the median duration of training was 24 days (mode 42 days), and the median duration of each individual MI session was 30 minutes (range <1 minute-120 minutes). Conclusions. MI training protocols for use in surgical education could have the following characteristics: MI training delivered in parallel to existing surgical training, in a flexible format; inclusion of a brief period of relaxation, followed by several sets of repetitions of MI and a refocusing period. This is a step towards the development of a surgical MI training programme, as a low-cost, low-risk tool to enhance practical skills.

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U2 - 10.1177/1553350621990480

DO - 10.1177/1553350621990480

M3 - Article

SN - 1553-3506

VL - 28

SP - 329

EP - 351

JO - Surgical Innovation

JF - Surgical Innovation

IS - 3

ER -

Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis

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