Getting to the Root of Fine Motor Skill Performance in Dentistry: Brain Activity During Dental Tasks in a Virtual Reality Haptic Simulation

• Published in: Journal of medical Internet research Vol. 19; no. 12; p. e371
• Main Authors: Perry, Suzanne, Bridges, Susan M, Zhu, Frank, Leung, W Keung, Burrow, Michael F, Poolton, Jamie, Masters, Rich Sw
• Format: Journal Article
• Language: English
• Published: Canada Gunther Eysenbach MD MPH, Associate Professor 12.12.2017; JMIR Publications
• Subjects: Blood flow; Brain activity; Brain research; Core curriculum; Cortex; Dental students; Dentistry; Network computers; Original Paper; Oxygen; Personality; Portable computers; Propensity; Psychomotor tasks; Sensors; Short term memory; Simulation; Skill development; Skills; Spectrum analysis; Students; Surgeons; Task performance; Virtual reality; United States > US; virtual reality; education, medical; fNIRS; dentistry; functional near-infrared spectroscopy; simulation; psychomotor skills training; spectroscopy, near-infrared
• ISSN: 1438-8871; 1439-4456; 1438-8871
• DOI: 10.2196/jmir.8046

There is little evidence considering the relationship between movement-specific reinvestment (a dimension of personality which refers to the propensity for individuals to consciously monitor and control their movements) and working memory during motor skill performance. Functional near-infrared spectroscopy (fNIRS) measuring oxyhemoglobin demands in the frontal cortex during performance of virtual reality (VR) psychomotor tasks can be used to examine this research gap. The aim of this study was to determine the potential relationship between the propensity to reinvest and blood flow to the dorsolateral prefrontal cortices of the brain. A secondary aim was to determine the propensity to reinvest and performance during 2 dental tasks carried out using haptic VR simulators. We used fNIRS to assess oxygen demands in 24 undergraduate dental students during 2 dental tasks (clinical, nonclinical) on a VR haptic simulator. We used the Movement-Specific Reinvestment Scale questionnaire to assess the students' propensity to reinvest. Students with a high propensity for movement-specific reinvestment displayed significantly greater oxyhemoglobin demands in an area associated with working memory during the nonclinical task (Spearman correlation, r =.49, P=.03). This small-scale study suggests that neurophysiological differences are evident between high and low reinvesters during a dental VR task in terms of oxyhemoglobin demands in an area associated with working memory.