Improvement of A Simulator Production Project for Abdominal Palpation in Kampo Medical Training

Yakubo, Shuji; Kinoshita, Yuko; Aki, Tatsuhiko; Ota, Hiroshi

doi:10.3937/kampomed.59.595

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…Given that Kampo education is in its infancy in Japan, however, and given that abdominal diagnosis is a technique native to Japan, there existed no simulator that could be used for training in this technique. That prompted our development of the Fukushin simulator .…”

Section: Discussionmentioning

confidence: 99%

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Modification of an abdominal diagnosis teaching simulator to reproduce patterns of resistance to pressure

Yakubo

Ueda

Muroga

et al. 2015

Traditional & Kampo Medicine

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Aim Within the Kampo medical system, there exists a system specific to Japan of abdominal diagnosis called abdominal palpation, or Fukushin, which is used to obtain a holistic picture, called an abdominal pattern, of the physical indications in the abdominal area. In order to educate students in this system, we have devised and continued to develop a Fukushin simulator, incorporating various improvements as appropriate. The present study describes some recent additions to the model with the aim of increasing its applicability across a broad range of abdominal patterns. Methods The simulator is modeled on the abdomen of a healthy adult man, from which we took a mold using flexible silicon resin. To increase the resistance in some areas, we used urethane foam mixed with silicon rubber or attached parts consisting of silicon rubber; to reduce the resistance to pressure in other areas, we used urethane foam in small quantities. Results By such adjustments, we were able to reproduce patterns seen frequently in abdominal palpation, that is, stuffiness and rigidity below the heart, rectus muscle tension, fullness in the chest and hypochondrium, and lower abdominal fullness, each marked by localized increases in resistance to touch; and lower abdominal numbness, marked by a localized reduction in resistance to touch. Conclusion It is expected that the simulator will make an important contribution not only to medical education but also to the standardization of abdominal diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…Given that training in abdominal diagnosis is very difficult, we have, as previously reported, developed a Fukushin simulator . This consists of several abdominal models representing the most common or representative abdominal patterns.…”

Section: Introductionmentioning

confidence: 99%

Modification of an abdominal diagnosis teaching simulator to reproduce patterns of resistance to pressure

Yakubo

Ueda

Muroga

et al. 2015

Traditional & Kampo Medicine

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“…[20][21][22][23][24][25][26] Robotics research has also attempted the development of technologies for medical teleoperation [27][28][29][30] and medical training, such as haptic palpation training systems, [31][32][33][34] and virtual reality training systems. 7,35,36 Finally, efforts have been made in applying machine learning for tumor localization and classification. [37][38][39][40][41] Within this body of existing work, there has been limited investigation of the impact of introducing diversity and complexity into the trajectory of the robot hand/probe during palpation.…”

Section: Introductionmentioning

confidence: 99%

Action Augmentation of Tactile Perception for Soft-Body Palpation

et al. 2022

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Medical palpation is a diagnostic technique in which physicians use the sense of touch to manipulate the soft human tissue. This can be done to enable the diagnosis of possibly life-threatening conditions, such as cancer. Palpation is still poorly understood because of the complex interaction dynamics between the practitioners' hands and the soft human body. To understand this complex of soft body interactions, we explore robotic palpation for the purpose of diagnosing the presence of abnormal inclusions, or tumors. Using a Bayesian framework for training and classification, we show that the exploration of soft bodies requires complex, multi-axis, palpation trajectories. We also find that this probabilistic approach is capable of rapidly searching the large action space of the robot. This work progresses ''robotic'' palpation, and it provides frameworks for understanding and exploiting soft body interactions.

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“…However, it is very difficult to learn the Kampo style of abdominal palpation. Yakubo et al attempted to simplify the learning process by building models of the typical anatomical abdomen for training [5]. Similar simulators are already used in medical education for other phenomena such as cardiac diseases, and are recognized as being useful [6,7].…”

Section: Introductionmentioning

confidence: 99%

Anatomical factors influencing traditional abdominal examination in Kampo diagnosis: Analysis by computed tomography

Shimada

Namiki

Hirasaki

et al. 2020

Traditional & Kampo Medicine

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Aim In Japanese‐Oriental (Kampo) medicine, the abdominal examination is an important diagnostic method. We examined the influence of anatomical factors in Kampo medicine on the Kampo diagnosis of abdominal aortic pulsation using abdominal computed tomography (CT). Methods Our subjects were 67 patients (34 men, 33 women; average age: 61.4 ± 16.3 years) who underwent abdominal CT in the Department of Japanese‐Oriental ‘Kampo’ Medicine at Chiba University Hospital. We measured the depth of the abdominal artery from the midline of the body surface and the blood vessel diameter at that point, and calculated the averages of these parameters among all patients at three locations of abdominal aortic pulsation (epigastrium, supra‐umbilical region, and infra‐umbilical region) on the CT section. Results The detection rate of abdominal aortic pulsation was highest in the supra‐umbilical region (30%), followed by the epigastrium (21%) and the infra‐umbilical region (15%). The average depth of the aorta from the body surface was shallowest in the supra‐umbilical region (74.9 mm) and deepest at the epigastrium (103.5 mm). As the depth of the artery decreased at the epigastrium and supra‐umbilical region, significant abdominal aortic pulsation was observed (P = 0.006 and P = 0.001, respectively). Conclusion Our study demonstrates that abdominal aortic pulsation is anatomically associated with the depth of the artery. The supra‐umbilical region appeared to be the most suitable location for evaluating abdominal aortic pulsation, as the aortic artery is shallowest at that point and is least influenced by the depth of the abdominal artery.

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Improvement of A Simulator Production Project for Abdominal Palpation in Kampo Medical Training

Cited by 6 publications

References 4 publications

Modification of an abdominal diagnosis teaching simulator to reproduce patterns of resistance to pressure

Modification of an abdominal diagnosis teaching simulator to reproduce patterns of resistance to pressure

Action Augmentation of Tactile Perception for Soft-Body Palpation

Anatomical factors influencing traditional abdominal examination in Kampo diagnosis: Analysis by computed tomography

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