Dominant Component in Muscle Fatigue Induced Hand Tremor during Laparoscopic Surgical Manipulation

Accuracy of laparoscopic surgery gets affected by the hand tremor of the surgeons. Though cognitive load is inevitable in such activity which promotes tremor, muscle fatigue induced tremor is significant among the most important sources of tremor. Characteristic of fatigue induced hand tremor and its dominant directional properties are reported in this work. For a fixed laparoscopic tool grip with temporally synchronized predefined task protocols, characteristics of fatigue induced tremors have been studied. Dominant component of tremor was found to be in the sagittal plane in case of both static and dynamic tasks. In order to relate it with the muscle fatigue level, spectral properties of surface electromyography (SEMG) were also investigated simultaneously. A study of transient effect on tool positioning was also included, which conjointly advocates the other experimental results on fatigue induced hand tremor as well.