The effect of sleep deprivation on fine motor coordination in obstetrics and gynecology residents

Am J Obstet Gynecol. 2008 Nov;199(5):576.e1-5. doi: 10.1016/j.ajog.2008.06.080. Epub 2008 Sep 25.

Abstract

Objective: The purpose of this study was to evaluate the effect of acute sleep deprivation on the fine motor coordination in obstetrics and gynecology residents.

Study design: Twenty-eight obstetrics and gynecology residents completed a series of tasks using the Purdue pegboard standardized protocol for testing fine motor coordination both before and after a 24-hour call.

Results: Twenty-three participants were women and 5 were men. There was a learning curve demonstrated for performance of the tasks. There was a statistically significant decline in performance of residents after overnight call. When adjusting for the learning curve, effects of sleep deprivation were magnified for all tasks: right (dominant) hand (P = .0005), left hand (P = .0020), both hands (P < .0001), and assembly (P < .0001). There were significant differences in performance when segregated by year of training and sex; female residents appeared to tolerate better lack of sleep.

Conclusion: Acute sleep deprivation has a deleterious effect on fine motor coordination in this group of obstetrics and gynecology residents.

MeSH terms

  • Female
  • Gynecology / education*
  • Humans
  • Internship and Residency*
  • Male
  • Obstetrics / education*
  • Psychomotor Performance / physiology*
  • Sleep Deprivation / physiopathology*