Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN 47907, USA.
Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN 47907, USA.
Sci Adv. 2019 Dec 13;5(12):eaay3210. doi: 10.1126/sciadv.aay3210. eCollection 2019 Dec.
Successful rehabilitation of oropharyngeal swallowing disorders (i.e., dysphagia) requires frequent performance of head/neck exercises that primarily rely on expensive biofeedback devices, often only available in large medical centers. This directly affects treatment compliance and outcomes, and highlights the need to develop a portable and inexpensive remote monitoring system for the telerehabilitation of dysphagia. Here, we present the development and preliminarily validation of a skin-mountable sensor patch that can fit on the curvature of the submental (under the chin) area noninvasively and provide simultaneous remote monitoring of muscle activity and laryngeal movement during swallowing tasks and maneuvers. This sensor patch incorporates an optimal design that allows for the accurate recording of submental muscle activity during swallowing and is characterized by ease of use, accessibility, reusability, and cost-effectiveness. Preliminary studies on a patient with Parkinson's disease and dysphagia, and on a healthy control participant demonstrate the feasibility and effectiveness of this system.
成功康复口咽吞咽障碍(即吞咽困难)需要频繁进行头颈部运动,这些运动主要依赖于昂贵的生物反馈设备,而这些设备通常仅在大型医疗中心才有。这直接影响到治疗的依从性和效果,凸显出开发一种便携式、低成本的远程吞咽困难康复监测系统的必要性。在这里,我们介绍了一种可贴在颏下(下巴下方)区域曲线上的皮肤贴式传感器贴片的开发和初步验证,该贴片可在吞咽任务和操作期间同时提供远程监测肌肉活动和喉部运动。这种传感器贴片采用了一种优化设计,可以准确记录吞咽过程中的颏下肌肉活动,具有使用方便、易于获取、可重复使用和成本效益高的特点。初步研究表明,该系统在帕金森病伴吞咽困难患者和健康对照参与者中具有可行性和有效性。