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吞咽过程中测量颏下肌肉活动的两种电极类型的比较

Comparison of Two Types of Electrodes for Measuring Submental Muscle Activity During Swallowing.

作者信息

Ihara Yoshiaki, Kato Hirotaka, Sunakawa Atsumi, Murakami Kouzou, Minoura Akira, Hirano Kojiro, Watanabe Yoshio, Yoshida Masaki, Kokaze Akatsuki, Ito Yoshinori

机构信息

Department of Oral Health Management, Division of Oral Functional Rehabilitation Medicine, Showa University School of Dentistry, Tokyo, JPN.

Department of Oral Rehabilitation Medicine, Showa University Graduate School of Dentistry, Tokyo, JPN.

出版信息

Cureus. 2024 May 6;16(5):e59726. doi: 10.7759/cureus.59726. eCollection 2024 May.

Abstract

PURPOSE

This study aimed to investigate the potential of a newly developed small electrode to accurately record muscle activity during swallowing.

MATERIAL AND METHODS

This study included 31 healthy participants. The participants underwent swallowing trials with three types of material. The recordings involved the following conditions: 1) swallowing saliva, 2) swallowing 3 mL water, and 3) swallowing 5 mL water. Two types of electrodes, a conventional electrode (CE) and a newly developed small electrode (NE), were symmetrically positioned on the skin over the suprahyoid muscle group, starting from the center. From the surface electromyography data, the swallowing duration (s), peak amplitude, and rising time (duration from swallowing onset to peak amplitude: s) were measured. Additionally, the equivalence of characteristics of the waveform of muscle activities was calculated by using the variance in both the upper and lower confidence limits in duration and rising time.

RESULTS

No significant differences in baseline, swallowing duration or rising time between the CE and NE were observed for any swallowing material. The peak amplitude was significantly higher for the NE than for the CE for all swallowing materials. The CE and NE displayed no significant difference in the equivalence of characteristics of the waveform of muscle activities for any swallowing material.

CONCLUSIONS

The gold-plated small electrodes utilized in this study indicated the ability to record the same characteristics of muscle activity as conventional electrodes. Moreover, it was able to capture the muscle activity of each muscle group with improved sensitivity in a narrow area, such as under the submandibular region, with more precision than that of conventional electrodes.

摘要

目的

本研究旨在探究一种新开发的小电极在吞咽过程中准确记录肌肉活动的潜力。

材料与方法

本研究纳入31名健康参与者。参与者使用三种类型的材料进行吞咽试验。记录涉及以下情况:1)吞咽唾液,2)吞咽3毫升水,3)吞咽5毫升水。两种类型的电极,即传统电极(CE)和新开发的小电极(NE),从中心开始对称放置在舌骨上肌群上方的皮肤上。从表面肌电图数据中,测量吞咽持续时间(秒)、峰值幅度和上升时间(从吞咽开始到峰值幅度的持续时间:秒)。此外,通过使用持续时间和上升时间的上下置信限的方差来计算肌肉活动波形特征的等效性。

结果

对于任何吞咽材料,CE和NE之间在基线、吞咽持续时间或上升时间方面均未观察到显著差异。对于所有吞咽材料,NE的峰值幅度均显著高于CE。对于任何吞咽材料,CE和NE在肌肉活动波形特征的等效性方面均未显示出显著差异。

结论

本研究中使用的镀金小电极显示出与传统电极记录相同肌肉活动特征的能力。此外,它能够在狭窄区域(如下颌下区域下方)以比传统电极更高的精度更灵敏地捕捉每个肌肉群的肌肉活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7037/11151711/fd82fd756a66/cureus-0016-00000059726-i01.jpg

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