Measurement of laryngeal elevation time using a flexible surface stretch sensor.
laryngeal elevation
laryngeal elevation time
stretch sensor
thyroid cartilage
videofluorography swallowing dynamics
Journal
Journal of oral rehabilitation
ISSN: 1365-2842
Titre abrégé: J Oral Rehabil
Pays: England
ID NLM: 0433604
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
06
03
2020
revised:
08
08
2020
accepted:
11
08
2020
pubmed:
20
8
2020
medline:
28
11
2020
entrez:
20
8
2020
Statut:
ppublish
Résumé
Dysphagia is a growing health problem in aging societies. An observational cohort study targeting community-dwelling populations revealed that 16% of elderly subjects present with dysphagia. There is a need in elderly communities for systematic dysphagia assessment. This study aimed to verify whether laryngeal elevation in the pharyngeal phase could be measured from the body surface using thin and flexible stretch sensors. Thirty-two elderly subjects (17 males, 15 females; mean age ± SD: 89.2 ± 6.2 years) with suspected dysphagia underwent a swallowing contrast examination in which seven stretch sensors were attached to the front of the neck. The elongation of the sensors was measured and compared to the laryngeal elevation time values obtained using videofluorography. The sensor signal detected the laryngeal elevation start time, conclusion of the descent of the larynx, and the laryngeal elevation time. The respective laryngeal elevation times obtained using videofluorography and using the sensor were compared using the Bland-Altman method. The laryngeal elevation time was 1.34 ± 0.46 s with the stretch sensor and 1.49 ± 0.56 s with videofluorography. There was a significant positive correlation between the duration obtained by both methods (r = .69, P < .0001). A negative additional significant bias of -0.15 s (95% confidence interval -0.30 to -0.03, P = .046) was noted in the laryngeal elevation time from the videofluorography measurement. Laryngeal elevation time can be measured non-invasively from the neck surface using stretch sensors.
Sections du résumé
BACKGROUND
BACKGROUND
Dysphagia is a growing health problem in aging societies. An observational cohort study targeting community-dwelling populations revealed that 16% of elderly subjects present with dysphagia. There is a need in elderly communities for systematic dysphagia assessment.
OBJECTIVE
OBJECTIVE
This study aimed to verify whether laryngeal elevation in the pharyngeal phase could be measured from the body surface using thin and flexible stretch sensors.
METHODS
METHODS
Thirty-two elderly subjects (17 males, 15 females; mean age ± SD: 89.2 ± 6.2 years) with suspected dysphagia underwent a swallowing contrast examination in which seven stretch sensors were attached to the front of the neck. The elongation of the sensors was measured and compared to the laryngeal elevation time values obtained using videofluorography. The sensor signal detected the laryngeal elevation start time, conclusion of the descent of the larynx, and the laryngeal elevation time. The respective laryngeal elevation times obtained using videofluorography and using the sensor were compared using the Bland-Altman method.
RESULTS
RESULTS
The laryngeal elevation time was 1.34 ± 0.46 s with the stretch sensor and 1.49 ± 0.56 s with videofluorography. There was a significant positive correlation between the duration obtained by both methods (r = .69, P < .0001). A negative additional significant bias of -0.15 s (95% confidence interval -0.30 to -0.03, P = .046) was noted in the laryngeal elevation time from the videofluorography measurement.
CONCLUSION
CONCLUSIONS
Laryngeal elevation time can be measured non-invasively from the neck surface using stretch sensors.
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1489-1495Subventions
Organisme : Bando Chemical Industries, Ltd.
Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
Baijens LW, Clave P, Cras P, et al. European society for swallowing disorders - European Union geriatric medicine society white paper: Oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging. 2016;11:1403-1428.
Wirth R, Dziewas R, Beck AM, et al. Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting. Clin Interv Aging. 2016;11:189-208.
Achem SR, Devault KR. Dysphagia in aging. J Clin Gastroenterol. 2005;39(5):357-371.
Ertekin C, Aydogdu I. Neurophysiology of swallowing. Clin Neurophysiol. 2003;114(12):2226-2244.
Burnett TA, Mann EA, Cornell SA, Ludlow CL. Laryngeal elevation achieved by neuromuscular stimulation at rest. J Appl Physiol. 2003;94(1):128-134.
Pearson WG Jr, Davidoff AA, Smith ZM, Adams DE, Langmore SE. Impaired swallowing mechanics of post radiation therapy head and neck cancer patients: a retrospective videofluoroscopic study. World J Radiol. 2016;8(2):192-199.
Steele CM, Bailey GL, Chau T, et al. The relationship between hyoid and laryngeal displacement and swallowing impairment. Clin Otolaryngol. 2011;36(1):30-36.
Kahrilas PJ, Lin S, Rademaker AW, Logemann JA. Impaired deglutitive airway protection: a videofluoroscopic analysis of severity and mechanism. Gastroenterology. 1997;113(5):1457-1464.
Logemann JA, Pauloski BR, Rademaker AW, Colangelo LA, Kahrilas PJ, Smith CH. Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men. J Speech Lang Hear Res. 2000;43(5):1264-1274.
Sonies BC, Wang C, Sapper DJ. Evaluation of normal and abnormal hyoid bone movement during swallowing by use of ultrasound duplex-Doppler imaging. Ultrasound Med Biol. 1996;22(9):1169-1175.
Chi-Fishman G, Sonies BC. Effects of systematic bolus viscosity and volume changes on hyoid movement kinematics. Dysphagia. 2002;17(4):278-287.
Yabunaka K, Sanada H, Sanada S, et al. Sonographic assessment of hyoid bone movement during swallowing: a study of normal adults with advancing age. Radiol Phys Technol. 2011;4(1):73-77.
Sogawa Y, Kimura S, Harigai T, et al. New swallowing evaluation using piezoelectricity in normal individuals. Dysphagia. 2015;30(6):759-767.
Li Q, Hori K, Minagi Y, et al. Development of a system to monitor laryngeal movement during swallowing using a bend sensor. PLoS ONE. 2013;8(8):e70850.
Nakamoto H, Ootaka H, Tada M, Hirata I, Kobayashi F, Kojima F. Stretchable strain sensor based on areal change of carbon nanotube electrode. IEEE Sens J. 2015;15(4):2212-2218.
Yamamoto A, Nakamoto H, Yamaji T, et al. Method for measuring tri-axial lumbar motion angles using wearable sheet stretch sensors. PLoS ONE. 2017;12(10):e0183651.
Yamamoto A, Nakamoto H, Terada T, et al. Validity of wearable breath monitoring system using stretchable strain sensors in walking. Ann Phys Rehabil Med. 2018;61:e500.
Nakamoto H, Oida S, Ootaka H, et al. Design and response performance of capacitance meter for stretchable strain sensor. Institute of Electrical and Electronics Engineers International Conference on Intelligent Robots and Systems. 2015:2348-2353.
Nakamoto H, Oida S, Ootaka H, et al. Design and response performance of capacitance meter for stretchable strain sensor. Paper presented at: 2015 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS); 28 Sept.-2 Oct, 2015.
Manabu N. A cinefluorographic study of hyoid and laryngeal movements during deglutition. Nippon Jibiinkoka Gakkai Kaiho. 1987;90(5):669-679.
Mann G. MASA, The Mann Assessment of Swallowing Ability (Vol 1). New York, NY: Cengage Learning; 2002.
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-310.
Ross I, Robert G. R: A Language for Data Analysis and Graphics. J Comput Graph Stat. 1996;5(3):299-314.