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Abstract Dysphagia or difficulty swallowing is caused by the failure of neurological pathways to properly activate swallowing muscles. Current electromyography (EMG) systems for dysphagia monitoring are bulky and rigid, limiting their potential for long‐term and unobtrusive use. To address this, a machine learning‐assisted wearable EMG system is presented, utilizing self‐adhesive, skin‐conformal, semi‐transparent, and robust ionic gel electrodes. The presented electrodes possess good conductivity, superior skin contact, and good transmittance, ensuring high‐fidelity EMG sensing without impeding daily activities. Moreover, the optimized material and structural designs ensure wearing comfort and conformable skin‐electrode contact, allowing for long‐term monitoring with high accuracy. Machine learning and mel‐frequency cepstral coefficient techniques are employed to classify swallowing events based on food types and volumes. Through an analysis of electrode placement on the chin and neck, the proposed system is able to effectively distinguish between different food types and water volumes using a small number of channels, making it suitable for continuous dysphagia monitoring. This work represents an advancement in machine learning assisted EMG systems for the classification and regression of swallowing events, paving the way for more efficient, unobtrusive, and long‐term dysphagia monitoring systems.
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Flexible submental sensor patch with remote monitoring controls for management of oropharyngeal swallowing disorders
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.
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- Award ID(s):
- 1657455
- PAR ID:
- 10147486
- Date Published:
- Journal Name:
- Science Advances
- Volume:
- 5
- Issue:
- 12
- ISSN:
- 2375-2548
- Page Range / eLocation ID:
- eaay3210
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1126/sciadv.aay3210
