Soft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanics
Abstract Swallowing is a complex neuromuscular activity regulated by the autonomic nervous system. Millions of adults suffer from dysphagia (impaired or difficulty swallowing), including patients with neurological disorders, head and neck cancer, gastrointestinal diseases, and respiratory disorders....
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-09-01
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| Series: | npj Digital Medicine |
| Online Access: | https://doi.org/10.1038/s41746-022-00691-w |
| _version_ | 1797430716634497024 |
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| author | Youn J. Kang Hany M. Arafa Jae-Young Yoo Cagla Kantarcigil Jin-Tae Kim Hyoyoung Jeong Seonggwang Yoo Seyong Oh Joohee Kim Changsheng Wu Andreas Tzavelis Yunyun Wu Kyeongha Kwon Joshua Winograd Shuai Xu Bonnie Martin-Harris John A. Rogers |
| author_facet | Youn J. Kang Hany M. Arafa Jae-Young Yoo Cagla Kantarcigil Jin-Tae Kim Hyoyoung Jeong Seonggwang Yoo Seyong Oh Joohee Kim Changsheng Wu Andreas Tzavelis Yunyun Wu Kyeongha Kwon Joshua Winograd Shuai Xu Bonnie Martin-Harris John A. Rogers |
| author_sort | Youn J. Kang |
| collection | DOAJ |
| description | Abstract Swallowing is a complex neuromuscular activity regulated by the autonomic nervous system. Millions of adults suffer from dysphagia (impaired or difficulty swallowing), including patients with neurological disorders, head and neck cancer, gastrointestinal diseases, and respiratory disorders. Therapeutic treatments for dysphagia include interventions by speech-language pathologists designed to improve the physiology of the swallowing mechanism by training patients to initiate swallows with sufficient frequency and during the expiratory phase of the breathing cycle. These therapeutic treatments require bulky, expensive equipment to synchronously record swallows and respirations, confined to use in clinical settings. This paper introduces a wireless, wearable technology that enables continuous, mechanoacoustic tracking of respiratory activities and swallows through movements and vibratory processes monitored at the skin surface. Validation studies in healthy adults (n = 67) and patients with dysphagia (n = 4) establish measurement equivalency to existing clinical standard equipment. Additional studies using a differential mode of operation reveal similar performance even during routine daily activities and vigorous exercise. A graphical user interface with real-time data analytics and a separate, optional wireless module support both visual and haptic forms of feedback to facilitate the treatment of patients with dysphagia. |
| first_indexed | 2024-03-09T09:32:32Z |
| format | Article |
| id | doaj.art-1071f037019b45eeabbd761ebfe68b9e |
| institution | Directory Open Access Journal |
| issn | 2398-6352 |
| language | English |
| last_indexed | 2024-03-09T09:32:32Z |
| publishDate | 2022-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Digital Medicine |
| spelling | doaj.art-1071f037019b45eeabbd761ebfe68b9e2023-12-02T03:20:07ZengNature Portfolionpj Digital Medicine2398-63522022-09-015111310.1038/s41746-022-00691-wSoft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanicsYoun J. Kang0Hany M. Arafa1Jae-Young Yoo2Cagla Kantarcigil3Jin-Tae Kim4Hyoyoung Jeong5Seonggwang Yoo6Seyong Oh7Joohee Kim8Changsheng Wu9Andreas Tzavelis10Yunyun Wu11Kyeongha Kwon12Joshua Winograd13Shuai Xu14Bonnie Martin-Harris15John A. Rogers16Querrey-Simpson Institute for Bioelectronics, Northwestern UniversityDepartment of Biomedical Engineering, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityDepartment of Communication Sciences and Disorders, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityDepartment of Biomedical Engineering, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityDepartment of Materials Science and Engineering, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityDepartment of Communication Sciences and Disorders, Northwestern UniversityQuerrey-Simpson Institute for Bioelectronics, Northwestern UniversityAbstract Swallowing is a complex neuromuscular activity regulated by the autonomic nervous system. Millions of adults suffer from dysphagia (impaired or difficulty swallowing), including patients with neurological disorders, head and neck cancer, gastrointestinal diseases, and respiratory disorders. Therapeutic treatments for dysphagia include interventions by speech-language pathologists designed to improve the physiology of the swallowing mechanism by training patients to initiate swallows with sufficient frequency and during the expiratory phase of the breathing cycle. These therapeutic treatments require bulky, expensive equipment to synchronously record swallows and respirations, confined to use in clinical settings. This paper introduces a wireless, wearable technology that enables continuous, mechanoacoustic tracking of respiratory activities and swallows through movements and vibratory processes monitored at the skin surface. Validation studies in healthy adults (n = 67) and patients with dysphagia (n = 4) establish measurement equivalency to existing clinical standard equipment. Additional studies using a differential mode of operation reveal similar performance even during routine daily activities and vigorous exercise. A graphical user interface with real-time data analytics and a separate, optional wireless module support both visual and haptic forms of feedback to facilitate the treatment of patients with dysphagia.https://doi.org/10.1038/s41746-022-00691-w |
| spellingShingle | Youn J. Kang Hany M. Arafa Jae-Young Yoo Cagla Kantarcigil Jin-Tae Kim Hyoyoung Jeong Seonggwang Yoo Seyong Oh Joohee Kim Changsheng Wu Andreas Tzavelis Yunyun Wu Kyeongha Kwon Joshua Winograd Shuai Xu Bonnie Martin-Harris John A. Rogers Soft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanics npj Digital Medicine |
| title | Soft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanics |
| title_full | Soft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanics |
| title_fullStr | Soft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanics |
| title_full_unstemmed | Soft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanics |
| title_short | Soft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanics |
| title_sort | soft skin interfaced mechano acoustic sensors for real time monitoring and patient feedback on respiratory and swallowing biomechanics |
| url | https://doi.org/10.1038/s41746-022-00691-w |
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