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Wu Y, Guo K, Chu Y, Wang Z, Yang H, Zhang J. Advancements and Challenges in Non-Invasive Sensor Technologies for Swallowing Assessment: A Review. Bioengineering (Basel) 2024; 11:430. [PMID: 38790297 PMCID: PMC11118896 DOI: 10.3390/bioengineering11050430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Revised: 04/20/2024] [Accepted: 04/25/2024] [Indexed: 05/26/2024] Open
Abstract
Dysphagia is a pervasive health issue that impacts diverse demographic groups worldwide, particularly the elderly, stroke survivors, and those suffering from neurological disorders. This condition poses substantial health risks, including malnutrition, respiratory complications, and increased mortality. Additionally, it exacerbates economic burdens by extending hospital stays and escalating healthcare costs. Given that this disorder is frequently underestimated in vulnerable populations, there is an urgent need for enhanced diagnostic and therapeutic strategies. Traditional diagnostic tools such as the videofluoroscopic swallowing study (VFSS) and flexible endoscopic evaluation of swallowing (FEES) require interpretation by clinical experts and may lead to complications. In contrast, non-invasive sensors offer a more comfortable and convenient approach for assessing swallowing function. This review systematically examines recent advancements in non-invasive swallowing function detection devices, focusing on the validation of the device designs and their implementation in clinical practice. Moreover, this review discusses the swallowing process and the associated biomechanics, providing a theoretical foundation for the technologies discussed. It is hoped that this comprehensive overview will facilitate a paradigm shift in swallowing assessments, steering the development of technologies towards more accessible and accurate diagnostic tools, thereby improving patient care and treatment outcomes.
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Affiliation(s)
- Yuwen Wu
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China
| | - Kai Guo
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China
- School of Biomedical Engineering (Suzhou), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230026, China
| | - Yuyi Chu
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China
| | - Zhisen Wang
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China
- School of Biomedical Engineering (Suzhou), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230026, China
| | - Hongbo Yang
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China
- School of Biomedical Engineering (Suzhou), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230026, China
| | - Juzhong Zhang
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China
- School of Biomedical Engineering (Suzhou), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230026, China
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Suo J, Liu Y, Wang J, Chen M, Wang K, Yang X, Yao K, Roy VAL, Yu X, Daoud WA, Liu N, Wang J, Wang Z, Li WJ. AI-Enabled Soft Sensing Array for Simultaneous Detection of Muscle Deformation and Mechanomyography for Metaverse Somatosensory Interaction. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024; 11:e2305025. [PMID: 38376001 DOI: 10.1002/advs.202305025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Revised: 10/25/2023] [Indexed: 02/21/2024]
Abstract
Motion recognition (MR)-based somatosensory interaction technology, which interprets user movements as input instructions, presents a natural approach for promoting human-computer interaction, a critical element for advancing metaverse applications. Herein, this work introduces a non-intrusive muscle-sensing wearable device, that in conjunction with machine learning, enables motion-control-based somatosensory interaction with metaverse avatars. To facilitate MR, the proposed device simultaneously detects muscle mechanical activities, including dynamic muscle shape changes and vibrational mechanomyogram signals, utilizing a flexible 16-channel pressure sensor array (weighing ≈0.38 g). Leveraging the rich information from multiple channels, a recognition accuracy of ≈96.06% is achieved by classifying ten lower-limb motions executed by ten human subjects. In addition, this work demonstrates the practical application of muscle-sensing-based somatosensory interaction, using the proposed wearable device, for enabling the real-time control of avatars in a virtual space. This study provides an alternative approach to traditional rigid inertial measurement units and electromyography-based methods for achieving accurate human motion capture, which can further broaden the applications of motion-interactive wearable devices for the coming metaverse age.
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Affiliation(s)
- Jiao Suo
- Dept. of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, China
| | - Yifan Liu
- Dept. of Electrical and Computer Engineering, Michigan State University, MI, 48840, USA
| | - Jianfei Wang
- The Int. Research Centre for Nano Handling and Manufacturing of China, Changchun University of Science and Technology, Changchun, 130022, China
| | - Meng Chen
- Dept. of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, China
| | - Keer Wang
- Dept. of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, China
| | - Xiaomeng Yang
- Dept. of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, China
| | - Kuanming Yao
- Dept. of Biomedical Engineering, City University of Hong Kong, Hong Kong, 999077, China
| | - Vellaisamy A L Roy
- James Watt School of Engineering, University of Glasgow, Scotland, G12 8QQ, UK
| | - Xinge Yu
- Dept. of Biomedical Engineering, City University of Hong Kong, Hong Kong, 999077, China
| | - Walid A Daoud
- Dept. of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, China
| | - Na Liu
- Sch. of Mechatronic Engineering and Automation, Shanghai University, Shanghai, 200444, China
| | - Jianping Wang
- Dept. of Computer Science, City University of Hong Kong, Hong Kong, 999077, China
| | - Zuobin Wang
- The Int. Research Centre for Nano Handling and Manufacturing of China, Changchun University of Science and Technology, Changchun, 130022, China
| | - Wen Jung Li
- Dept. of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, China
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Mialland A, Atallah I, Bonvilain A. Toward a robust swallowing detection for an implantable active artificial larynx: a survey. Med Biol Eng Comput 2023; 61:1299-1327. [PMID: 36792845 DOI: 10.1007/s11517-023-02772-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 01/04/2023] [Indexed: 02/17/2023]
Abstract
Total laryngectomy consists in the removal of the larynx and is intended as a curative treatment for laryngeal cancer, but it leaves the patient with no possibility to breathe, talk, and swallow normally anymore. A tracheostomy is created to restore breathing through the throat, but the aero-digestive tracts are permanently separated and the air no longer passes through the nasal tracts, which allowed filtration, warming, humidification, olfaction, and acceleration of the air for better tissue oxygenation. As for phonation restoration, various techniques allow the patient to talk again. The main one consists of a tracheo-esophageal valve prosthesis that makes the air passes from the esophagus to the pharynx, and makes the air vibrate to allow speech through articulation. Finally, swallowing is possible through the original tract as it is now isolated from the trachea. Yet, many methods exist to detect and assess a swallowing, but none is intended as a definitive restoration technique of the natural airway, which would permanently close the tracheostomy and avoid its adverse effects. In addition, these methods are non-invasive and lack detection accuracy. The feasibility of an effective early detection of swallowing would allow to further develop an implantable active artificial larynx and therefore restore the aero-digestive tracts. A previous attempt has been made on an artificial larynx implanted in 2012, but no active detection was included and the system was completely mechanic. This led to residues in the airway because of the imperfect sealing of the mechanism. An active swallowing detection coupled with indwelling measurements would thus likely add a significant reliability on such a system as it would allow to actively close an artificial larynx. So, after a brief explanation of the swallowing mechanism, this survey intends to first provide a detailed consideration of the anatomical region involved in swallowing, with a detection perspective. Second, the swallowing mechanism following total laryngectomy surgery is detailed. Third, the current non-invasive swallowing detection technique and their limitations are discussed. Finally, the previous points are explored with regard to the inherent requirements for the feasibility of an effective swallowing detection for an artificial larynx. Graphical Abstract.
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Affiliation(s)
- Adrien Mialland
- Institute of Engineering and Management Univ. Grenoble Alpes, Univ. Grenoble Alpes, CNRS, Grenoble INP, Gipsa-lab, 38000, Grenoble, France.
| | - Ihab Atallah
- Institute of Engineering and Management Univ. Grenoble Alpes, Otorhinolaryngology, CHU Grenoble Alpes, 38700, La Tronche, France
| | - Agnès Bonvilain
- Institute of Engineering and Management Univ. Grenoble Alpes, Univ. Grenoble Alpes, CNRS, Grenoble INP, Gipsa-lab, 38000, Grenoble, France
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Wang H, Zuo S, Cerezo-Sánchez M, Arekhloo NG, Nazarpour K, Heidari H. Wearable super-resolution muscle-machine interfacing. Front Neurosci 2022; 16:1020546. [PMID: 36466163 PMCID: PMC9714306 DOI: 10.3389/fnins.2022.1020546] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 10/21/2022] [Indexed: 09/19/2023] Open
Abstract
Muscles are the actuators of all human actions, from daily work and life to communication and expression of emotions. Myography records the signals from muscle activities as an interface between machine hardware and human wetware, granting direct and natural control of our electronic peripherals. Regardless of the significant progression as of late, the conventional myographic sensors are still incapable of achieving the desired high-resolution and non-invasive recording. This paper presents a critical review of state-of-the-art wearable sensing technologies that measure deeper muscle activity with high spatial resolution, so-called super-resolution. This paper classifies these myographic sensors according to the different signal types (i.e., biomechanical, biochemical, and bioelectrical) they record during measuring muscle activity. By describing the characteristics and current developments with advantages and limitations of each myographic sensor, their capabilities are investigated as a super-resolution myography technique, including: (i) non-invasive and high-density designs of the sensing units and their vulnerability to interferences, (ii) limit-of-detection to register the activity of deep muscles. Finally, this paper concludes with new opportunities in this fast-growing super-resolution myography field and proposes promising future research directions. These advances will enable next-generation muscle-machine interfaces to meet the practical design needs in real-life for healthcare technologies, assistive/rehabilitation robotics, and human augmentation with extended reality.
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Affiliation(s)
- Huxi Wang
- Microelectronics Lab, James Watt School of Engineering, The University of Glasgow, Glasgow, United Kingdom
- Neuranics Ltd., Glasgow, United Kingdom
| | - Siming Zuo
- Microelectronics Lab, James Watt School of Engineering, The University of Glasgow, Glasgow, United Kingdom
- Neuranics Ltd., Glasgow, United Kingdom
| | - María Cerezo-Sánchez
- Microelectronics Lab, James Watt School of Engineering, The University of Glasgow, Glasgow, United Kingdom
- Neuranics Ltd., Glasgow, United Kingdom
| | - Negin Ghahremani Arekhloo
- Microelectronics Lab, James Watt School of Engineering, The University of Glasgow, Glasgow, United Kingdom
- Neuranics Ltd., Glasgow, United Kingdom
| | - Kianoush Nazarpour
- Neuranics Ltd., Glasgow, United Kingdom
- School of Informatics, The University of Edinburgh, Edinburgh, United Kingdom
| | - Hadi Heidari
- Microelectronics Lab, James Watt School of Engineering, The University of Glasgow, Glasgow, United Kingdom
- Neuranics Ltd., Glasgow, United Kingdom
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