Skip to main content
SpringerLink
Log in

DayD: Smart System to Monitor Patients’ Swallowing

  • Conference paper
  • First Online:
Ambient Assisted Living (ForItAAL 2017)

Part of the book series: Lecture Notes in Electrical Engineering ((LNEE,volume 540))

Included in the following conference series:

  • 446 Accesses

Abstract

Swallowing is a complex mechanism which requires the use of approximately fifty pairs of muscles and various nerves. The term “dysphagia” refers to a malfunctioning digestive system resulting in difficulty swallowing liquid and/or solid food. This disorder is very serious and frequent in diverse pathologies: treatment is extremely complex and requires a wide range of experts both in the diagnostic and healing phases. In fact, dysphagia exposes patients to several risks: aspiration of foodstuffs, malnutrition, dehydration, acute and chronic bronco-pulmonary complications, social life restrictions and impairment in their quality of life. In this paper, we describe a proof of concept for a new hardware and software smart system for patient swallowing monitoring designed using a user-centred approach and interdisciplinary team of clinicians, industrial designers and engineers to help patients with dysphagia go through their rehabilitation regimes at home in a safe and autonomous way. The intent is to provide an application and a device for healthcare professionals who deal with dysphagic patient management and also for the patient and caregiver. Through this interactive system, patient and doctor are in constant contact and the application informs the doctor or therapist etc., about the imminent risk factors in order to be able to act immediately and exclude further complications. This research tries to define a new category of wearable devices that are easy to use and useful for all involved in this pathology by describing the form and functions of its hardware and software.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Guyton, A. C., & Hall, J. E. (2007). Fisiologia Medica. Napoli: EdiSES s.r.l.

    Google Scholar 

  2. Schindler, O., Ruoppolo, G., & Schindler., A. (2011). Deglutologia—II Edizione. Omega Edizioni.

    Google Scholar 

  3. Manikam, R., & Perman, J. (2000). Pediatric feeding disorders. Journal of Clinical Gastroenterology, 30, 34–46.

    Article  Google Scholar 

  4. Clinical Guideline for Dysphagia Speech Pathology Australia Association. Available: http://www.speechpathologyaustralia.org.au. Cited September 30, 2017.

  5. Howden, C. W. (2004). Management of acid-related disorders in patients with dysphagia. American Journal of Medicine, 177(5A), 44S–48S.

    Google Scholar 

  6. Kuhlemeier, K. V. (1994). Epidemiology and dysphagia. Dysphagia, 9(4), 209–17.

    Article  Google Scholar 

  7. Reilly, S., & Ward E. (2005). The epidemiology of dysphagia. Describing the problem—are we too late? Advances in Speech-Language Pathology, 7, 14–23.

    Article  Google Scholar 

  8. Burkhead, L. M., Sapienza, C. M., & Rosenbek, J. C. (2007). Strength-training exercise in dysphagia rehabilitation: Principles, procedures, and directions for future research. Dysphagia, 22(3), 251–265.

    Article  Google Scholar 

  9. Ward, E. C., Sharma, S., Burns, C., Theodoros, D., & Russell, T. (2012). Managing patients in the assessment of swallowing via telerehabilitation. International Journal of Telemedicine Applications, 2012, 132719. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3449117/. Cited September 30, 2017.

  10. Gustafsson, E., Thomée, S., Grimby-Ekman, A., & Hagberg, M. (2017). Texting on mobile phones and musculoskeletal disorders in young adults: A five-year cohort study. Applied ergonomics, 58, 208–214.

    Article  Google Scholar 

  11. Zhou, X., Appel, L., Gerhardstein, B., et al. (2012). Getting clinicians involved: Testing smartphone applications to promote behaviour change in health care. Workshop Paper. Bridging Clinical and Non-clinical Health Practice, May 5, 2012, Austin, TX. Available: http://www.ics.uci.edu. Cited September 30, 2017.

  12. Steele, C. M., Bennett, J. W., Chapman-Jay, S., et al. (2012). Electromyography as a biofeedback tool for rehabilitating swallowing muscle function. In C. Steele (Ed.), Applications of EMG in clinical and sports medicine. Rijeka: InTech. Available: https://doi.org/10.5772/26443.

    Google Scholar 

  13. Humbert, I. A., Poletto, C. J., Sassone, K. G., et al. (2006). L’effetto della stimolazione elettrica di superficie sul movimento hyolaryngeal in individui normali a riposo e durante la deglutizione. Journal of Applied Physiology, 101, 1657–1663.

    Article  Google Scholar 

  14. Tan, C., Liu, Y., Li, W., Liu, J., & Chen, L. (2013). Transcutaneous neuromuscular electrical stimulation can improve swallowing function in patients with dysphagia caused by non-stroke diseases: A meta-analysis. Journal of Oral Rehabilitation, 40(6), 472–480.

    Article  Google Scholar 

  15. Lizarondo, L., Kumar, S., Hyde, L., & Skidmore, D. (2010). Allied health assistants and what they do: A systematic review of the literature. Journal Multidisciplinary Healthcare, 3, 143–153.

    Google Scholar 

  16. Ward, E. C., Sharma, S., Burns, C., Theodoros, D., & Russell, T. (2012). Validity of conducting clinical dysphagia assessment with patients with normal to mild cognitive impairments via telerehabilitation. Dysphagia.

    Google Scholar 

  17. Waito, A., Bailey, G. L., Molfenter, S. M., Zoratto, D. C., & Steele, C. M. (2011). Voice-quality abnormalities as a sign of dysphagia: Validation against acoustic and videofluoroscopic data. Dysphagia, 26(2), 125–134. https://doi.org/10.1007/s00455-010-9282-4.

    Article  Google Scholar 

  18. Groves-Wright, K. J., Boyce, S., & Kelchner, L. (2010). Perception of wet vocal quality in identifying penetration/aspiration during swallowing. Journal of Speech, Language, and Hearing Research, 53(3), 620–32. https://doi.org/10.1044/1092-4388(2009/08-0246).

  19. Warms, T., & Richards, J. (2000). “Wet Voice” as a predictor of penetration and aspiration in oropharyngeal dysphagia. Dysphagia, 15(2), 84–88. https://doi.org/10.1007/s004550010005.

    Article  Google Scholar 

  20. Endsley, M. R. (2016). Designing for situation awareness: An approach to user-centered design (2nd ed.). CRC Press.

    Google Scholar 

  21. Gamberini, L., Chittaro, L., et al. (2012). Human-computer interaction. Fondamenti teorici e metodologici per lo studio dell’interazione tra persone e tecnologie. Pearson editore.

    Google Scholar 

  22. Benyon, D. (2012). Progettare l’interazione. Metodi e tecniche per il design di media interattivi, (a cura di Riva G.). Pearson editore.

    Google Scholar 

  23. Thimbleby, H. (2007). Press on, principles of interaction programming. MIT Press.

    Google Scholar 

  24. Murray, J. H. (2011). Inventing the medium, principles of interaction design as a cultural practice. MIT Press.

    Google Scholar 

  25. Casiddu, N., & Micheli, E. (2011). Human centered robotic design. Firenze: Alinea Editrice.

    Google Scholar 

  26. Arizona Health Sciences Library. (2013). AHSL Guide: Mobile Apps & Resources. Available: http://azhin.org/evaluating-apps.

  27. Zhou, X., Appel, L., Gerhardstein, B., et al. (2012). Getting clinicians involved: Testing smartphone applications to promote behaviour change in health care. Workshop Paper. Bridging Clinical and Non-clinical Health Practice, May 5, 2012, Austin, TX.

    Google Scholar 

  28. Center for Excellence in Universal Design. [Online]. Available: http://universaldesign.ie/What-isUniversal-Design/The-7-Principles/. Cited September 30, 2017.

  29. Saffer, D. (2008). Designing gestural interfaces: Touchscreens and interactive devices. O’Reilly Media, Inc.

    Google Scholar 

Download references

Acknowledgements

The authors would like to thank all the other members of the DayD Project for their invaluable help and in particular Dr. Giulia Massazza (Speech therapist), Prof. Bruno Fattori (Associate Professor of Otorhinolaryngology, ENT Audiology and Phoniatrics Unit, Department of Internal and Experimental Medicine, University of Pisa), Prof. Cecilia Laschi (Professor of Biorobotics, Scuola Superiore Sant’Anna, Pisa), Prof. Marco Raggio (Electrical, Electronics and Telecommunication Engineering and Naval Architecture Department—DITEN, University of Genoa).

Author information

Authors and Affiliations

  1. Design and Architecture Department—DAD, University of Genoa, Stradone S. Agostino 37, 16123, Genoa, Italy

    Claudia Porfirione

Authors
  1. Claudia Porfirione
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Claudia Porfirione .

Editor information

Editors and Affiliations

  1. University of Genoa, Genoa, Italy

    Niccolò Casiddu

  2. University of Genoa, Genoa, Italy

    Claudia Porfirione

  3. Università Politecnica delle Marche, Ancona, Italy

    Andrea Monteriù

  4. The BioRobotics Institute, Scuola Superiore Sant’Anna, Pontedera, Pisa, Italy

    Filippo Cavallo

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Porfirione, C. (2019). DayD: Smart System to Monitor Patients’ Swallowing. In: Casiddu, N., Porfirione, C., Monteriù, A., Cavallo, F. (eds) Ambient Assisted Living. ForItAAL 2017. Lecture Notes in Electrical Engineering, vol 540. Springer, Cham. https://doi.org/10.1007/978-3-030-04672-9_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-04672-9_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04671-2

  • Online ISBN: 978-3-030-04672-9

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics

Search

Navigation