Detection of swallowing disorders using a multiple channel surface electromyography sheet: A preliminary study

BACKGROUND/PURPOSE: We invented a sensor sheet with multiple electromyogram electrodes, which can be easily attached to the front of the neck, to evaluate surface electromyograms (sEMG) during swallowing function. In this paper, we evaluated sEMG in healthy volunteers and dysphagia patients using the sensor sheet and discussed its potential to evaluate swallowing function. MATERIALS AND METHODS: Ten healthy volunteers (age, 29.5 ± 3.9 years) and 18 clinically diagnosed dysphagia patients (age, 67.8 ± 12.1 years) were included. The sensor sheet had four pairs of electrodes, and sEMG at the suprahyoid muscles (positions A and B) and the infrahyoid muscles (positions C and D) were recorded while swallowing water, thickened water, yogurt, and jelly; sEMG findings were compared between these positions. RESULTS: Significant differences in the duration of muscle activity was observed when swallowing yogurt at position D and when swallowing jelly, thickened water, and water at position B (Mann–Whitney U test, p < 0.05). In healthy volunteers, muscle activation typically began from positions A or B to position D, whereas in dysphagia patients, it sometimes began from position D. CONCLUSION: There were significant differences in duration and sequence patterns of four sEMG activities between healthy young volunteers and dysphagia patients in the assessment using the sensor sheet, although some technical and scientific problems remained unresolved. These results indicate that swallowing function could be evaluated using the sensor sheet.