用于评估吞咽功能的可穿戴表皮设备

IF 12.3 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC npj Flexible Electronics Pub Date : 2023-12-20 DOI:10.1038/s41528-023-00286-9
Tarek Rafeedi, Abdulhameed Abdal, Beril Polat, Katherine A. Hutcheson, Eileen H. Shinn, Darren J. Lipomi
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引用次数: 0

摘要

吞咽是一系列自主和自律过程的组合,是维持人体平衡的关键。吞咽异常(吞咽困难)可导致脱水、营养不良、吸入性肺炎、体重减轻、焦虑,甚至因气道阻塞而导致死亡(尤其是老年人)。为了预防或减轻这些后果,必须定期评估吞咽困难高危人群和已确诊患者的吞咽能力。然而,目前的诊断工具,如内窥镜、测压计和视频荧光镜等,都需要临床专家来解读结果。这些结果通常是从受控环境下有限的吞咽活动检查时间段中抽取的。此外,这些方法还存在一定的围手术期并发症风险。相比之下,表皮传感器领域正在寻找非侵入性和微创的方法来检查吞咽功能和功能障碍。在这篇综述中,我们总结了旨在监测吞咽功能和检测其异常的可穿戴设备的现状。我们特别关注使其能够运行的材料和设计参数。我们对概念验证研究(主要侧重于设备的工程设计)和以生物医学为目的的研究(可能涉及更大的受试者群体,包括患者)进行了汇编。此外,我们还简要讨论了相关可穿戴传感器的信号采集和设备评估方法。最后,我们探讨了提高患者对此类设备的依从性和参与度的必要性,并讨论了此类表皮传感器设计的改进措施,这些措施可能会提高患者对居家和长期监测的热情。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Wearable, epidermal devices for assessment of swallowing function
Swallowing is an ensemble of voluntary and autonomic processes key to maintaining our body’s homeostatic balance. Abnormal swallowing (dysphagia) can cause dehydration, malnutrition, aspiration pneumonia, weight loss, anxiety, or even mortality—especially in older adults—by airway obstruction. To prevent or mitigate these outcomes, it is imperative to regularly assess swallowing ability in those who are at risk of developing dysphagia and those already diagnosed with it. However, current diagnostic tools such as endoscopy, manometry, and videofluoroscopy require access to clinical experts to interpret the results. These results are often sampled from a limited examination timeframe of swallowing activity in a controlled environment. Additionally, there is some risk of periprocedural complications associated with these methods. In contrast, the field of epidermal sensors is finding non-invasive and minimally obtrusive ways to examine swallowing function and dysfunction. In this review, we summarize the current state of wearable devices that are aimed at monitoring swallowing function and detecting its abnormalities. We pay particular attention to the materials and design parameters that enable their operation. We examine a compilation of both proof-of-concept studies (which focus mainly on the engineering of the device) and studies whose aims are biomedical (which may involve larger cohorts of subjects, including patients). Furthermore, we briefly discuss the methods of signal acquisition and device assessment in relevant wearable sensors. Finally, we examine the need to increase adherence and engagement of patients with such devices and discuss enhancements to the design of such epidermal sensors that may encourage greater enthusiasm for at-home and long-term monitoring.
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来源期刊
CiteScore
17.10
自引率
4.80%
发文量
91
审稿时长
6 weeks
期刊介绍: npj Flexible Electronics is an online-only and open access journal, which publishes high-quality papers related to flexible electronic systems, including plastic electronics and emerging materials, new device design and fabrication technologies, and applications.
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