Detection of Swallow Kinematic Events From Acoustic High-Resolution Cervical Auscultation Signals in Patients With Stroke
Open accessAbstract
Objective To examine whether there were any associations between high-resolution cervical auscultation (HRCA) acoustic signals recorded by a contact microphone and swallowing kinematic events during pharyngeal swallow as assessed by a videofluoroscopic (VF) examination. Design Prospective pilot study. Setting University teaching hospital, university research laboratories. Participants Patients (N=35) with stroke who have suspected dysphagia (26 men + 9 women; age = 65.8±11.2). Methods VF recordings of 100 liquid swallows from 35 stroke patients were analyzed, and a variety of HRCA signal features to characterize each swallow were calculated. Main outcome measures Percent of signal feature maxima (peak) occurring within 0.1 seconds of swallow kinematic event identified from VF recording. Results Maxima of HRCA signal features, such as standard deviation, skewness, kurtosis, centroid frequency, bandwidth, and wave entropy, were associated with hyoid elevation, laryngeal vestibule closure, and upper esophageal sphincter opening, and the contact of the base of the tongue and posterior pharyngeal wall. Conclusions Although the kinematic source of HRCA acoustic signals has yet to be fully elucidated, these results indicate a strong relationship between these HRCA signals and several swallow kinematic events. There is a potential for HRCA to be developed for diagnostic and rehabilitative clinical management of dysphagia.
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Prior studies established an association between UES opening and HRCA signals.
“Although these studies were essential for establishing the association between UES opening and HRCA signals, they were just descriptive analyses about the patterns in signal features at certain points of time when physiological events occurred.”
From Upper esophageal sphincter opening segmentation with convolutional recurrent neural networks in high resolution cervical auscultation (2021) · cites this paper as [40]
Earlier work did not provide a direct method for detecting the duration of UES opening during swallowing.
“Prior studies have only addressed indicators and changes in HRCA signal features at the UES opening and closure moments or during the passage of the bolus through UES, but non of them offered a direct way to detect the DUESO during swallowing.”
From Upper esophageal sphincter opening segmentation with convolutional recurrent neural networks in high resolution cervical auscultation (2021) · cites this paper as [40]
Certain earlier studies found that some HRCA signal features reach local peaks around the moments when the UES opens and closes.
“Some of these studies reported the presence of localized maxima of some HRCA signal features at UES opening and closure times [40], [74].”
From Upper esophageal sphincter opening segmentation with convolutional recurrent neural networks in high resolution cervical auscultation (2021) · cites this paper as [40]
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Cites
Origin of the Sound Components During Pharyngeal Swallowing in Normal Subjects
Morinière, S., Boiron, M., Alison, D., Makris, P., & Beutter, P. (2008) · Dysphagia · doi:10.1007/s00455-007-9134-z · Cited by 88 · see citing works
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Khalifa, Y., Donohue, C., Coyle, J. L., & Sejdic, E. (2021) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2020.3000057 · Cited by 49 · see citing works
Self-citationDonohue, C., Khalifa, Y., Perera, S., Sejdić, E., & Coyle, J. L. (2021) · Dysphagia · doi:10.1007/s00455-020-10177-0 · Cited by 41 · see citing works
Self-citationO’Brien, M. K., Botonis, O. K., Larkin, E., Carpenter, J., Martin-Harris, B., Maronati, R., Lee, K., Cherney, L. R., Hutchison, B., Xu, S., et al. (2021) · Digital Biomarkers · doi:10.1159/000517144 · Cited by 37 · see citing works
High-resolution cervical auscultation and data science: new tools to address an old problem
Coyle, J. L., & Sejdić, E. (2020) · American Journal of Speech-Language Pathology · doi:10.1044/2020_ajslp-19-00155 · Cited by 28 · see citing works
Self-citationDonohue, C., Khalifa, Y., Mao, S., Perera, S., Sejdić, E., & Coyle, J. L. (2021) · Journal of Speech, Language, and Hearing Research · doi:10.1044/2021_jslhr-21-00134 · Cited by 15 · see citing works
Self-citationDonohue, C., Khalifa, Y., Mao, S., Perera, S., Sejdić, E., & Coyle, J. L. (2022) · Dysphagia · doi:10.1007/s00455-021-10317-0 · Cited by 12 · see citing works
Self-citationDias, V., & Bolzan, G. D. P. (2021) · Audiology - Communication Research · doi:10.1590/2317-6431-2021-2498 · Cited by 1 · see citing works
- Authors
- Kurosu, A., Coyle, J. L., Dudik, J. M., & Sejdic, E.
- Affiliations
- University of Pittsburgh (US)
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2019-03
- Volume
- 100
- Issue
- 3
- Pages
- 501-508
- ISSN
- 0003-9993 (ISSN-L)
- PMC
- PMC6402604
- OpenAlex
- W2887336235
- Cited by
- 33
- References
- 1
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 1 · 2023: 5 · 2022: 2 · 2021: 7 · 2020: 9 · 2019: 1 · 2018: 1
- FWCI
- 7.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- National Institutes of Health (R01HD074819)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Phonocardiography and Auscultation Techniques
- Keywords
- swallowing kinematics, dysphagia, stroke, pharyngeal swallow, laryngeal vestibule closure, upper esophageal sphincter opening, acoustic features, videofluoroscopy
- MeSH terms
- Acoustics, Aged, Auscultation, Biomechanical Phenomena, Cineradiography, Deglutition, Deglutition Disorders, Female, Humans, Male, Middle Aged, Pharynx, Pilot Projects, Prospective Studies, Signal Processing, Computer-Assisted, Sound Spectrography, Stroke
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