Recognizing swallowing movements using a textile-based device

Dysphagia can stem from various etiologies and cause several serious complications. Instrumental evaluation methods for swallowing require special equipment not available everywhere. Thus, an instrumental means to evaluate swallowing that could be used outside a hospital setting would be critical. Dual-axis accelerometers have been utilized in earlier research to recognize swallowing movements. However, no textile-based approaches have been reported. In this study, we developed a textile-based prototype device for identifying swallowing movements. The device used accelerometers and gyroscopes, with eight sensors attached to the fabric. Two female participants were asked to perform two tasks while wearing the device around their neck: sitting still and taking 10 sips of water. The sensor attached to the middle of the thyroid notch level and the two sensors horizontally aligned to both sides of the hyoid bone level were the most accurate in recognizing swallowing movements. No sensor alone could recognize all swallows. However, all the swallows were identified using the combined data from the sensors. Thus, based on these preliminary results, it seems like a textile-based device using accelerometers and gyroscopes could identify swallowing movements.