Evaluation of hyoid movement during swallowing using a bend sensor

J Oral Rehabil. 2020 Mar;47(3):339-345. doi: 10.1111/joor.12906. Epub 2019 Dec 5.

Abstract

Background: Movement of the hyoid and laryngeal complex is critical for preventing aspiration, as well as smooth bolus passage through the pharynx. We have developed a non-invasive system for measuring laryngeal movement during swallowing with a bend sensor and have already reported the time coordination between the signal waveform from the sensor and hyoid movement.

Objective: The aim of this study was to clarify the quantitative association between the output value of the sensor and hyoid movement during swallowing.

Methods: A small bend sensor was fixed on the skin surface along the midline of the neck of 13 healthy men (mean age, 30.8 ± 4.5 years). Laryngeal and hyoid movements during swallowing of 5 mL of water were recorded synchronously by the bend sensor and videofluorography. The relationship between the bend sensor output value (LM value) and hyoid position (x- and y-axis displacements) by videofluorography from the onset to the offset of the signal waveform was analysed for all tasks and for each task using Pearson's correlation coefficients.

Results: There was a positive correlation between the LM value and hyoid position for all tasks (x-axis displacement: r = .647, y-axis displacement: r = .233). In particular, there was a moderate to high correlation between the LM value and x-axis displacement for each task (.453 ≤ r ≤ .934).

Conclusion: The LM value can be a quantitative parameter of anterior hyoid movement during swallowing that might be associated with bolus flow and upper oesophageal sphincter opening.

Keywords: diagnostic systems; dysphagia; hyoid; larynx; swallow; videofluorography.

MeSH terms

  • Adult
  • Deglutition*
  • Esophageal Sphincter, Upper
  • Humans
  • Hyoid Bone
  • Larynx*
  • Male
  • Movement