Perspectives of the ASHA Special Interest Groups,
Год журнала:
2023,
Номер
unknown, С. 1 - 12
Опубликована: Окт. 9, 2023
Purpose:
Surface
electromyography
(sEMG)
has
been
used
by
speech-language
pathologists
(SLPs)
as
a
biofeedback
tool
to
enhance
the
benefits
of
dysphagia
rehabilitation
since
early
1976.
Despite
being
noninvasive
and
user-friendly,
sEMG
is
not
widely
adopted
clinicians,
potentially
due
challenges
such
insufficient
knowledge
about
its
appropriate
clinical
applications
burden
acquiring
this
technology
for
busy
clinician.
This
article
aims
support
SLPs
in
utilizing
simple
management
providing
an
overview
physiological
technological
underpinnings
well
practical
guidance
on
interpreting
signal,
optimizing
signal
quality,
documenting
findings
at
end
session.
Moreover,
emphasizes
vital
role
clinicians
have
promoting
ongoing
innovation
their
field
advocating
modern
solutions.
It
provides
framework
examples
how
request
technologies
clinic
foster
environment
continuous
improvement
service
provided
patients.
Conclusion:
equip
with
skills
necessary
utilize
effectively
help
patients
achieve
optimal
outcomes
management.
Journal of Oral Rehabilitation,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 24, 2025
ABSTRACT
Background
Surface
electromyography
(sEMG)
has
been
used
in
a
wide
range
of
studies
conducted
the
field
dysphagia.
Objectives
The
main
aim
this
case–control
study
is
to
obtain
how
submental
and
infrahyoid
sEMG
signals
differ
based
on
residue,
penetration
aspiration.
Methods
A
total
100
participants
(50
patients
with
suspected
dysphagia
50
healthy
controls)
were
enrolled
present
study.
Participants
underwent
detailed
fibreoptic
endoscopic
evaluation
swallowing
(FEES)
observe
efficiency
safety
using
Yale
Pharyngeal
Residue
Severity
Rating
Scale
(YPRSRS)
Penetration–Aspiration
(PAS),
respectively.
Afterward,
parameters,
including
muscle
activity
duration
(SMM‐AD),
(IM‐AD),
amplitude
muscles
(A‐SMM)
(A‐IM)
obtained
during
three
consecutive
dry
swallows
from
all
cohorts.
Results
There
significantly
higher
SMM‐AD
values
YPRSRS
score
1–2
3–5
for
residue
vallecula
compared
controls
(
p
<
0.001
=
0.001,
respectively).
Both
subgroups
piriforms
showed
0.048,
same
prolongation
was
also
evident
airway
invasion
(penetration
or
aspiration)
0.042
other
measured
parameters
(IM‐AD,
A‐SMM
A‐IM)
did
not
FEES
outcomes
>
0.05).
Conclusion
Since
availability
instrumental
assessment
methods
clinical
practice
quite
challenging,
specific
may
be
useful
predict
possible
penetration,
aspiration
events
can
considered
as
first‐line
parameter
before
referring
further
methods.
JMIR Serious Games,
Год журнала:
2025,
Номер
13, С. e60685 - e60685
Опубликована: Март 5, 2025
Dysphagia
is
common
in
intensive
care
unit
(ICU)
patients.
Using
surface
electromyography
(sEMG)
signals
as
biofeedback
training
exercises
might
offer
a
promising
path
to
improving
swallowing
function.
The
Rephagia
system
uses
sEMG
assess
muscle
strength,
stamina,
and
timing
of
the
action.
aim
this
study
was
evaluate
feasibility
ICU
patients
with
dysphagia.
This
included
admitted
14-bed
mixed
medical-surgical
ICU.
All
underwent
new
tracheostomy
placement
during
stay
due
persistent
aspiration
ICU-acquired
weakness,
accompanied
by
verified
Following
training,
completed
questionnaire
assessing
comprehension,
satisfaction,
motivation.
Swallowing
characteristics
were
assessed
via
mean
peak
values
exercise.
Twenty
age
69.4
(SD
8.2)
years
included.
means
at
beginning
measurement
not
significantly
different
baseline
versus
everyone's
last
(52
µV
[23
µV]
vs
57
[22
µV];
P=.50).
obtained
end
(56
[18
59
P=.62).
However,
dysphagia
improved
all
Patients
understood
importance
game
relation
their
problems
(16/80,
89%),
which
kept
them
motivated
participate
sessions
(9/18,
50%).
for
stimulating
actions
tracheotomized
feasible.
No
found
between
clinical
improvement
function
signals.
Journal of Voice,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 1, 2025
Breath
management
techniques
are
a
key
component
within
singing
voice
pedagogy,
as
well
clinical
treatment
of
both
hypo-
and
hyperfunctional
disorders.
Common
assumptions
regarding
the
relationships
between
anterior
abdominal
musculature
(AAM),
subglottal
pressure
(PSub),
sound
level
(SPL)
suggest
linear
relationship
where
increased
AAM
activation
will
result
in
greater
PSub
causing
rise
SPL.
The
present
study
questions
this
tenet,
utilizing
simultaneous
surface
electromyographic,
aerodynamic,
acoustic
measures
to
contribute
gap
understanding.
Twenty-one
healthy
adult
singers
were
recorded
performing
slow
vital
capacity
(VC)
task
consonant-vowel
repetitions
(/papapa…/)
from
maximum
inspiration
depletion,
phonating
on
controlled
fundamental
frequency
at
three
SPLs.
results
revealed
strong
systematic
increase
%VC
decreased
below
40%
(P
<
0.0005,
⍴
=
-0.81).
During
phonation,
effect
was
also
observed,
with
incrementally
higher
%sEMG
values
for
respectively
increasing
SPL
targets.
Surprisingly,
not
strongly
associated
either
or
SPL,
immediate
sustained
maximal
contraction
throughout
phonation
did
significantly
alter
target
vocal
outputs
compared
baseline
measurements.
current
offers
findings:
1)
habitual
behaviors
singers,
activates
predominantly
association
decreasing
%VC;
2)
activity
is
correlated
SPL;
3)
inspiratory
reserve
appears
unnecessary
phonation.
These
data
offer
novel
insights
into
respiratory
phonatory
parameters
evidence-based
pedagogy
therapy.
Purpose:
This
study
aimed
to
investigate
the
potential
of
a
newly
developed
small
electrode
accurately
record
muscle
activity
during
swallowing.
Material
and
methods:
included
31
healthy
participants.
The
participants
underwent
swallowing
trials
with
three
types
material.
recordings
involved
following
conditions:
1)
saliva,
2)
3
mL
water,
3)
5
water.
Two
electrodes,
conventional
(CE)
(NE),
were
symmetrically
positioned
on
skin
over
suprahyoid
group,
starting
from
center.
From
surface
electromyography
data,
duration
(s),
peak
amplitude,
rising
time
(duration
onset
amplitude:
s)
measured.
Additionally,
equivalence
characteristics
waveform
activities
was
calculated
by
using
variance
in
both
upper
lower
confidence
limits
time.
Results:
No
significant
differences
baseline,
or
between
CE
NE
observed
for
any
amplitude
significantly
higher
than
all
materials.
displayed
no
difference
Conclusions:
gold-plated
electrodes
utilized
this
indicated
ability
same
as
electrodes.
Moreover,
it
able
capture
each
group
improved
sensitivity
narrow
area,
such
under
submandibular
region,
more
precision
that
Wheelchair
basketball
is
one
of
the
most
popular
paralympic
sports.
It
a
great
physical
activity
that
guarantees
important
health
benefits
and
promotes
well-being
social
inclusion
for
disabled
people.
At
same
time,
wheelchair
involves
significant
risk
injuries
players
upper
limbs
are
burdened
body
segments.
In
particular,
sport
specific
gestures
lead
to
progressive
overload
shoulder
joint,
which
usually
results
in
pain.
For
these
reasons,
scientific
technological
progress
should
improve
development
rehabilitative
strategies
promote
then
reduce
Within
spectrum
new
technologies,
electromyography
tool
allows
real-time
measurement
take
advantage
potentiality
biofeedback,
so
it
has
been
used
previously
outcome
rehabilitation
treatments.
Therefore,
purpose
this
review
summarize
analyze
current
evidence
regarding
use
electromyography,
as
strategy,
pain
athletes.
Following
PRISMA
statement
guidelines
(PROSPERO
-
2023,
n°
CRD42023470395),
total
10
studies
met
exclusion
criteria
after
search
three
databases
(Pubmed,
Google
Scholar
Cochrane
Library).
The
result
highlights
importance
surface
prevention
treatment
Moreover,
examination
emphasizes
using
biofeedback
seems
be
an
effective
way
speed
up
outcomes
Keywords:
exercise;
sport;
technologies;
rehabilitation,
physiology.
American Journal of Speech-Language Pathology,
Год журнала:
2024,
Номер
unknown, С. 1 - 26
Опубликована: Ноя. 19, 2024
Purpose:
This
study
aimed
to
identify
clinician-perceived
barriers
and
facilitators
before
the
implementation
of
surface
electromyography
(sEMG)
for
swallowing
management,
implement
sEMG
biofeedback
in
rehabilitation
sessions
using
strategies,
investigate
perceived
benefits
drawbacks
after
device
from
perspectives
speech-language
pathologists
(SLPs).
Method:
An
initial
pre-implementation
survey
characterized
SLPs'
practices
management
regarding
use
modalities
as
well
sEMG.
In
phase,
six
SLPs
attended
educational
training
meetings,
tested,
used
with
patients
during
their
sessions.
Finally,
a
postimplementation
focus
group
assessed
perceptions
experiences
identified
areas
improvement
process.
Results:
The
majority
44
who
answered
did
not
therapy.
most
frequently
reported
were
reduced
knowledge
lack
(86.4%),
equipment
access
or
availability
(68.2%),
patient-related
(36.6%).
participated
phase
30
different
patients,
conducting
total
105
They
that
it
was
easy
helped
them
teach
maneuvers.
Additionally,
they
stated
motivated
Ongoing
mentoring
some
suggestions
improvements.
Conclusions:
exemplifies
collaborative
work
between
researchers
clinicians
facilitate
translation
technologies
into
clinical
practice.
Identifying
determinants
strategies
address
critical
its
acceptability
adoption
