Use of respiratory inductance plethysmography for the detection of swallowing in the elderly.
It is essential to have a user-friendly, noninvasive bedside procedure at our disposal in order to study swallowing and swallowing disorders in the elderly in view of the frailty of this age group. In the present work, respiratory inductance plethysmography (RIP) is proposed as an appropriate clinical tool for such studies. An automated process for the detection of swallowing is used involving the derivative of the respiratory volume signal. The accuracy of the automated detection is given by the area under the Receiver Operating Characteristic (ROC) curve and is found to be greater than 0.9. At the optimal threshold, RIP constitutes a reliable and objective bedside clinical tool for studying swallowing in the elderly, as well as being user-friendly and noninvasive. In addition, RIP can be used to monitor swallowing in order to analyze swallowing disorders and put in place medical supervision of swallowing for individuals who might aspirate.
Moreau-Gaudry
Alexandre
A
Department of Geriatric and Community Medicine, University Hospital of Grenoble, Grenoble, France. Alexandre.Moreau-Gaudry@imag.fr
Sabil
Abdelkebir
A
Benchetrit
Gila
G
Franco
Alain
A
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001331:Automation; D015331:Cohort Studies; D003679:Deglutition / Q000502:physiology*; D003680:Deglutition Disorders / Q000175:diagnosis*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D010992:Plethysmography, Impedance; D012372:ROC Curve; D015203:Reproducibility of Results; D018570:Risk Assessment; D012680:Sensitivity and Specificity