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Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/22
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Item The application of Ultrasound Evaluation of Swallowing (USES) to the analysis of hyoid kinematics in healthy swallows(American Speech-Language-Hearing Association, 2025-04-07) Ma, Joan K-Y; Wrench, Alan A.Purpose: Using ultrasound as an adjunct tool for swallowing assessment has gained significant momentum in recent years, with research gaps in areas such as speech and language therapist–driven protocol and measurement methods. This study outlines the recording protocol of Ultrasound Evaluation of Swallowing (USES). Additionally, a set of multidimensional measurements capturing the hyoid kinematics in typical swallows was compared with previous studies to evaluate the current protocol and to develop an ultrasound database of healthy swallows to further the clinical implementation of USES. Method: Swallowing data were acquired from 41 healthy participants. Both discrete swallows (5- and 10-ml) and continuous swallows (100-ml) were analyzed. Automatic tracking of the hyoid and mandible positions using a deep neural net was applied. Six swallowing events of interest were identified for each swallow (beginning hyoid position, maximal hyoid position, hyoid advancement, hyoid retraction, peak forward velocity, and peak backward velocity), and a series of hyoid parameters characterizing the amplitude, velocity, and timing of the movement were calculated and compared across different types of swallows. Results: Results showed significant differences between continuous and discrete swallows. Continuous swallows were characterized by shorter maximal hyoid displacement, a shorter duration between the start of the swallow and the maximal displacement, a shorter total swallow duration, and lower peak velocity in both forward and backward hyoid movement. No significant difference was observed between the 5- and 10-ml swallows in hyoid movement amplitude, velocity, or duration. Conclusions: The quantification of hyoid kinematics in swallowing through the current USES recording protocol, combined with the semi-automatic extraction of hyoid function by applying a deep neural net and feature-finding algorithms, provides initial evidence to support its clinical utility in swallowing assessment. Further studies, including those of different clinical populations, to evaluate the sensitivity of the hyoid metrics in detecting changes to swallowing would support the clinical translation.Item Hyoid trajectory analysis of sequential and discrete swallows in healthy individuals using Ultrasound Evaluation of Swallowing(ESSD 2023, 2023-11) Cartney, Gemma; Ma, Joan K-YItem Intrapersonal variability in hyoid movement during normal swallow(UKSRG 2024, 2024-02) Ma, Joan K-Y; Quezada, Gabriella; Wrench, Alan A.Item Using glossogram to investigate tongue movement in Ultrasound Evaluation of Swallowing(ESSD 2023, 2023-11) Ma, Joan K-Y; Wrench, Alan A.Item Ultrasound Evaluation of Swallowing in People with Neurological Diseases – A Pilot Study(ESSD 2023, 2023-11) Ma, Joan K-Y; Quezada, Gabriella; Allen, Jodi, E.; Mossey- Gaston, Corinne; Wrench, Alan A.Item Acoustic speech markers for tracking changes in hypokinetic dysarthria associated with Parkinson’s Disease(ICPLA 2023, 2023-07) Murali, Mridhula; Ma, Joan K-Y; Lickley, RobinItem Automated assessment of hyoid movement during normal swallow using ultrasound(Royal College of Speech and Language Therapists, 2022-03-14) Ma, Joan K-Y; Wrench, Alan A.Background The potential for using ultrasound by speech and language therapists (SLTs) as an adjunct clinical tool to assess swallowing function has received increased attention during the COVID-19 pandemic, with a recent review highlighting the need for further research on normative data, objective measurement, elicitation protocol and training. The dynamic movement of the hyoid, visible in ultrasound, is crucial in facilitating bolus transition and protection of the airway during a swallow and has shown promise as a biomarker of swallowing function.Item Translating ultrasound into clinical practice for the assessment of swallowing and laryngeal function: A speech and language pathology-led consensus study(Springer, 2022-02-24) Allen, Jodi E.; Clunie, Gemma; Ma, Joan K-Y; Coffey, Margaret; Winiker, Katharina; Richmond, Sally; Lowell, Soren Y.; Volkmer, AnnaUltrasound (US) has an emerging evidence base for the assessment of swallowing and laryngeal function. Accessibility and technological advances support the use of US as a clinical assessment tool; however, there is insufficient evidence to support its translation into clinical practice. This study aimed to establish consensus on the priorities for translation of US into clinical practice for the assessment of swallowing and laryngeal function. Nominal Group Technique (NGT) was used as a formal method of consensus development. Clinicians and academics, all members of an international US working group, were invited to participate in the study. Two NGT meetings were held, where participants silently generated and then shared ideas. Participants anonymously ranked items. Rankings were aggregated before participants re-ranked items in order of priority. Discussions regarding rankings were recorded and transcribed to inform analysis. Member-checking with participants informed the final analysis. Participants (n = 15) were speech and language pathologists, physiotherapists and sonographers representing six countries. Fifteen items were identified and prioritised 1–13 (including two equally ranked items). Reliability, validity and normative data emerged as key areas for research while development of training protocols and engagement with stakeholders were considered vital to progressing US into practice. Analysis revealed common themes that might be addressed together in research, in addition to the ranked priority. A measured approach to the translation of US into clinical practice will enable effective implementation of this tool. Priorities may evolve as clinical and professional contexts shift, but this study provides a framework to advance research and clinical practice in this field.