Abstract

Introduction: Dysphagia often appears days before conventional volume overload indicators, suggesting it may be an earlier marker for impending volume overload. The The Massey Bedside Swallow Screen and videofluoroscopic swallow studies are standard dysphagia diagnostic tools, but are limited by subjectivity and resource availability, respectively. The Dysphagia Strain Sensor (DSS) offers objective assessment and easier accessibility. This study assessed the feasibility of the DSS in detecting dysphagia and evaluating volume status in heart failure (HF) patients.

Methods: An exploratory feasibility enrolled 15 HF patients aged 18 years and older, classified as New York Heart Association Functional Class II to III, hospitalized within the past year. Exclusions included age under 18, neurological disorders, prior neck surgeries, sensitivities to silver or adhesives, hospice care status, or life expectancy under one year were excluded.

Results: Results showed significant correlations between DSS parameters- laryngeal repositioning time (LRT), swallowing jitter (SJ), amplitude, and duration - and self-reported dysphagia and bedside swallow screenings. DSS metrics also correlated with clinical indicators of volume status.

Conclusions: Findings support DSS as a feasible, non-invasive tool for early detection and monitoring of dysphagia and volume overload among HF patients. Further longitudinal studies are recommended to validate its clinical utility and improve early intervention strategies, reducing hospitalizations, and complications linked to volume overload in HF.

Notes

Reference list attached as separate file.

Description

The Dysphagia Strain Sensor (DSS) is feasible and objective tool for detecting dysphagia and volume status in heart failure patients.DSS metrics reflect changes in both dysphagia and fluid status. LRT and duration parameters are useful for detecting subclinical and esophageal dysphagia. SJ parameter reflects respiratory-swallowing coordination. Amplitude parameter indicates muscle and laryngeal function, which relates to volume status and symptom severity.

Author Details

Juvel-lou P. Velasco, PhD, MSN, RN, APRN-ANP, AGACNP-BC, CCRN, CHFN

Sigma Membership

Phi Nu

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Quantitative Research

Keywords:

Acute Care, Instrumental and Tool Development, Heart Failure, Dysphagia, Deglutition Disorders, Deglutition, Strain Gages, Strain Sensors

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-09-29

Click above link to access the slide deck.

Additional Files

References.pdf (99 kB)

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Dysphagia Strain Sensor for Swallowing and Volume Status Assessment in Heart Failure

Toronto, Ontario, Canada

Introduction: Dysphagia often appears days before conventional volume overload indicators, suggesting it may be an earlier marker for impending volume overload. The The Massey Bedside Swallow Screen and videofluoroscopic swallow studies are standard dysphagia diagnostic tools, but are limited by subjectivity and resource availability, respectively. The Dysphagia Strain Sensor (DSS) offers objective assessment and easier accessibility. This study assessed the feasibility of the DSS in detecting dysphagia and evaluating volume status in heart failure (HF) patients.

Methods: An exploratory feasibility enrolled 15 HF patients aged 18 years and older, classified as New York Heart Association Functional Class II to III, hospitalized within the past year. Exclusions included age under 18, neurological disorders, prior neck surgeries, sensitivities to silver or adhesives, hospice care status, or life expectancy under one year were excluded.

Results: Results showed significant correlations between DSS parameters- laryngeal repositioning time (LRT), swallowing jitter (SJ), amplitude, and duration - and self-reported dysphagia and bedside swallow screenings. DSS metrics also correlated with clinical indicators of volume status.

Conclusions: Findings support DSS as a feasible, non-invasive tool for early detection and monitoring of dysphagia and volume overload among HF patients. Further longitudinal studies are recommended to validate its clinical utility and improve early intervention strategies, reducing hospitalizations, and complications linked to volume overload in HF.