Successful rehabilitation of oropharyngeal swallowing disorders (i.e., dysphagia) requires frequent performance of head/neck exercises that primarily rely on expensive biofeedback devices, often only available in large medical centers. This directly affects treatment compliance and outcomes, and highlights the need to develop a portable and inexpensive remote monitoring system for the telerehabilitation of dysphagia. Here, we present the development and preliminarily validation of a skin-mountable sensor patch that can fit on the curvature of the submental (under the chin) area noninvasively and provide simultaneous remote monitoring of muscle activity and laryngeal movement during swallowing tasks and maneuvers. This sensor patch incorporates an optimal design that allows for the accurate recording of submental muscle activity during swallowing and is characterized by ease of use, accessibility, reusability, and cost-effectiveness. Preliminary studies on a patient with Parkinson’s disease and dysphagia, and on a healthy control participant demonstrate the feasibility and effectiveness of this system.

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Radiative communication using electromagnetic fields is the backbone of today’s wirelessly connected world, which implies that the physical signals are available for malicious interceptors to snoop within a 5–10 m distance, also increasing interference and reducing channel capacity. Recently, Electro-quasistatic Human Body Communication (EQS-HBC) was demonstrated which utilizes the human body’s conductive properties to communicate without radiating the signals outside the body. Previous experiments showed that an attack with an antenna was unsuccessful at a distance more than 1 cm from the body surface and 15 cm from an EQS-HBC device. However, since this is a new communication modality, it calls for an investigation of new attack modalities—that can potentially exploit the physics utilized in EQS-HBC to break the system. In this study, we present a novel attack method for EQS-HBC devices, using the body of the attacker itself as a coupling surface and capacitive inter-body coupling between the user and the attacker. We develop theoretical understanding backed by experimental results for inter-body coupling, as a function of distance between the subjects. We utilize this newly developed understanding to design EQS-HBC transmitters that minimizes the attack distance through inter-body coupling, as well as the interference among multiple EQS-HBC users due to inter-body coupling. This understanding will allow us to develop more secure and robust EQS-HBC based body area networks in the future.

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