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With many nursing facilities restricting visitations and close contact during the coronavirus pandemic, there is an urgent need for remote respiratory\u2013swallow monitoring. This study aimed to develop a semiautomatic feeding telecare system that provides instant feedback and warnings on-site and remotely. It also aimed to analyze the effects of trunk positions on respiratory\u2013swallow coordination. A signal collector with multiple integrated sensors for real-time respiratory\u2013swallow monitoring and warning was developed. A repeated measures design was implemented to evaluate the effects of trunk inclination angles on the swallow-related functions. Significant differences in inclination angles were discovered for swallowing apnea (p = 0.045) and total excursion time of thyroid cartilage (p = 0.037), and pairwise comparisons indicated that these differences were mostly present at 5\u00b0 to 45\u00b0. Alerts were triggered successfully when undesired respiratory patterns or piecemeal occurred. The results indicated that a care recipient can swallow more easily when sitting upright (5\u00b0) than when leaning backward (45\u00b0). This telecare system provides on-site and remote respiratory\u2013swallow monitoring and alerting for residents in care facilities and can serve as a pipeline for the early screening of swallowing dysfunction.<\/jats:p>","DOI":"10.3390\/s23020642","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T03:19:54Z","timestamp":1672975194000},"page":"642","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Multi-Sensor Respiratory\u2013Swallow Telecare System for Safe Feeding in Different Trunk Inclinations: System Development and Clinical Application"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4325-3553","authenticated-orcid":false,"given":"Wann-Yun","family":"Shieh","sequence":"first","affiliation":[{"name":"Department of Computer Science and Information Engineering, College of Engineering, Chang Gung University, No. 259, Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Kwei-Shan, Taoyuan 333, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin-Man","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Kwei-Shan, Taoyuan 333, Taiwan"},{"name":"Collage of Medicine, Chang Gung University, Taoyuan 333, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1290-7676","authenticated-orcid":false,"given":"Yan-Ying","family":"Ju","sequence":"additional","affiliation":[{"name":"Department of Adapted Physical Education, National Taiwan Sport University, No. 250, Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8855-1170","authenticated-orcid":false,"given":"Hsin-Yi Kathy","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Kwei-Shan, Taoyuan 333, Taiwan"},{"name":"Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, No. 259, Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"0347","DOI":"10.1055\/s-2000-8387","article-title":"How should dysphagia care of older adults differ? 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