A Novel Tongue Pressure Measurement Instrument with Wireless Mobile Application Control Function and Disposable Positioning Mouthpiece

This study developed a novel chair-side tongue pressure (TP) measuring instrument with a disposable positioning mouthpiece controlled using a smartphone application (APP), denoted as the TP wireless application (TPWA). The mouthpiece was designed with a palate-shaped air balloon containing a tongue...

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Main Authors: Hsiu-Yueh Liu, Chun-Hung Chen, Chao-Hung Kuo, Ming-Chu Feng, Jen-Hao Chen, Hsuan-Wen Wang, Kun-Chun Chen, Chun-Li Lin
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/3/489
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author Hsiu-Yueh Liu
Chun-Hung Chen
Chao-Hung Kuo
Ming-Chu Feng
Jen-Hao Chen
Hsuan-Wen Wang
Kun-Chun Chen
Chun-Li Lin
author_facet Hsiu-Yueh Liu
Chun-Hung Chen
Chao-Hung Kuo
Ming-Chu Feng
Jen-Hao Chen
Hsuan-Wen Wang
Kun-Chun Chen
Chun-Li Lin
author_sort Hsiu-Yueh Liu
collection DOAJ
description This study developed a novel chair-side tongue pressure (TP) measuring instrument with a disposable positioning mouthpiece controlled using a smartphone application (APP), denoted as the TP wireless application (TPWA). The mouthpiece was designed with a palate-shaped air balloon containing a tongue contact bump and a plastic bite positioning tube. Fatigue load testing was performed to evaluate mouthpiece durability by applying 700 displacement cycles (50 times a day for one week during training, with twice the safety factor) on the air balloon. The main component used in developing this instrument was a silicon pressure sensor equipped with wireless Bluetooth connection. Young (52 adults; mean age = 20.23 ± 2.17) and elderly (40 adults; mean age = 72.60 ± 7.03) individuals participated in the test with the new instrument, with the results compared to those of a commercial device. The TPWA mouthpiece fatigue test showed that mean response pressures were maintained at 12 kPa. No significant (<i>p</i> > 0.05) differences were found during testing repetitions 0–10 and 701–710. There were no significant differences in the maximum TP values presented between the test sequences using different instruments for young and elderly participants. The TPWA results showed that TP values gradually decreased with increasing age (40.77 kPa for young and 16.55 kPa for elderly participants). The maximum TP for males (43.51 kPa) was significantly larger than that for females (35.14 kPa) in the young group, but an opposite trend was seen in the elderly group (12.97 for males and 17.59 for females). Thus, this study developed a novel chair-side TP measurement instrument with Bluetooth wireless mobile application control. A durable positioning oral mouthpiece was approved for measuring pressure sufficiently, reliably, and precisely for TP screening.
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spelling doaj.art-f85caac0e44c49d9bac5f0c1fcc098622023-11-21T09:53:19ZengMDPI AGDiagnostics2075-44182021-03-0111348910.3390/diagnostics11030489A Novel Tongue Pressure Measurement Instrument with Wireless Mobile Application Control Function and Disposable Positioning MouthpieceHsiu-Yueh Liu0Chun-Hung Chen1Chao-Hung Kuo2Ming-Chu Feng3Jen-Hao Chen4Hsuan-Wen Wang5Kun-Chun Chen6Chun-Li Lin7Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, TaiwanDepartment of Neurology, Kaohsiung Municipal SiaoGang Hospital, Kaohsiung Medical University, Kaohsiung 81267, TaiwanDepartment of Internal Medicine, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, TaiwanDepartment of Nursing, Kaohsiung Municipal SiaoGang Hospital, Kaohsiung Medical University, Kaohsiung 81267, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, TaiwanDepartment of Biomedical Engineering, National Yang-Ming Chiao-Tung University, Hsinchu 30010, TaiwanDepartment of Biomedical Engineering, National Yang-Ming Chiao-Tung University, Hsinchu 30010, TaiwanDepartment of Biomedical Engineering, National Yang-Ming Chiao-Tung University, Hsinchu 30010, TaiwanThis study developed a novel chair-side tongue pressure (TP) measuring instrument with a disposable positioning mouthpiece controlled using a smartphone application (APP), denoted as the TP wireless application (TPWA). The mouthpiece was designed with a palate-shaped air balloon containing a tongue contact bump and a plastic bite positioning tube. Fatigue load testing was performed to evaluate mouthpiece durability by applying 700 displacement cycles (50 times a day for one week during training, with twice the safety factor) on the air balloon. The main component used in developing this instrument was a silicon pressure sensor equipped with wireless Bluetooth connection. Young (52 adults; mean age = 20.23 ± 2.17) and elderly (40 adults; mean age = 72.60 ± 7.03) individuals participated in the test with the new instrument, with the results compared to those of a commercial device. The TPWA mouthpiece fatigue test showed that mean response pressures were maintained at 12 kPa. No significant (<i>p</i> > 0.05) differences were found during testing repetitions 0–10 and 701–710. There were no significant differences in the maximum TP values presented between the test sequences using different instruments for young and elderly participants. The TPWA results showed that TP values gradually decreased with increasing age (40.77 kPa for young and 16.55 kPa for elderly participants). The maximum TP for males (43.51 kPa) was significantly larger than that for females (35.14 kPa) in the young group, but an opposite trend was seen in the elderly group (12.97 for males and 17.59 for females). Thus, this study developed a novel chair-side TP measurement instrument with Bluetooth wireless mobile application control. A durable positioning oral mouthpiece was approved for measuring pressure sufficiently, reliably, and precisely for TP screening.https://www.mdpi.com/2075-4418/11/3/489tonguetongue pressuredysphagiaoral hypofunctionexercisetraining
spellingShingle Hsiu-Yueh Liu
Chun-Hung Chen
Chao-Hung Kuo
Ming-Chu Feng
Jen-Hao Chen
Hsuan-Wen Wang
Kun-Chun Chen
Chun-Li Lin
A Novel Tongue Pressure Measurement Instrument with Wireless Mobile Application Control Function and Disposable Positioning Mouthpiece
Diagnostics
tongue
tongue pressure
dysphagia
oral hypofunction
exercise
training
title A Novel Tongue Pressure Measurement Instrument with Wireless Mobile Application Control Function and Disposable Positioning Mouthpiece
title_full A Novel Tongue Pressure Measurement Instrument with Wireless Mobile Application Control Function and Disposable Positioning Mouthpiece
title_fullStr A Novel Tongue Pressure Measurement Instrument with Wireless Mobile Application Control Function and Disposable Positioning Mouthpiece
title_full_unstemmed A Novel Tongue Pressure Measurement Instrument with Wireless Mobile Application Control Function and Disposable Positioning Mouthpiece
title_short A Novel Tongue Pressure Measurement Instrument with Wireless Mobile Application Control Function and Disposable Positioning Mouthpiece
title_sort novel tongue pressure measurement instrument with wireless mobile application control function and disposable positioning mouthpiece
topic tongue
tongue pressure
dysphagia
oral hypofunction
exercise
training
url https://www.mdpi.com/2075-4418/11/3/489
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