Tongue-Controlled Computer Game: A New Approach for Rehabilitation of Tongue Motor Function

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• 作者：Mohit Kothari ; BDS ; PhD^a ; ^{mohit.kothari@odontologi.au.dk" class="auth_mail" title="E-mail the corresponding author} ; Peter Svensson ; PhD ; Dr Odont^a ; ^b ; Jim Jensen ; MSc^c ; Trine Davidsen Holm ; DDS^a ; Mathilde Skorstengaard Nielsen ; DDS^a ; Trine Mosegaard ; DDS^a ; Jø ; rgen Feldbæ ; k Nielsen ; PhD ; Dr Med^c ; Maysam Ghovanloo ; PhD^d ; Lene Baad-Hansen ; PhD^a
• 关键词：Aging ; Performance ; Rehabilitation ; Tongue disability ; Tongue Drive System ; Tongue training
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2014
• 出版时间：March 2014
• 年：2014
• 卷：95
• 期：3
• 页码：524-530
• 全文大小：695 K

文摘

To investigate the influence of tongue disability, age, and sex on motor performance for a tongue-training paradigm involving playing a computer game using the Tongue Drive System (TDS).

Design

Two controlled observational studies.

Setting

A neurorehabilitation center and a dental school.

Participants

In study 1, tongue-disabled patients with symptoms of dysphagia and dysarthria (n=11) and age- and sex-matched controls (n=11) participated in tongue training. In study 2, healthy elderly persons (n=16) and healthy young persons (n=16) volunteered.

Intervention

In study 1 and study 2, the tongue training lasted 30 and 40 minutes, respectively. Participants were instructed to play a computer game with the tongue using TDS.

Main Outcome Measures

Motor performance was compared between groups in both studies. Correlation analyses were performed between age and relative improvement in performance. Subject-based reports of motivation, fun, pain, and fatigue evaluated on 0-to-10 numeric rating scales were compared between groups.

Results

In study 1, tongue-disabled patients performed poorer than healthy controls (P=.005) and with a trend of a sex difference (P=.046). In study 2, healthy young participants performed better than healthy elderly participants (P<.001), but there was no effect of sex (P=.140). There was a significant negative correlation between age and relative improvement in performance (δ=−.450; P=.009). There were no significant differences in subject-based reports of motivation, fun, pain, and fatigue between groups in any of the studies (P>.094).

Conclusions

The present study provides evidence that tongue disability and age can influence behavioral measures of tongue motor performance. TDS may be a new adjunctive neurorehabilitation regimen in treating tongue-disabled patients.