ScienceDaily (June 30, 2008) - A new assistive technology developed by
engineers at the Georgia Institute of Technology could help
individuals with severe disabilities lead more independent lives.

The novel system allows individuals with disabilities to operate a
computer, control a powered wheelchair and interact with their
environments simply by moving their tongues.
"This device could revolutionize the field of assistive technologies
by helping individuals with severe disabilities, such as those with
high-level spinal cord injuries, return to rich, active, independent
and productive lives," said Maysam Ghovanloo, an assistant professor
in the Georgia Tech School of Electrical and Computer Engineering.
Ghovanloo developed the system with graduate student Xueliang Huo.
The tongue-operated assistive technology, called the Tongue Drive
system, was described on June 29 at the 2008 Rehabilitation
Engineering and Assistive Technology Society of North America (RESNA)
Annual Conference in Washington, D.C. An article about this system is
also scheduled to appear in an upcoming issue of the Journal of
Rehabilitation Research and Development. This research was funded by
the National Science Foundation and the Christopher and Dana Reeve
Foundation.
To operate the Tongue Drive system, potential users only need to be
able to move their tongues. Attaching a small magnet, the size of a
grain of rice, to an individual's tongue by implantation, piercing or
tissue adhesive allows tongue motion to direct the movement of a
cursor across a computer screen or a powered wheelchair around a room.
"We chose the tongue to operate the system because unlike hands and
feet, which are controlled by the brain through the spinal cord, the
tongue is directly connected to the brain by a cranial nerve that
generally escapes damage in severe spinal cord injuries or
neuromuscular diseases," said Ghovanloo, who started working on this
project about three years ago at North Carolina State University.
"Tongue movements are also fast, accurate and do not require much
thinking, concentration or effort."
Movement of the magnetic tracer attached to the tongue is detected by
an array of magnetic field sensors mounted on a headset outside the
mouth or on an orthodontic brace inside the mouth. The sensor output
signals are wirelessly transmitted to a portable computer, which can
be carried on the user's clothing or wheelchair.
The sensor output signals are processed to determine the relative
motion of the magnet with respect to the array of sensors in
real-time. This information is then used to control the movements of a
cursor on the computer screen or to substitute for the joystick
function in a powered wheelchair.
The system can potentially capture a large number of tongue movements,
each of which can represent a different user command. A unique set of
specific tongue movements can be tailored for each individual based on
the user's abilities, oral anatomy, personal preferences and
lifestyle.
"An individual could potentially train our system to recognize
touching each tooth as a different command," explained Ghovanloo. "The
ability to train our system with as many commands as an individual can
comfortably remember is a significant advantage over the common
sip-n-puff device that acts as a simple switch controlled by sucking
or blowing through a straw."
The Tongue Drive system is also non-invasive and does not require
brain surgery like some of the brain-computer interface technologies.
Ghovanloo's group recently completed trials in which six able-bodied
individuals tested the Tongue Drive system. Each participant defined
six tongue commands that would substitute for computer mouse tasks --
left, right, up and down pointer movements and single- and
double-click. For each trial, the individual began by training the
system. During the five-minute training session, the individual
repeated each of the six designated tongue movements 10 times.
During the testing session, the user moved his or her tongue to one of
the predefined command positions and the mouse pointer started moving
in the selected direction. To move the cursor faster, users could hold
their tongue in the position of the issued command to gradually
accelerate the pointer until it reached a maximum velocity.
Results of the computer access test by novice users with the current
Tongue Drive prototype showed a response time of less than one second
with almost 100 percent accuracy for the six individual commands. This
is equivalent to an information transfer rate of approximately 150
bits per minute, which is much faster than the bandwidth of most
brain-computer interfaces, according to Ghovanloo.
The researchers have also tested the ability of twelve able-bodied
individuals to operate an electric-powered wheelchair with the Tongue
Drive system. The next step is to test and assess the usability and
acceptability of the system by people with severe disabilities, said
Ghovanloo. He is teaming with the Shepherd Center, an Atlanta-based
catastrophic care hospital, and the Georgia Tech Center for Assistive
Technology and Environmental Access, to conduct those trials.
The research team has also begun to develop software to connect the
Tongue Drive system to a wide variety of readily available
communication tools such as text generators, speech synthesizers and
readers. In addition, the researchers plan to add control commands,
such as switching the system into standby mode to permit the user to
eat, sleep or engage in a conversation while extending battery life.
"We hope this technology will reduce the need of individuals with
severe disabilities to receive continuous assistance from family
members or caregivers, thus significantly reducing healthcare and
assistance costs," noted Ghovanloo. "This system may also make it
easier for them to work and communicate with others, such as friends
and family."

Adapted from materials provided by Georgia Institute of Technology.
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