Analysis of Tongue Pressure Sensor for Biomedical
Applications
E. Sardini, M. Serpelloni
Dep. of Information Engineering, University of
Brescia, Brescia, Italy
mauro.serpelloni@unibs.it
S. Pandini
Dep. of Mechanical Engineering, University of
Brescia, Brescia, Italy
stefano.pandini@unibs.it
Abstract— The tongue is an important muscle and the contact
with the hard palate during the articulation of a syllable or
during swallowing is fundamental. Patients who have had
cerebrovascular or other neurological disorders may have
impaired speech and swallowing problems due to decreased
ability to control the tongue. In this work, a device with the aim
of providing a non-invasive aid for the rehabilitation is described.
The proposed device has been designed with the purpose of
measuring the tongue pressure on the palate directly in the oral
cavity and transmitting the data wirelessly. The device is
minimally invasive, because no cable is used to connect the
pressure sensor placed in the oral cavity with the reading unit
placed outside. A first prototype was developed and preliminary
testing data for the analysis of the sensor behavior have been
performed. A specific experimental setup has been designed and
realized and a testing protocol has been defined and adopted. The
obtained preliminary experimental results show a wide
measurement range, up to 100 kPa. Application fields of this
device are the treatment of people with swallowing or phonetic
disorders.
Keywords— Intraoral sensor, implanted sensor, wireless sensor,
physiological monitoring, pressure sensor, thick-film sensor.
I. INTRODUCTION
The number of patients who had cerebrovascular or other
neurological disorders (e.g. Parkinson's disease) is
continuously increasing. Usually these patients have trouble
swallowing and articulating a sound and they require
rehabilitative care [1-2]. The possibility of measuring the
tongue pressure against the hard palate during syllable
articulation or swallowing is important and, in fact, the contact
between tongue and palate is of vital importance for both
functions.
The techniques usually used are videofluorography (VF) or
videoendoscopy (VE). In [3-5], the authors analyzed
qualitatively the tongue coordination and jaw movements in
chewing and swallowing via VF and VE. However, the
application VF widely and repeatedly is not recommended
because of the dangers of radiation exposure for patients.
Therefore, in the literature, studies on the measurement of
tongue contact against the hard palate in a non-invasive
manner have been studied recently. In [6-11], different types
of pressure sensors are used to measure the tongue pressure.
These techniques are based on a sensor in contact with the
palate and connected via cables to a conditioning electronics
positioned outside the oral cavity. For example in [9], the
authors report a pressure sensor for measuring the tongue
pressure on the palate using a palatal plate with seven pressure
sensors. However, the presence of wired connections, between
the oral cavity and the reading unit placed outside, may impair
sound articulation or swallowing. Furthermore, the presence of
cables can be perceived by the patient as invasive. This
problem is widely reported in the literature and different
approaches are proposed [12-15]. To overcome this problem,
several authors propose devices transmitting information
wirelessly between the inside and the outside of the oral
cavity. In [13], the authors describe the architecture and the
operating principle of a new wireless system for balance
control for the falling prevention. The device measures if and
where the tongue is in contact with the palate, but does not
incorporate a pressure sensor. In [14], the aim was to develop
a wireless telemetry method to complement the shortcomings
of existing methods that measure the intra-oral pH. In [15], it
is reported a prototype system for wireless control of different
interfaces. The wireless intraoral device is activated by the
tongue, the signals are sent to tens of meters to a coordinator
wireless transmitting commands from the intra-oral device to
the computer. The sensor operates as a switch by sending the
contact information.
In this research, we propose a wireless intra-oral device for
measuring the tongue pressure on the palate. The presented
system is designed to measure the tongue pressure on the
palate and wirelessly transmit data to a reading unit placed
outside the oral cavity. The device consists of seven sensors
connected to an electronic circuit for conditioning and data
transmission. The sensors are fabricated using screen printing
technique on a plastic substrate at a low temperature. Screen
printing technique consists in the deposition of a film of a few
microns in thickness in a single step using a mask. This
technique allows the manufacture of low cost, light, flexible
and biocompatible sensors. The target applications may be
different: first of all, these sensors can be used in wearable
systems [16] or in implantable systems within the human
body, in passive devices or connected to power harvesters
[17].
In a previous publication [18], a first device was presented and
preliminary experimental results reported up to 80 kPa. We
now present an improved version of the device. A new
conditioning circuit is introduced and the building blocks are
briefly described. Furthermore, the sensor is tested with a new
experimental apparatus and according to proper testing
protocols, designed so to highlight the correlation between the
exerted stress and electrical output. Accurate analyses for a
978-1-4799-2921-4/14/$31.00 ©2014 IEEE