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  4. Safety and Efficacy of Medically Performed Tongue Piercing in People with Tetraplegia for Use with Tongue-Operated Assistive Technology

Safety and Efficacy of Medically Performed Tongue Piercing in People with Tetraplegia for Use with Tongue-Operated Assistive Technology

Top Spinal Cord Inj Rehabil, 2015 · DOI: 10.1310/sci2101-61 · Published: January 1, 2015

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores the safety and usability of tongue piercing in individuals with tetraplegia for operating assistive technology known as the Tongue Drive System (TDS). The TDS uses tongue movements to control devices like computers and wheelchairs. Volunteers with tetraplegia underwent a medically supervised tongue-piercing protocol, followed by the insertion of a magnet-containing barbell. This allowed them to use the TDS to perform tasks like computer operation and wheelchair navigation. The study found that with careful selection criteria and medical supervision, tongue piercing posed no excess risk to individuals with tetraplegia, and they were able to effectively operate the TDS.

Study Duration
6 to 8 weeks
Participants
13 volunteers with tetraplegia
Evidence Level
Not specified

Key Findings

  • 1
    Careful participant selection and a medically supervised piercing protocol were associated with no excess risk of tongue piercing and wearing a tongue barbell in people with tetraplegia.
  • 2
    Participants with tetraplegia were able to use the TDS for computer access, powered wheelchair control, phone dialing, and in-chair weight shifting.
  • 3
    Most participants found the TDS as effective or more effective and as easy or easier to use than their current assistive devices.

Research Summary

The study aimed to test the safety and acceptance of a tongue-piercing protocol in people with tetraplegia for use with the Tongue Drive System (TDS). Thirteen participants with tetraplegia underwent tongue piercing and used a magnet-containing barbell to operate the TDS for various tasks. The study concluded that medically supervised tongue piercing is safe for people with tetraplegia and allows them to effectively operate the TDS, with most participants finding it as good as or better than their existing assistive technology.

Practical Implications

Improved Assistive Technology Access

Tongue piercing can provide a viable and safe method for individuals with tetraplegia to access and control assistive technologies like computers and wheelchairs, enhancing their independence and quality of life.

Medical Supervision is Crucial

The safety of tongue piercing in this population relies heavily on strict medical protocols and careful patient selection to minimize risks and ensure positive outcomes.

Future TDS Development

Further development of the Tongue Drive System, such as embedding the control unit in an intraoral brace, could further reduce any perceived social stigma and improve user experience.

Study Limitations

  • 1
    Only participants with high-level SCIs were enrolled, so findings cannot be generalized to people with other neurological disorders.
  • 2
    Due to tight inclusion/exclusion criteria, there were only a small number of participants.
  • 3
    The TDS was available only for use during the 12 weeks of study participation.

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