Effectivity of TongueFit, A Novel Orofacial Manometer, as Tongue Strength and Endurance Therapy in Children With Dysphagia

Recruiting now · Not applicable

Conditions studied: Dysphagia, Children

In brief

The tongue plays a crucial role in the swallowing process, and weakness in its muscles can lead to difficulties in bolus control, mastication, bolus transport, and oral residue. Reduced tongue strength is closely associated with dysphagia, a swallowing disorder that impairs the movement of food or liquids from the mouth, pharynx, or esophagus into the stomach. Measuring tongue strength is essential not only for diagnosing dysphagia but also for setting therapeutic goals and evaluating treatment effectiveness. However, Indonesia currently lacks accessible tools for assessing tongue strength and endurance or for providing tongue exercise therapy. Existing devices, such as the Tongueometer and Iowa Oral Performance Instrument (IOPI), are costly, difficult to access, and not well-suited for children. To address this gap, a prototype orofacial manometer (PMO) is needed-one that is affordable, child-friendly, and easy to use. TongueFit is an innovative orofacial manometer designed for both assessing and improving tongue strength and endurance. Similar to the IOPI, this prototype provides objective measurements while also incorporating a biofeedback feature in the form of a video game, enhancing engagement and participation in therapy, particularly for children. Additionally, TongueFit offers advantages in affordability, accessibility, and usability. It has been validated as a reliable and accurate tool for measuring tongue function. Given its potential, clinical trials are essential to evaluate the effectiveness of TongueFit in tongue strength and endurance therapy. These trials will support its broader clinical application and development, ensuring that it becomes a widely available tool for dysphagia management.

Key facts

Study ID

NCT06921161

Run by

Rizky Kusuma Wardhani

People needed

20

Starts

2025-03-01

Expected to finish

2025-05-15

Last updated by the study team

2025-04-10

Who can join

Age: 3 and older, up to 16. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Children aged 3 to 16 years.
• Diagnosed with oral phase dysphagia based on VFSS, with an MBSImP score greater than 0 and ≤12.
• Ability to understand and follow instructions.
• Adequate postural control, demonstrated by the ability to maintain a sitting position and support the head.
• Good jaw stability (absence of open jaw posture, adequate lip seal).
• Parental consent and/or patient willingness to participate, confirmed through signed informed consent.

You may not qualify if…

• Children with multiple congenital craniomaxillofacial abnormalities.
• Children using visual aids (glasses) or hearing aids.
• Children with comorbid conditions that may deteriorate unpredictably.
• Patients currently receiving inpatient treatment.
• Children who are uncooperative during the training process.

Where it is running

• Physical Medicine and Rehabilitation Polyclinic, Pediatric Division, Dr. Cipto Mangunkusumo Hospital — Jakarta, Jakarta Special Capital Region, Indonesia (enrolling)

Full record on ClinicalTrials.gov

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