Biofeedback Rehabilitation to Improve Speaking and Eating in Public

Tongue cancer requires resection and reconstruction that can leave patients disabled with respect to speaking and eating. Impairment of tongue function can have significant impact on social interaction and employment. To try and improve speaking and eating in public, the team at the University Health Network is going to use a special device that is designed to help the patient rehabilitate after tongue cancer treatment. The research part of this study is to use a special mouthpiece or mold that is like a partial plate for upper dentures that will fit on the roof of the mouth. This mold is embedded with 62 sensors that will allow patients to visualize their tongue position during speech. With the help of a speech therapist, patients can learn different tongue positions important speaking and eating. This whole process is called biofeedback. The visualization of the tongue gives the patient the flexibility to practice at home to and learn different tongue positions important to eating and speaking. In addition, the device will provide the speech pathologist with an opportunity for easier and more precise assessment of the patient's progress which can reduce the need for visits to the hospital. The investigators expect the biofeedback training to improve the patient's speaking and eating. The study hypothesis is that the biofeedback device will improve speech intelligibility, eating in public, speaking in public, and oral intake scores.

Sex

All

Inclusion Criteria:

* Oral cavity carcinoma involving the tongue or floor of the mouth
* Primary surgical treatment or/
* Primary surgical treatment with adjuvant radiation therapy or/
* Salvage surgical treatment
* At least 2 weeks post treatment

Exclusion Criteria:

* Anatomic palate abnormality that precludes fitting a mouthpiece
* Cognitively unable to participate in biofeedback
* Persistent Cancer
* Does not speak English