Embouchure Assistive Device

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1 Embouchure Assistive Device Advisor: John Webster Client: Elon Roti Roti Team Members: Vivian Chen Megan Jones Patrick Cassidy

2 Outline Background Bell s palsy Synkinesis Clarinet embouchure Motivation Problem statement Design Requirements Alternatives Matrix Final design Future work Testing 2

3 Bell s Palsy Bell s palsy: paralysis of facial muscles triggered by dysfunction of cranial nerve VII Cause: nerve inhibition due to inflammatory condition Prognosis is good even without treatment Image: 3

4 Synkinesis Synkinesis: abnormal muscle movement during normal movement Cause: misdirection of neurons upon regeneration Most often affects muscles around mouth Image: Nakamura, K, et al. (2003) 4

5 Clarinet Embouchure Zygomaticus Buccinator Orbicularis Oris Platysma Embouchure: shape of mouth when playing instrument Due to synkinesis, muscles contract simultaneously Image: 5

6 Project Motivation Synkinesis prevents engagement of correct muscles when playing clarinet Assistive device needed to help maintain pressure on mouthpiece by exerting forward and inward forces on cheek Device should also reduce air leakage at corner of mouth 6

7 Design Specifications Extend quality play time to at least 30 minutes Must not restrict playing Low cost Lightweight Easy to use/clean Must maintain constant pressure on cheek Preferably a head gear 7

8 Prototype: Last Semester Disadvantages: Bulky Ear contact Multiple adjustments Pressure application Aesthetics 8

9 Design 1: Spring Metal Pressure application: Preset spring steel for inward force Track for forward force Materials: Spring steel (force arm) Plastic/Metal (ring) Pros: Less bulky Adjustable with one hand Cons: Cost Manufacturing 9

10 Design 2: Button Adjustment Pressure application: Coil spring in axle allows for sustained inward force Track for forward force Materials: Spring metal (force arm) Plastic/Metal (ring) Pros: Less bulky Position of force arm maintained Cons: Adjustability Manufacturing 10

11 Design 3: Butterfly Tiara Pressure application: Preset spring metal for inward force Manual forward force Materials: Thin steel Friction interface Pros: Adjustability Ease of use Aesthetics Cons: Forward force Back view Side view 11

12 Design 3: Butterfly Tiara 12

13 Design Matrix 13

14 Final Design Choice Butterfly Tiara or Spring Metal 14

15 Future Work Address aesthetics concerns Contour headpiece to client s head Materials Contact prosthetics specialists Maximize ease-of-use and longevity Fabricate Butterfly Tiara and Spring Metal prototypes Test and revise designs 15

16 Future Work: Testing Repeatability Determine: Force required to close mouth Force applied by device Surface EMG both sides [3] User testing: Effectiveness Tone improvement Lengthen time able to practice/play Comfort Ease of use/setup 16

17 Acknowledgements Advisor: John Webster (Dept. of BME) Client: Elon Roti Roti (Dept. of Obstetrics/Gynecology) Professor Fronczak (Dept. of ME) Brian Anderson (Creative Director, Hussmann) 17

18 References 1. Moran, C. J., & Neely, J. G. (1996). Patterns of Facial Nerve Synkinesis. The Laryngoscope, 106(12), Nakamura, K., Toda, N., Sakamaki, K., Kashima, K., & Takeda, N. (2003). Biofeedback Rehabilitation for Prevention of Synkinesis after Facial Palsy. Otolaryngology -- Head and Neck Surgery, 128(4), Van Swearingen, J. M., & Brach, J. S. (2003). Changes in facial movement and synkinesis with facial neuromuscular reeducation. Plastic and reconstructive surgery, 111(7),

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