A brand new assistive expertise is permitting individuals with paralysis to make use of computer systems, tablets, and smartphones with out counting on their fingers. The MouthPad, developed by Boston-based startup Augmental, interprets tongue and head actions into cursor instructions, providing an alternative choice to voice recognition programs which might be typically impractical in lecture rooms or social environments. The system has already reworked the day by day lives of customers dwelling with extreme mobility impairments, giving them a brand new measure of independence.
The MouthPad is a custom-fit retainer embedded with a pressure-sensitive touchpad that sits on the roof of the mouth. Mixed with movement sensors, it connects through Bluetooth to private gadgets and allows customers to scroll, click on, and drag with tongue gestures or head actions. For individuals with restricted tongue management, different inputs comparable to clenches or sips can be utilized. Augmental says the design takes benefit of the tongue’s eight muscle tissue, that are extremely expressive and immune to fatigue.
One of many first college students to undertake the MouthPad is 19-year-old Keely Horch, a freshman learning math and laptop engineering on the College of Maryland, Baltimore County. Horch grew to become quadriplegic on the age of 12 after struggling a stroke that left her unable to maneuver her arms or fingers. Till just lately, her use of expertise was minimal and at all times required help. “My interactions with expertise had been fairly scarce as a result of something to do with the pc or the web I needed to have one other particular person assist me,” she stated. “However now I do issues on the pc each time I would like, not having to depend on others. It actually has grow to be a sport changer.”

For Horch, the gadget has turned frustration into entry. She now codes, writes equations, and takes notes throughout lectures the place voice instructions will not be appropriate. “With the ability to keep up late to do homework or play video games, it provides me a way of normalcy,” she defined. “It’s given me a spark. It’s given me the motivation to need to take management of my life.” Her mom describes the MouthPad as a turning level, saying the expertise restored a measure of independence as soon as thought unimaginable.
Behind the gadget is Tomás Vega, co-founder and CEO of Augmental. Vega’s curiosity in human–laptop interplay traces again to his childhood. On the age of 5, he developed a stutter and turned to keyboards and computer systems as a option to categorical himself with out limitations. That early expertise with assistive expertise impressed him to discover methods of augmenting human talents. After learning engineering on the College of California, Berkeley, Vega joined the MIT Media Lab in 2016, the place he labored in Pattie Maes’ Fluid Interfaces group. He experimented with wearables to manage sleep, monitor feelings, and enhance entry to data, however in the end centered on mind–machine interfaces.
An internship at Neuralink shifted his route. “A mind implant has the best potential for serving to individuals sooner or later, however I noticed a variety of limitations that pushed me from engaged on it proper now,” Vega defined. “One is the lengthy timeline for improvement. I’ve made so many buddies over the previous years that wanted an answer yesterday.” In his remaining semester at MIT, he created a prototype utilizing a sensor-equipped mouthpiece — “a lollipop with a bunch of sensors” — and demonstrated that tongue enter might reliably substitute a mouse. Quickly after, Augmental was based together with his longtime collaborator Corten Singer.


Every MouthPad is custom-fabricated. Augmental begins with a scan of the person’s mouth, generates a 3D mannequin, and produces the retainer utilizing dental-grade supplies and embedded electronics. Customers can navigate with tongue swipes, right-click with a sip gesture, or use head monitoring for cursor management. Avid gamers, programmers, and college students have already examined the gadget for day by day use, with some reporting as much as 9 hours of interplay per day.
The startup is now getting ready to develop the system’s capabilities. Augmental plans to hunt U.S. Meals and Drug Administration clearance within the coming yr, which might permit the MouthPad to interface with wheelchairs and robotic arms, in addition to allow reimbursement by insurance coverage. The group can also be engaged on a next-generation model designed to answer whispers and refined inner speech actions, a function meant to assist customers with impaired lung operate.
Vega sees broader functions forward. As synthetic intelligence instruments grow to be extra embedded in day by day computing, he believes the MouthPad might present an accessible interface for everybody, not simply individuals with disabilities. “What we hope to offer sooner or later is an always-available, strong, and personal interface to intelligence,” he stated. “We expect that is essentially the most expressive, wearable, hands-free enter system that people have created.”


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Featured picture exhibits the Augmental MouthPad, named a 2025 CES Innovation Awards Honoree in Accessibility & AgeTech. Picture through Augmental.
