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Accelerate Outcomes. Exceed Expectations. Buzzer. Buzzer. High Pitch Rewarding Sound . 15. 40. 15. 40. Rubber band twang. Rubber band twang. 0. 200. 100. 200. 100. Left Ear EARLY . Right Ear LATE. 1 second = 1,000 milliseconds. 0 - 15 ms Perfect

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left ear early

Buzzer

Buzzer

High Pitch Rewarding Sound

15

40

15

40

Rubber

band

twang

Rubber band twang

0

200

100

200

100

Left Ear EARLY

Right EarLATE

1 second = 1,000 milliseconds

0 - 15 ms Perfect

16 - 40 ms Above Average

41 - 100 ms Average

interactive metronome
Interactive Metronome
  • Assessment & Treatment
  • Evidence-based
  • Objective
  • Flexible
  • Engaging
im equipment
IM Equipment
  • Software
  • Hardware
    • Master Control Unit
    • Hand Trigger
    • Foot Trigger
    • Headphones
  • Optional wireless equipment
    • Hand Trigger
    • Foot Trigger
    • Gait Switch
im s goals
IM’s Goals
  • To drive functional neuroplasticity
  • To improve mental/interval timing
  • To improve the brain’s efficiency and performance
slide6

Randolph J. Nudo, Ph.D.Director, Landon Center on AgingProfessor, Department of Molecular and Integrative PhysiologyUniversity of Kansas Medical CenterKansas City, KS

"Synchronous activity drives dendritic growth."

to improve mental interval timing
To improve mental/interval timing

IM…

IM…

Based upon Scalar Timing Theory

hemiplegia study thaut et al 2002 published in neuropsychologia
Hemiplegia Study Thaut et al. (2002): Published in Neuropsychologia
  • Investigated effect of rhythm on control of paretic arm movements
  • "the observed changes in timing and trajectory control strongly suggest that the structured time information in auditory rhythm added significant kinematic stability to the patient’s paretic arm reaching motions. These changes were not present during the non-rhythmic condition...Our data suggest, therefore, that auditory rhythm may offer an essential component of enhanced sensorimotor control to make hemiparetic arm training more effective."

21 hemispheric stroke patients

to improve the brain s efficiency and performance
To improve the brain’s efficiency and performance
  • By improving:
  • Auditory Processing
  • Short Term Memory
  • Working Memory
  • Processing Speed
  • Cognitive Resources
  • Executive Functions
  • Motor Coordination
  • Sensory Processing
im research
IM Research
  • First private research (1994)
    • Autistic children
    • Showed fine/gross/visual-motor improvements in coordination
    • Published in academic circles
    • IM came to attention of Stanley Greenspan, MD
stanley i greenspan md chairman im scientific advisory board
Stanley I. Greenspan, MDChairman, IM Scientific Advisory Board
  • Clinical Professor of Psychiatry, Behavioral Sciences, and Pediatrics at George Washington University Medical School.
academic correlation study timing in child development high scope educational research foundation
Academic Correlation StudyTiming in Child Development. High/Scope Educational Research Foundation

Kuhlman, K. & Schweinhart, L.J. (1999)

  • 585 students
  • Significant correlation between IM timing and academic performance
    • Reading, Mathematics
    • Oral/written language
    • Writing
    • Attention
    • Motor coordination and performance
slide14
ADHD StudyEffect of Interactive Metronome Training on Children with ADHD.The American Journal Of Occupational Therapy

Schaffer et al., (2001)

  • 56 boys, age 9-12
  • 15 sessions
  • 3 Groups
    • Treatment,
    • Video Game (Placebo)
    • Control
slide15
ADHD StudyEffect of Interactive Metronome Training on Children with ADHD.The American Journal Of Occupational Therapy
  • Statistically significant improvement:
    • Attention
    • Motor control and coordination
    • Processing speed
    • Language processing
    • Reading
    • Consistency of responses
    • Decrease in aggressive behavior
slide16
ADHD StudyEffect of Interactive Metronome Training on Children with ADHD.The American Journal Of Occupational Therapy

Interaction Effect = 0.005

academic fluency study
Academic Fluency Study

Jacokes (2004)

  • 1500 middle and high school students
  • 20 different schools
  • Completed 12 sessions of IM
  • Participated in pre & post-testing via WJ-III
    • Reading fluency
    • Math fluency
  • significant increase in grade equivalent performance
academic fluency study1
Academic Fluency Study

2.21 GE Gain in Reading Fluency

1.66 GE Gain in Math Fluency

2.21 GE gain, n=718, Woodcock Johnson, 3rd Ed.

1.66 GE gain, n=703, Woodcock Johnson, 3rd Ed.

harvard learning the brain presented by taub mcgrew keith 2005
Study 1

Flanagan High School

283 9th grade students

Control grp 151

Experimental grp 132

Pre/post testing: WJIII reading & math achievement tests

Study 2

Nap Ford Elementary School

Title 1 school

86 students

Control grp 37

Experimental grp 49

Pre/post testing: WJ III & more detailed battery to examine pre-literacy skills

Harvard Learning & The BrainPresented by Taub, McGrew & Keith (2005)
slide20

Harvard Learning & The BrainPresented by Taub, McGrew & Keith (2005)

Dependent variable %

IM Performance 48 %

  • CTOPP Letter Naming (RAN) 20 %
  • TOWRE (sight word efficiency) 18 %
  • National Reading Panel 15%
  • WJ III Math Calculation 12 %
  • WJ III Math Fluency 10 %
  • WJ III Pair Cancellation (attn/conc) 10 %
  • WJ III Reading Fluency 07 %
  • WJ III Math Calculation 07 %
  • WJ III Math Fluency 07 %
  • WJ III Broad Reading 07 %
  • WJ III Math Calculation 07 %

Primarily

elementary

All

secondary

Blue = high schoolBlack = elementary school

neuro imaging study presented at 65th annual american pm r conference
Neuro-imaging StudyPresented at 65th Annual American PM&R Conference

Alpiner (2004).Results from this pilot fMRI study show IM directly activates multiple parts of the “neuro-network.”

CINGULATE GYRUS

Allows Shifting of Attention

Cognitive Flexibility

BASAL GANGLIA

Integrates Thought and Movement

MEDIAL BRAINSTEM

Neuro-Motor Pipeline

parkinson s study pending publication in neurology
Parkinson’s StudyPending Publication in Neurology

“In this controlled study computer directed rhythmic movement training was found to improve the motor signs of parkinsonism.”

- Daniel Togasaki, MD, Parkinson’s Institute

motor study the journal of general psychology
Motor StudyThe Journal of General Psychology
  • Comparison of IM- trained golfers to a control group
  • Pre/post tested on computerized driving range
  • Significant improvements in golf shot accuracy
motor study the journal of general psychology1
Motor StudyThe Journal of General Psychology
  • 20% Overall Gain in Shot Accuracy
  • 35% Increase for advanced golfers who had consistent swing mechanics
auditory processing pilot study etra 2006 applied dissertation nova southeastern university
Auditory Processing Pilot StudyEtra (2006)Applied Dissertation, Nova Southeastern University
  • 8 children, 15 hours of IM training
  • SCAN-C
    • Filtered Words
    • Auditory Figure-Ground
    • Competing Words(dichotic listening)
    • Competing Sentences(dichotic listening)
  • Statistically significant gains
    • All subtests
    • Greatest Gains subtests 3 & 4
  • Strongly suggests IM affects auditory processing disorders by influencing neurological organization.
ongoing research
Ongoing Research
  • Drexel University: Durability & Generalization
  • University of Rochester: Visual Attention
  • University of Cincinnati: Hemiplegic Arm
  • East Carolina University: CVA
  • Veterans Administration: Cognitive, Behavioral & Motor Skills (normals & veterans with blast injuries)
  • Walter Reed Army Medical Center: PTSD, Sleep, Cognition
left ear early1

Buzzer

Buzzer

High Pitch Rewarding Sound

15

40

15

40

Rubber

band

twang

Rubber band twang

0

200

100

200

100

Left Ear EARLY

Right EarLATE

1 second = 1,000 milliseconds

0 - 15 ms Perfect

16 - 40 ms Above Average

41 - 100 ms Average

analysis
Analysis
  • What we see
  • Patient exercises four neurological functions at once:
    • Attention & Concentration
    • Sensory Integration
    • Functional Motor Control
    • Synchronization
  • “What is fired together is wired together”…Neuroplasticity
im gait mate
IM GAIT MATE

http://www.interactivemetronome.com/IMPublic/GaitMate.aspx

slide30

IM GAIT MATE

  • “Pre-gait” skills are important
    • Weight shifting
    • Unilateral stance
    • Limb Advancement
  • BUT
    • The only true way to practice walking is to WALK.
im gait mate1
IM GAIT MATE
  • IM Gait Mate is an extension of IM
    • Expands IM's capabilities:
      • Allows the patient to move freely AND receive continuous feedback during gait exercises.
  • Feedback will help the patient develop a symmetrical gait pattern.
continuing education
Continuing Education
  • Live Certification Courses
    • $15 off cost of course if you register within a week of this webinar. Contact Sales Representative.
  • Self-Study Certification Courses
  • Advanced Live Courses
  • Advanced Self-Study Courses
  • Webinars- Introductory & Advanced Levels
interactive metronome today
Interactive Metronome Today
  • Currently provided by over 7,500 therapists
  • In 3,000 hospitals, clinics and universities
slide35

Questions

Kelli Crovo

(954) 385-4660 x240

kcrovo@interactivemetronome.com

Slide 35