Accelerate Outcomes. Exceed Expectations.

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Accelerate Outcomes.Exceed Expectations.
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Left Ear EARLY
Right EarLATE
1 second 1,000 milliseconds
0 - 15 ms Perfect 16 - 40 ms Above
Average 41 - 100 ms Average
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Interactive Metronome

• Assessment Treatment
• Evidence-based
• Objective
• Flexible
• Engaging

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IM Equipment

• Software
• Hardware
• Master Control Unit
• Hand Trigger
• Foot Trigger
• Headphones
• Optional wireless equipment
• Hand Trigger
• Foot Trigger
• Gait Switch

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IMs Goals

1. To drive functional neuroplasticity
2. To improve mental/interval timing
3. To improve the brains efficiency and performance

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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." 
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To improve mental/interval timing

• IM

IM
Based upon Scalar Timing Theory
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IM Impacts Mental/Interval Timing Structures of
the Brain
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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 patients 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
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To improve the brains efficiency and performance

• By improving
• Auditory Processing
• Short Term Memory
• Working Memory
• Processing Speed
• Cognitive Resources
• Executive Functions
• Motor Coordination
• Sensory Processing

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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

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Stanley I. Greenspan, MD Chairman, IM
Scientific Advisory Board

• Clinical Professor of Psychiatry, Behavioral
  Sciences, and Pediatrics at George Washington
  University Medical School.

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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

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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

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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

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ADHD StudyEffect of Interactive Metronome?
Training on Children with ADHD.The American
Journal Of Occupational Therapy
Interaction Effect 0.005
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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

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Academic Fluency Study
2.21 GE Gain in Reading Fluency
1.66 GE Gain in Math Fluency
2.21 GE gain, n718, Woodcock Johnson, 3rd Ed.
1.66 GE gain, n703, Woodcock Johnson, 3rd Ed.
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Harvard Learning The BrainPresented 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

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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 school Black elementary school
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Neuro-imaging StudyPresented at 65th Annual
American PMR Conference
Alpiner (2004). Results from this pilot fMRI
study show IM directly activates multiple parts
of the neuro-network.
MEDIAL BRAINSTEM Neuro-Motor Pipeline
BASAL GANGLIA Integrates Thought and Movement
CINGULATE GYRUS Allows Shifting of
Attention Cognitive Flexibility
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Parkinsons 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, Parkinsons Institute

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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

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Motor StudyThe Journal of General Psychology

• 20 Overall Gain in Shot Accuracy
• 35 Increase for advanced golfers who had
  consistent swing mechanics

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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.

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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

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Left Ear EARLY
Right EarLATE
1 second 1,000 milliseconds
0 - 15 ms Perfect 16 - 40 ms Above
Average 41 - 100 ms Average
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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
  togetherNeuroplasticity

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IM GAIT MATE
http//www.interactivemetronome.com/IMPublic/GaitM
ate.aspx
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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.

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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.

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IM-HOMETherapy Extension
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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

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Interactive Metronome Today

• Currently provided by over 7,500 therapists
• In 3,000 hospitals, clinics and universities

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• Questions
• Kelli Crovo
• [phone] x240
• kcrovo_at_interactivemetronome.com

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