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Accelerate Outcomes. Exceed Expectations.

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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Accelerate Outcomes. Exceed Expectations.

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  1. Accelerate Outcomes.Exceed Expectations.

  2. 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

  3. Interactive Metronome • Assessment & Treatment • Evidence-based • Objective • Flexible • Engaging

  4. IM Equipment • Software • Hardware • Master Control Unit • Hand Trigger • Foot Trigger • Headphones • Optional wireless equipment • Hand Trigger • Foot Trigger • Gait Switch

  5. IM’s Goals • To drive functional neuroplasticity • To improve mental/interval timing • To improve the brain’s efficiency and performance

  6. 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."

  7. To improve mental/interval timing IM… IM… Based upon Scalar Timing Theory

  8. IM Impacts Mental/Interval Timing Structures of the Brain

  9. 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

  10. 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

  11. 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

  12. Stanley I. Greenspan, MDChairman, IM Scientific Advisory Board • Clinical Professor of Psychiatry, Behavioral Sciences, and Pediatrics at George Washington University Medical School.

  13. 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

  14. 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

  15. 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

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

  17. 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

  18. 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.

  19. 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)

  20. 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

  21. 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

  22. 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

  23. 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

  24. Motor StudyThe Journal of General Psychology • 20% Overall Gain in Shot Accuracy • 35% Increase for advanced golfers who had consistent swing mechanics

  25. 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.

  26. 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

  27. 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

  28. 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

  29. IM GAIT MATE http://www.interactivemetronome.com/IMPublic/GaitMate.aspx

  30. 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.

  31. 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.

  32. IM-HOMETherapy Extension

  33. 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

  34. Interactive Metronome Today • Currently provided by over 7,500 therapists • In 3,000 hospitals, clinics and universities

  35. Questions Kelli Crovo (954) 385-4660 x240 kcrovo@interactivemetronome.com Slide 35

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