Презентация на тему Introduction to interactive metronome: professional application in hospitals, clinics, and schools

and Schools
Amy Vega, MS, CCC-SLP
Interactive Metronome
Clinical Education Director


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Other Reading Disorders
Executive Function Disorder
Auditory Processing Disorder
Sensory Processing Disorder
Autism

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all
Attention
Information processing
Working memory
Speech & language
Reading & learning
Self-regulation & other

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neural timing variability (jitter) that impacts speech, language, cognitive,

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connections between neural networks


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performance & ability to benefit more from other rehabilitation

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Button Switch
Tap Mat
In-Motion Insole Triggers (IM Pro only)

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fun
Reports & graphs
Adjustable settings

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to improve “internal” timing & rhythm
Adjustable settings (tempo, feedback

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Skills

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www.brainvolts.northwestern.edu

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(1999)
n = 585 (ages 4-11)
Significant correlation between IM timing

Timing was better:
As children age
If achieving academically (California Achievement Test)
If taking dance & musical instrument training
If attentive in class

Timing was deficient:
If required special education
If not attentive in class

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hypothesized to arise from the development of abnormal neural

Wan & Schlaug (2010)

White matter tracts involved in
language and speech processing
integration of auditory and motor function

Arcuate fasciculus connects the frontal motor coordinating and planning centers with the posterior temporal comprehension and auditory feedback regions.

Stevenson et al. (2014)
Trouble integrating simultaneous auditory & visual sensory information

This timing deficit hampers development of social, communication & language skills.

Tuchman, R.F., & Stemmer Jr., P.J. (2001). Effect of

n = 56 (boys, 6-12 yrs)
Randomly assigned to:
Control (n=18) – recess
Placebo control (n=19) – videogames
Experimental (n=19) – 15 1-hour IM sessions

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to language
Decoding for reading comprehension
Sensory processing (auditory, tactile, social,

58 tests/subtests
Attention & concentration
Clinical functioning
Sensory & motor functioning
Academic & cognitive skills
Interactive Metronome group
Statistically significant improvements on 53 of 58 tests (p ≤ 0.0001%)

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Improvements in interval time tracking and effects on reading

Controlled studies
Elementary n = 86
High School n = 283
18 Interactive Metronome training sessions (4 weeks)
Elementary:
~ 2SD ↑ in timing
Most gains seen in those who had very poor timing to begin with
18-20% growth in critical pre-reading skills (phonics, phonological awareness, & fluency)

High School:
7-10% growth in reading (rate, fluency, comprehension)
Achievement growth beyond typical for age group

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the role of timing & rhythm and cognitive performance,

Efficiency of working memory
Cognitive processing speed & efficiency
Executive functions, especially executive-controlled attention (FOCUS) & ability to tune-out distractions
Self-monitoring & self-regulation (META-COGNITION)

(2012). Reading Intervention Using Interactive Metronome in Children With

Controlled study n = 49 (7 – 11 yrs)
Concurrent oral & written language impairments
Reading disability
Lower to middle class SES
Control – Reading Intervention 4 hours per day, 4 times per week for 4 weeks
Experimental – 15 min of IM training per session prior to reading intervention (as mentioned above).

While both groups demonstrated improvement, gains in the IM group were more substantial (to a level of statistical significance).
“The findings of this study are relevant to others who are working to improve the oral and written language skills and academic achievement of children, regardless of their clinical diagnosis.”

of the Corpus Callosum (complete)
Seizure Disorder
Cerebral Palsy
Failure to Thrive
Global

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soldiers with mild-moderate blast-related TBI
Control: Treatment as Usual (OT,

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event- related activity
Event-related potentials only captured when the brain

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Special thanks to Mark Sebes,
Physical Therapy Assistant

microstructure of sounds characterized by rapidly changing onset dynamics.”

“…auditory timing deficits may account, at least partially, for impairments in speech processing.”
Sidiropoulos et al (2010)

“…co-occurrence of a deficit in fundamental auditory processing of temporal and spectro-temporal non-verbal stimuli in Wernicke’s Aphasia that may contribute to the auditory language comprehension impairment.”
Robson et al (2013)

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& Page, S.J. (2011) Computer-based rhythm and timing training

Pilot study: n=2
Ischemic stroke with R hemiplegia x 23 yrs prior
Ischemic stroke with L hemiplegia x 2 yrs prior
Substantial results:
↑ ability to grasp, pronate, and supinate arm & hand
↑ ability to perform ADLs
↑ self-efficacy
↑ self-report of quality of life

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phases of the gait cycle is an integrated activity

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Group: rhythmic movement and clapping to music, metronome, or

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learning addressed by Interactive Metronome are:
Early cognitive engagement
Repetitive practice
Practice

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Metronome training are mainly cognitive.
Motor learning at this stage

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practice
As learning occurs, the motor skill becomes more automated

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functional

at the end of each exercise & can be

about the timing, rhythm & quality of movement
Auditory and/or

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Knowledge of Performance

rehab, clinics & schools: 3x/week
DOSAGE:
Inpatient rehab: 15-20 min/day
Outpatient

treatment modality & does not have its own CPT

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promote & market your education accomplishments

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