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Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
Interactive Metronome: Training to Win
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Interactive Metronome: Training to Win

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Transcript

  • 1. A Rehab Revolution
  • 2. Introducing Interactive Metronome evaluation and training for athletes, students who wish to improve their timing, accuracy and academics. Appointments available with Dr. Doreo and staff (805)777-7184
  • 3. History of Interactive Metronome <ul><li>Originally developed to assist musicians with studio recording </li></ul><ul><li>Used later to help developmentally delayed students with music training </li></ul><ul><li>Formal clinical research began in 1994 </li></ul>
  • 4. Early Studies: Motor Skills Study <ul><li>Special Education students </li></ul><ul><li>Improved fine and gross motor and visual motor skills </li></ul><ul><li>Results presented to the American Educational Research Association </li></ul>
  • 5. Stanley I. Greenspan, MD Chairman, IM Scientific Advisory Board <ul><li>Clinical Professor Psychiatry, George Washington Medical School </li></ul><ul><li>Contributor to over 100 articles and 27 books, including Building Healthy Minds, and The Child with Special Needs </li></ul><ul><li>Child Development Expert Featured in The Washington Post, Newsweek, Time Magazine, ABC’s Nightline, NBC, and CBS </li></ul>
  • 6. Science Overview <ul><li>Motor Planning and Sequencing are core functions of the brain. </li></ul>“ Motor Planning and Sequencing is a critical component of the deficit in a variety of developmental and learning disorders.” <ul><ul><li>- Stanley I. Greenspan, M.D. </li></ul></ul>
  • 7. Large-Scale Correlation Study <ul><li>Timing and Child Development Study Published </li></ul><ul><ul><li>Conducted in Illinois by High/Scope Foundation </li></ul></ul><ul><ul><li>585 students, 6-10 years old </li></ul></ul><ul><li>The First Link </li></ul>
  • 8. AJOT Published Clinical Study <ul><li>3 groups of ADHD boys separated by: Control / Placebo / IM-trained </li></ul><ul><li>Statistically significant improvement in: </li></ul><ul><ul><li>Attention </li></ul></ul><ul><ul><li>Motor Control and Coordination </li></ul></ul><ul><ul><li>Language Processing </li></ul></ul><ul><ul><li>Reading </li></ul></ul><ul><ul><li>Control of Aggression and Impulsivity </li></ul></ul>
  • 9. AJOT Published Clinical Study Interaction Effect = 0.005
  • 10. Academic Fluency Study <ul><li>Over 700 middle and high school students </li></ul><ul><li>Pre and Post subtest on nationally standardized Woodcock-Johnson III test </li></ul><ul><li>Results showed significant increases in grade equivalent (GE) performances in IM Group </li></ul>
  • 11. 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, 3 rd Ed. 1.66 GE gain, n=703, Woodcock Johnson, 3 rd Ed.
  • 12. Results from Early Clinical Trials MEDIAL BRAINSTEM Neuro-Motor Pipeline BASAL GANGLIA Integrates Thought and Movement CINGULATE GYRUS Allows Shifting of Attention Cognitive Flexibility Results from a Pilot fMRI (Brain Scan) study show IM Directly Activates Multiple Parts of the “Neuronetwork”
  • 13. Key Diagnoses <ul><li>CVA and Brain Injury </li></ul><ul><li>Amputees </li></ul><ul><li>Parkinson’s </li></ul><ul><li>General Rehabilitation </li></ul><ul><li>ADHD </li></ul><ul><li>Cognitive / Developmental Disorders </li></ul><ul><li>Academic / Sports Performance </li></ul>
  • 14. Who Can Benefit? Loss of Motor Control Loss of Speech/Cognition Loss of Balance and Gait ADD/ADHD Asperger's Syndrome Sensory Integration Language Processing Motor Control and Coordination Impulsive/Aggressive Enhanced Coordination Improved Focus and Attention Improved Academic Performance PERFORMANCE NEURO-SCHOLASTIC REHABILITATION PLANNING SEQUENCING
  • 15. What are the Benefits? ATTENTION / FOCUS 1 MOTOR CONTROL / COORDINATION 3 BALANCE & GAIT 4 LANGUAGE PROCESSING 5 CONTROL OF AGGRESSION / IMPULSIVITY 6 MENTAL / COGNITIVE PROCESSING 2
  • 16. Performance on IM directly correlates with performance in: <ul><li>Attention and Concentration </li></ul><ul><li>Mental Processing </li></ul><ul><li>Motor Planning and Sequencing </li></ul><ul><li>Language Processing </li></ul><ul><li>Behavior (Aggression and Impulsivity) </li></ul><ul><li>Executive Functioning </li></ul>
  • 17. Performance on IM directly correlates with performance in: <ul><li>Balance and Gait </li></ul><ul><li>Endurance </li></ul><ul><li>Strength </li></ul><ul><li>Fine/Gross Motor Skills </li></ul><ul><li>Coordination </li></ul>
  • 18. Jake: TBI <ul><li>16 year old male - TBI from MVA </li></ul><ul><li>Severe impairments: </li></ul><ul><li>Sustained attention & concentration </li></ul><ul><li>Poor memory </li></ul><ul><li>Left-right discrimination </li></ul><ul><li>Gross and fine motor coordination </li></ul><ul><li>Balance </li></ul>
  • 19. Jake: TBI <ul><li>After 6 weeks of IM Training: </li></ul><ul><li>Able to attend to paper/pencil tasks for up to 50mins in preparation for school </li></ul><ul><li>Only needed minimal cues for L-R discrimination </li></ul><ul><li>Reported that he could hold conversations for longer periods of time and now able to “day dream” </li></ul>
  • 20. Alexandria: Sensory Integration Disorder <ul><li>9 year old female – Sensory Integration Disorder </li></ul><ul><li>Impairments: </li></ul><ul><li>Poor fine motor coordination </li></ul><ul><li>Balance </li></ul><ul><li>Multiple Tantrums Each Day </li></ul><ul><li>D Average in Math </li></ul>
  • 21. Alexandria: Sensory Integration Disorder <ul><li>After 5 weeks of IM Training: </li></ul><ul><li>Able to ride her bicycle without training wheels for the 1 st time </li></ul><ul><li>Her attention increased dramatically </li></ul><ul><li>Earned and A and B on her next two math tests </li></ul><ul><li>Drastic decrease in frequency and duration of emotional outbursts </li></ul>
  • 22. Diane: ADHD & Severe Learning Disabilities <ul><li>Her therapist reported that she was “bouncing off the walls” and tried to even tried to stand on her head in her chair during her 1 st visit </li></ul><ul><li>Following 2 weeks of training: </li></ul><ul><li>Sat and read her mom a book </li></ul><ul><li>Able to sit quietly for up to 20 minutes </li></ul>
  • 23. Diane: ADHD & Severe Learning Disabilities <ul><li>Enrolled in the IM program at age 8 </li></ul><ul><li>Deficits addressed: </li></ul><ul><li>Poor Attention & Concentration </li></ul><ul><li>Great difficulty processing multiple instructions </li></ul>
  • 24. Benefits of IM <ul><li>Non-invasive </li></ul><ul><li>Non-pharmaceutical (not exclusive of Rx) </li></ul><ul><li>Complements existing therapy </li></ul><ul><li>Short-term </li></ul><ul><li>Measurable outcomes </li></ul><ul><li>Functional cross-over </li></ul><ul><li>Clinical differentiator </li></ul>
  • 25. Demonstration
  • 26. Assessment 1 second = 1,000 milliseconds 0 - 15 ms Perfect 16 - 40 ms Above Average 41 - 100 ms Average 200 100 40 15 0 15 40 100 200
  • 27. Questions and Answers
  • 28. Other Case Studies <ul><li>Stroke </li></ul><ul><li>TBI </li></ul><ul><li>Amputee </li></ul>
  • 29. Lizette: Stroke <ul><li>Initial Therapy: </li></ul><ul><li>Met all IP and OP functional goals </li></ul><ul><li>Discharged to home </li></ul><ul><li>Returned with cognitive shifting deficits </li></ul><ul><li>IM training initiated </li></ul><ul><li>Patient returned to work with improvement in concentration, speech, balance, and motor coordination. </li></ul>
  • 30. Edward: TBI <ul><li>Improved Auditory Sequencing </li></ul><ul><li>Improved Concentration </li></ul><ul><li>Motor improvements particularly in his lower body </li></ul><ul><li>After only his third session he demonstrated improvements in his ability to attend for much longer periods of time without stopping or talking </li></ul>14 years old
  • 31. Veronica: Stroke <ul><li>37 year old female - CVA </li></ul><ul><li>Deficits addressed: </li></ul><ul><li>Poor attention & concentration </li></ul><ul><ul><li>Unable to attend to tasks for more than 10-15 minutes without getting externally distracted </li></ul></ul><ul><li>Decreased stamina and endurance </li></ul><ul><ul><li>Unable to stand for more than 15-20 minutes </li></ul></ul>
  • 32. Case Study 2: Stroke <ul><li>Following 8 weeks of IM training: </li></ul><ul><li>Able to complete simulated work activity for at least 60 minutes without becoming distracted </li></ul><ul><li>Able to stand and complete household activities for at least 45 minutes </li></ul>
  • 33. Brenda: Amputee <ul><li>6 months of traditional therapy with poor outcome </li></ul><ul><li>Thousands of IM reps particularly using her feet </li></ul><ul><li>Significant improvements in motor sequencing </li></ul><ul><li>Improved gait & balance </li></ul>
  • 34. Brenda: Amputee <ul><li>Disney Marathon </li></ul><ul><li>FINISH LINE! </li></ul><ul><li>January 2004 </li></ul>
  • 35. Interactive Metronome evaluation and training available by appointment with Dr. Doreo and her staff (805)777-7184 Thousand Oaks, CA www.drdoreo.com

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