Matthew Wukasch and Kevin McGrew, presenting clinical uses of Interactive Metronome.
This session took place at the 2013 SharpBrains Virtual Summit: http://sharpbrains.com/summit-2013/agenda/
2. Presenters
Matthew Wukasch, CEO
Interactive Metronome
Dr. Kevin S. McGrew
Director of Scientific
Advisory Board
Interactive Metronome
Slide 2
3. What is IM?
Assessment & treatment tool that
targets & improves neural
synchronization, communication,
& reduces Neural Jitter.
Evidence-based, objective,
flexible, & engaging.
Patented technology: around the
globe in hospitals, therapy
clinics, schools & homes.
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4. Interactive Metronome Today
Over 20,000 Medical Rehabilitation, Mental Health
and Education Professionals are Interactive
Metronome Certified (IMC) in over 30 countries.
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5. Slide 5
IM’s Goals
1) To drive functional
neuroplasticity
2) To improve mental/interval
timing
3) To improve the brain’s efficiency
and performance
Focus
Processing speed
Working memory
Visual and auditory processing
Coordination
6. Who Can Benefit?
ADHD
Apraxia/Dyspraxia
Autism Spectrum Disorders
(including Asperger’s, PDD)
Brain Injury
Brain Tumor (following surgery or
chemotherapy)
Auditory Processing Disorder
Cerebral Palsy
Concussion
Dyslexia and Other Reading
Disorders
Language-Learning Disabled
Limb Amputation
Non-verbal Learning Disorder
Sensory Processing Disorder
Stuttering
Stroke
MS
Parkinson’s
Spinal
Cord Injury
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8. Slide 8
IM Equipment
Software
Hardware
• Master Control Unit
• Hand Trigger
• Tap Mat
• In-Motion Insole
Triggers
Marketing
• Brochure Starter Kit
10. Kevin McGrew Affiliations
Institute of Applied Psychometrics (IAP)-Director
Woodcock-Munoz Foundation – Research Director
Measurement Learning Consultants - Associate
Director
University of Minnesota - Visiting Professor (Educ.
Psych.)
Interactive Metronome - Director of Research and
Science (External Consultant) *
* Conflict of interest disclosure: Financial relationship and
interest in IM
Brief and select 10 minute overview of
the science of Interactive Metronome
Dr. Kevin S. McGrew
12. Slide 12
Academic Correlation Study
Timing 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
13. Select IM Efficacy Research:
Randomized Control Design Studies
How can IM produce positive outcomes
across such diverse behavior/cognitive domains?
14. Slide 14
ADHD Study
Effect 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
Decrease in impulsive
behavior
21. Positive IM effects on neuropsychological
and EEG-ERPs in subjects with traumatic
blast injuries
22. •There is a long-standing tradition within psychological research to
search for general principles or cognitive mechanisms that can be
used to address all aspects of behavior and cognition.
•An underlying mechanism that can be applied to a wide range of
novel problems and domains of performance
•“Jack-of-all-trades” mechanisms (Chiappe & McDonald,2005)
Working hypothesis:
IM must be increasing the ability or efficiency of some
domain general learning mechanism(s)
23. Focus of attention
Controlled attention
Key cognitive task demand of IM:
Requires the ability to control attention (focus) by
deflecting attentional capture via inhibiting responding
to external and internal (mind wandering; default
network) distractions
24. IM Effect hypothesis: Increases brain/neural
efficiency or synchronization
• Builds more brain network communication connections
• Increases efficiency of existing brain network
communication
Hypothesis: Increased brain clock temporal resolution
facilitates neural efficiency and synchronization which in
turn increases efficiency of working memory and executive
functions
Central
Executive
(Executive
functions or
control?
• Inhibit
•Shift
•Update
Working Memory
Focus of
attention
26. Clinical Limitations of IM Pro
Mechanism of action is
Number of reps
Neuroplasticity does not
come without cost
IM works best when
combined with other
interventions
Clinical time is a scarce
resource
Travel time / clinical expense
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27. IM-Home v2.0
Clinically driven
protocol
Coaching still
largely the
clinician’s role
Compliance
Gamification
eClinic
For more information: www.imhome.org
29. Home-Training Advantages
Reps can be performed at home with
lower dosage / day
Home delivery frees up domain specific
work to be performed in the clinic
Lower expense
Less travel/ time commitment
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30. BrainBeat
First Consumer Initiative
Targeted to kids 6-12
Built on Game engine
software
Game has built-in coach
Games has levels and Goals
Game provides real-time
feedback
Auto difficulty
Game elements look and feel
X-Box like adding sugar to
the medicine.
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31. BrainBeat
Cognitive Fitness Formula
Needs to be consumed like other
consumables (web based, apps)
Coaching- educator and motivator
Compliance- engaging, fun, game like
Clear Metric relatable to the consumer
(validated 3rd party?)
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32. Mission - To proliferate our
technology and further
commercialize
Slide 32
In-Clinic
Higher pain
Non-Clinical
ADHD kids not going to
clinic
Wellness Aging
Athletics
Enrichment
IM-Home
Still clinically oriented more
population, less challenged
Population
33. Future Efforts
International Distributors
Good traction in Asia
Translation into Japanese / Korean
Licensing / Partnerships
Supplement brain fitness platforms
Supplement traditional tutoring
businesses
Supplement cognitive fitness focused
centers
Stand Alone Platform Based Consumer
Offering
Wellness and baby boomer
Athletics
Game systems
Slide 33
CHC abilities as parameters of information processing
CHC abilities as parameters of information processing
This needs to be more on the IM Home portion of the PresiLet’s take a look at what’s included with the New IM-Home v2.0 equipment:You can still add speakers to the box if your client is headphone or sound sensitive.One of the best features of the new equipment is that the “hand trigger” and “foot pad” are “not just that!” We all use them for so much more that they are soon to be renamed as The “Button Trigger” and “Tap Pad” The Foot Pad (or Tap Pad) is now touch sensitive and can be used in a whole new way. There are not trigger sensors within the rubber mat anymore and it is a much more versatile product. 1. Think about using it while the client holds a pencil to tap on different pictures that may be over laid as transparencies over the padThink about a client using just a tip-toe to respond to the beat – etc.-The method of acquiring the equipment is now different as well. The client will buy directly from IM, taking the provider out of the retail loop. The client MUST have a provider to sponsor him to purchase the equipment, and the provider also must be IM certified and own/lease the equipment. Once the client purchases the equipment the provider takes it from there! There are unlimited minutes for the client, however, as the provider you have to set the client up and monitor the use. We will continue this discussion further on in this presentation.