Provider & Clinician eNews
January  2009

Free IM Upgrade!

Our Innovative Providers have pushed a change and we are excited to offer it to you FREE of charge! The IM 8.2 software now includes the capability to add new customized exercises. Now you no longer have to guess what modifications you have made, because you can just name the exercise just what you are doing (ie. Both Toes Sitting on Balance Ball). Up to 12 new tasks can be added per patient file.

How to create an custom exercise:

  • Select "Regular Training"

  • Select “New custom task” from the task drop down to get started.

  • Name your exercise

Once your exercise is named, it will be saved in the patients file and can be used throughout the entire therapy cycle with that patient. It will also build a report for reviewing improvements for your "New custom task" on page two of the regular training reports.

*This new software version is also IM Gait Mate and Vista 32 bit compatible.

To receive your free upgrade, Call 877-994-6776 or 954-385-4660  *A $10 charge for shipping and handling will be applied



1/10 Houston, TX
1/24 Hartford, CT
1/24 Louisville, KY
1/24 Minneapolis, MN
1/24 Los Angeles, CA
1/31 Indianapolis, IN
1/31 Columbia, SC
1/31 Denver, CO
1/31 Seattle, WA
2/7 Atlanta, GA
2/7 Wichita, KS
2/7 Albuquerque, MN
2/14 Newark, NJ
2/14 San Francisco, CA
2/21 Boston, MA
2/21 Nashville, TN
2/21 Little Rock, AR
2/21 Phoenix, AZ
2/28 Providence, RI
2/28 Miami, FL
2/28 Chicago, IL
2/28 Dallas, TX
3/7 Long Island, NY
3/7 Norfolk, VA
3/7 Lincoln, NE
3/7 Spokane, WA
3/14 Scranton, PA
3/14 Raleigh, NC
3/14 Salt Lake City, UT
3/21 Columbus, OH
3/21 Portland, ME
3/21 Spartanburg, SC
3/21 Birmingham, AL
3/21 San Diego, CA
3/28 Kalamazoo, MI
3/28 Roanoke, VA
3/28 Green Bay, WI
3/28 El Paso, TX
4/4 Syracuse, NY
4/4 Orlando, FL
4/4 Des Moines, IA
4/4 Boise, ID
4/18 New York, NY
4/18 Baltimore, MD
4/18 Kansas City, MO
4/18 Sioux Falls, SD
4/18 Tucson, AZ
4/25 Philadelphia, PA
4/25 Savannah, GA
4/25 Baton Rouge, LA
4/25 Austin, TX

*Don't see a course in your area? Click here to e-mail a Private Course request (Please include 3 course dates you are interested in.
*Note: Courses must be scheduled at least 45 days in advance) or call 877-994-6776 opt 4 (US Only) or 954-385-4660 opt 4

The cost 3 weeks before the course date is
$205 for an individual
and $180 for a group of 3 or more.

Discount automatically taken when you register

Register Now!

IM Contact Information:
877-994-6776 (US only)
Fax: 954-385-4674
Education Support: opt 4
Clinical Support: opt. 5
Technical Support: opt. 6
Marketing Support:x237
We appreciate your business and support

Step into the New Year with the IM Gait Mate

What Providers are saying about the IM Gait Mate:

"Although “pre-gait” skills such as weight shifting, unilateral stance and limb advancement are important skills to achieve in order to walk, the only true way to practice walking is to walk. The smooth transition between phases of the gait cycle is an integrated activity that is difficult to learn through practice of individual parts. Utilizing the IM Gait Mate to reeducate a client’s walking pattern is a goal-oriented approach that requires the client to solve a movement problem to successfully achieve the goal (accurate trigger hit). The client is not just responding to commands given by the therapist, but also organizing internal and environmental resources to alter motor output and accurately hit the trigger.

When using the IM Gait Mate, the goal may be to improve biomechanics, alter gait speed, or increase stride length. It is important to evaluate the client’s current walking speed and set the initial tempo of the IM Gait Mate at a similar speed, often between 65-75 beats per minute. When a client has altered biomechanics, forcing them to walk at too slow of a pace can be extremely challenging and often results in further altering the client’s gait pattern. Walking on the treadmill with the IM Gait Mate is a powerful tool as the repetitions can be set very high and the client can practice walking for several minutes. The therapist can use tactile cues to improve the client’s gait pattern. Improvement in gait pattern will be rewarded with more accurate auditory biofeedback from the Interactive Metronome."

Shelley Thomas, MPT
Idaho Elks Rehab

Click here to Watch the IM Gait Mate Demo Video

The IM Gait Mate is a therapy modality for improving a patient's:

• Stride Length
• Heel Strike
• Gait Stamina
• Weight Shifting
• Quality of Movement

that works by improving motor planning, sequencing, coordination and balance.

The Interactive Metronome’s steady auditory beat cues the patient to walk. The IM Gait Mate’s wireless insole detects when the patient performs a heel strike. The IM Gait Mate provides the patient with auditory feedback as they walk instructing them to speed up if they are walking too slowly or to slow down if they are shuffling or dropping their foot too quickly. The patient receives no positive feedback if there is no heel strike.

The IM Gait Mate provides interactive repetition while it engages the patient and gives them real-time feedback about their performance. As they adjust their gait it continues to reward and instruct them so that they are constantly improving and exercising.

The IM Gait Mate is the only gait therapy device to engage, encourage and provide feedback to the patient during walking exercises at a price that therapy clinics can afford.

Patients with the following conditions may benefit from the IM Gait Mate:

  • Spinal Cord Injury
  • Cerebral Vascular Accident (Stroke)
  • Brain Injury
  • Muscular Dystrophy
  • Parkinson’s Disease
  • Multiple Sclerosis
  • Cerebral Palsy
  • Lower Extremity Joint Pain
  • Amputee (prosthetic fitting and training)
  • Balance / Coordination / Postural Training in Sitting or Standing
  • Joint Replacement/Fracture

So take the next step with your patients...
The Interactive Metronome and the IM Gait Mate.

For more info visit

For Pricing Information please contact your sales representative at 877-994-6776 (US Only) or 954-385-4660

My Photo Brain Bloggin' with Dr. Kevin McGrew

Brain Clock Research Bytes #3: Timing-based interventions improve gait (Parkinson's), stroke rehab, and golf

I've found a number of new (or recent) studies supporting the importance of the brain clock in a variety of areas. Below are the brief bytes....check out articles for detailed information.

Yet another study (Hausdorff et al., 2007) dealing with Parkinson's (a clinical disordery that appears to involve a dysfunctional internal timing-click here for prior posts), this time the use of the RAS (rapid auditory stimulation) therapy to improve gait functioning.

Abstract: Patients with Parkinson’s disease (PD) walk with a shortened stride length and high stride-to-stride variability, a measure associated with fall risk. Rhythmic auditory stimulation (RAS) improves stride length but the effects on stride-to-stride variability, a marker of fall risk, are unknown. The effects of RAS on stride time variability, swing time variability and spatial-temporal measures were examined during 100-m walks with the RAS beat set to 100 and 110% of each subject’s usual cadence in 29 patients with idiopathic PD and 26 healthy age-matched controls. Carryover effects were also evaluated. During usual walking, variability was significantly higher (worse) in the patients with PD compared with the controls (P < 0.01). For the patients with PD, RAS at 100% improved gait speed, stride length and swing time (P < 0.02) but did not significantly affect variability. With RAS at 110%, reductions in variability were also observed (P < 0.03) and these effects persisted 2 and 15 min later. In the control subjects, the positive effects of RAS were not observed. For example, RAS increased stride time variability at 100 and 110%. These results demonstrate that RAS enables more automatic movement and reduces stride-to-stride variability in patients with PD. Further, these improvements are not simply a by-product of changes in speed or stride length. After walking with RAS, there also appears to be a carryover effect that supports the possibility of motor plasticity in the networks controlling rhythmicity in PD and the potential for using RAS as an intervention to improve mobility and reduce fall risk.

The original Libkuman et al. (2002) study (well designed IMHO) demonstrating the positive effects of the brain-clock based Groove treament (based on the Interactive Metronome technology) on improved golf performance. [see conflict of interest disclosure post]

Abstract: In this experiment, the authors investigated the influence of training in timing on performance accuracy in golf. During pre- and posttesting, 40 participants hit golf balls with 4 different clubs in a golf course simulator. The dependent measure was the distance in feet that the ball ended from the target. Between the pre- and posttest, participants in the experimental condition received 10 hr of timing training with an instrument that was designed to train participants to tap their hands and feet in synchrony with target sounds. The participants in the control condition read literature about how to improve their golf swing. The results indicated that the participants in the experimental condition significantl improved their accuracy relative to the participants in the control condition, who did not show any improvement. We concluded that training in timing leads to improvement in accuracy, and that our results have implications for training in golf as well as other complex motor activities.

And yet another positive RAS stroke study by the Thaut et al. (2007) research group

Abstract: Objectives: The effectiveness of 2 different types of gait trainingi n stroke rehabilitation, rhythmic auditory stimulation (RAS) versus neurodevelopmental therapy (NDT)/Bobath-based training, was compared in 2 groups of hemiparetic stroke patients over a 3-week period of daily training (RAS group, n = 43; NDT/Bobath group =35). Methods.Mean entry date into the study was 21.3 days poststroke for the RAS group and 22.3 days for the control group. Patients entered the study as soon as they were able to complete 5 stride cycles with handheld assistance. Patients were closely equated by age, gender,and lesion site. Motor function in both groups was preassessed by the Barthel Index and the Fugl-Meyer Scales. Results. Pre- to posttest measures showed a significant improvement in the RAS group for velocity (P = .006), stride length (P = .0001), cadence (P = .0001) and symmetry (P = .0049) over the NDT/Bobath group. Effect sizes for RAS over NDT/Bobath training were 13.1 m/min for velocity, 0.18 m for stride length, and 19 steps/min for cadence. Conclusions. The data show that after 3 weeks of gait training, RAS is an effective therapeutic method to enhance gait training in hemiparetic stroke rehabilitation. Gains were significantly higher for RAS compared to NDT/Bobath training.

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