Best
Practices
11 y.o. male, PDD |
By: Mary Schlesinger,
Educator
Timing 4 Life |
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J. is an 11 year old boy in
6th grade diagnosed with
Pervasive Developmental Disorder (PDD), high functioning. He is friendly, bright
and talkative but has difficulty staying focused and following instructions.
While talking he will sometimes insert random comments irrelevant to the
topic into the conversation. Good behavior is often negotiated. Physical coordination is a challenge
for him as his scores are in the 4th percentile.
Pre-Lon Form Assessment. J. scored between 83-402, with eight of the thirteen scores
over 250 (extreme deficits). His hand and foot movements were choppy, not fluid
and it was apparent that his timing was severely skewed. His Attend Over Time
score was very high (223, severe deficit) but he was able to complete the test
which was important in determining if he was ready for the demands of the IM
program. Because of such poor scores it was not clear if Jamie would be able to
master all components of the program but the decision was made to take him as
far as possible.
Exercises. Initially quite a bit of hand-over-hand guidance was
given, light touch, and mirroring (tempo 40). Only hand
exercises were attempted during session #1, toe
exercises were introduced during session #2, but heels,
bi-lateral, and balancing exercises were omitted
initially. Visual cueing was introduced with a
difficulty setting of 130 so he would see fewer “reds”.
Breaks were needed and given often. During session #4
guide sounds were introduced, the session was
overwhelming.
Sessions #5 through #8 focused on learning proper foot placement for the heels,
bi-lateral, and balance exercises. These were done by face to face mirroring,
holding his hands, and counting out loud. No visual cueing was used except for
the both hands exercise where progress was made on tempo and duration.
Initially the reference tone itself was not turned on for the heels exercises as
backward motion was so challenging that Jamie would lose his placement after 3-4
repetitions and his speed would vacillate so much that no tempo setting was
appropriate.
Attitude. Although cooperative, he would often speak to himself or make
comments that didn’t fit the topic. He showed little muscle tolerance for the
foot exercises, and had a great deal of nervous itching/ twitching. To create an
environment of success, no emphasis was put on scores, bursts or beating
previous scores. The ceiling fan was kept off and the blinds were closed to
help him focus. Short Form tests were not given. His family understood that we
were not yet fully utilizing IM but remained optimistic that this was a first
step towards that goal.
Session #12 Visual cueing was incorporated in the foot exercises, improvements were
made, and by session #14 J. was comfortably cueing from the screen.
Interim Long Form Assessment & Remaining Sessions. The LFA was done at Session #15 and
improvement was made in all exercises (39-194). J. was at his best during the
first half hour and so following the warm up we moved into the most challenging
exercises and saved the both-hands exercise until the end. We now felt J.
was competent in the mechanics and ready to take on the auditory challenges of
IM. The guide sounds were set at their lowest setting and raised slowly over
the next several sessions. He did resist the guide sounds at first. By session
#17 all exercises were done at a 54 tempo. By session #22 all visual cueing was
removed. The remaining sessions focused on auditory processing.
Post Long Form Assessment . The Post LFA was given at
session #25. Most of his scores were in the average or
above average range. J. did not plateau and so he could
go further with IM, however, after 25 sessions and over
45,000 repetitions we felt confident that the program
goals were successfully met.
Conclusion: His parents noted improvement in these
areas: Focus/concentration, multi-tasking, coping skills, and rhythm/timing. They report
that he needs less supervision when doing homework. At school his
teacher commented that his ability to attend academically has increased.
As his IM Provider, I noticed J.'s improved ability to understand instructions. He
is
now less impulsive, more patient with himself and shows more tolerance for
the many challenges of the program. He no longer tries to negotiate rewards for
good behavior. He has better focus, improved visual and auditory processing
speed, much better rhythm, coordination, and motor skills, and there is less
“random” talk. As we neared the last five or six sessions he showed more of an
awareness of his accomplishments and would check to see how many burst he
achieved. I believe his accomplishments with the program also helped his self
esteem.
Learning the fundamentals of the foot exercises, especially backward motion was
a milestone. The auditory guide sounds were resisted at first and that was
another milestone. We tried to build an environment of success and rewarded him
with three or four short breaks within each session to keep him fresh. His
focus was at its best in the first half of the session.
Have a case to share? E-mail
Clinical Education Director, Amy Vega at
avega@interactivemetronome.com |
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Host an IM Certification
Course at your facility & earn free certifications |
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Why should I host a course at my facility?
You will earn free Certifications for your
employees.
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# of Paid Attendees |
# of Free Participants |
Savings |
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15 |
2 |
$360 |
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16-20 |
3 |
$540 |
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21-25 |
4 |
$720 |
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26-30 |
5 |
$900 |
What are the hosting requirements?
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The facility must be ADA compliant
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A room available that is large enough to
accommodate 20 to 40 people set-up classroom
style
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The room must be available from 6am to 6pm
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You will need to provide an LCD projector and an
8 by 8 screen for the duration of the course
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As the host, you are required to set the room up
(please see preferred room layout attached)
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One electrical outlet per every four seats is
preferred
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Provide coffee, tea, water and bagels/muffins in
the morning and cookies and sodas in the
afternoon.
How long is the course?
The course is
just one day. It consists of eight hours of teaching
with a one hour lunch break. Registration starts at
7:15 am and teaching begins at 7:45 am. The course
ends at 5:15 pm.
Will CEUs be
offered?
Yes. OTs/COTAs, SLPs/SLPAs, & ATCs can earn .8 CEUs.
*Please note we must have board issued license
numbers.
Will I be
Interactive Metronome Certified at the end?
As long as you pass the exam with an 80% or
above and complete the evaluation you will be
Interactive Metronome Certified and considered an IM
Provider.
Click here to download the hosting packet. |
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We
are excited to announce that Chicago, IL is the site of
the IM Professional Conference 2007! See the details below: |
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Date: |
September 28-30 |
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Place: |
Chicago, IL- Embassy Suites Hotel-O'Hare-Rosemont
click link
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Cost: |
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July 31, 2007
$399 per person after July 31, 2007 |
Group Rates:
(2 or more) |
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July 31, 2007
$349
per person after July 31, 2007 |
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AOTA & ASHA CEUs: |
12 |
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REGISTER TODAY!
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Call for Papers |
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IM wants to hear your best
practices and there's no better time to share them with
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The term "Jazz" was coined in Chicago in 1914. The
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Chicago is the birthplace of
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Long Beach, CA
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Interactive Metronome Certification Course (Live)
Join us for a one-day workshop leading to full
Interactive Metronome (IM) Certification. IM is a
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thousands of practitioners around the country and
globally are using IM to improve cognitive,
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patients who suffer from a host of debilitating
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Disorders, Dyslexia and other Learning Disorders, Autism
Spectrum Disorders, Attention Deficit/Hyperactivity
Disorder, Tourette’s Syndrome, Stroke, Traumatic Brain
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licensed rehabilitation,
medical, and mental health professionals, psychiatry,
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application to various patient populations with plenty
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one-day course. Upon completion of the course,
participants will be fully certified and will
demonstrate working knowledge of both technical and
clinical applications of the IM. * Contact hours are
offered pending successful completion of a written exam
at the end of the course.
Course Objectives
Upon completion of this
course, participants will be able to:
- Articulate the
development of IM & cite specific research studies
supporting the efficacy of IM;
- Evaluate candidacy
for IM based upon cognitive, communicative,
social/behavioral, and/or motor deficits as it
pertains to developmental and acquired neurological
disorders;
- Perform & interpret
objective IM assessments competently;
- Create & execute
individualized IM treatment utilizing six phases of
IM treatment;
- Produce and
interpret reports;
- Select sensitive pre
and post assessment tools to measure effectiveness
of IM & generalization of gains to settings outside
of the clinic;
- Identify IM
exercises can and will be modified to meet
individual patient needs;
- Develop
individualized goals for IM treatment that are both
functional and measurable.
Specific Learning
Outcomes for SLPs:
- SLPs will
demonstrate evidence-based practice through
knowledge regarding available research and
supporting literature for use of Interactive
Metronome® (IM) in the remediation of
speech/language and cognitive/linguistic disorders;
- SLPs will
demonstrate appropriate clinical application of IM
in pediatric, adolescent, and adult/geriatric
patient populations for individualized remediation
of developmental and acquired neurogenic
speech-language & cognitive-linguistic disorders;
- SLPs will
demonstrate objective, measurable & functional
goal-writing in order to gauge meaningful IM
treatment outcomes;
- SLPs will select
appropriate speech/language and cognitive/linguistic
assessment batteries to objectively measure changes
pre- and post-IM treatment;
- SLPs will select
appropriate diagnosis and CPT codes to maximize
reimbursement for IM assessment & treatment.
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Agenda
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07:15 - 07:45 |
Registration |
|
07:45 - 08:00 |
Introduction to
Theory and Equipment |
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08:00 - 08:45 |
IM Application
Overview Clinical Basis, Research, Benefits &
Demonstration |
|
08:45 - 09:15 |
IM Feature
Overview |
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09:15 - 09:30 |
Lab 1- Short
Form Assessment |
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09:30 - 10:45 |
Lecture & Lab 2-
Long Form Assessment |
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10:45 - 11:00 |
Break |
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11:00 - 11:15 |
6 Phases of IM |
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11:15 - 11:45 |
Lecture & Lab 3-
IM Phase 1 |
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11:45 - 12:15 |
Lecture & Lab 4-
IM Phase 2 |
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12:15 - 01:15 |
Lunch |
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01:15 - 01:45 |
Lecture & Lab 5-
IM Phase 3 |
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01:45 - 02:15 |
Lecture & Lab
6- IM Phase 4 |
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02:15 - 02:45 |
Lecture & Lab 7-
IM Phase 5 |
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02:45 - 03:00 |
Break |
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03:00 - 03:30 |
Lecture & Lab 8-
IM Phase 6 |
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03:30 - 04:15 |
Workshop
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04:15 - 04:30 |
Review |
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04:30 - 04:45 |
Exam |
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04:45 - 05:00 |
Exam Review |
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05:00 - 05:15 |
Q&A |
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CEU's |
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Contact hours pre-approved for: |
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| 8.0
Contact Hours SLP/SLPA (ASHA)
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| 8.0
Contact Hours OT/COTA (AOTA)
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| 8.0
Contact Hours BOC (ATCs) |
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| *PTs &
PTAs may submit paperwork to your state
board for CEUs |
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Interactive Metronome is approved by the
Continuing Education board of ASHA to
provide continuing education activities
in speech-language pathology and
audiology. This program is offered for
.8 CEUs (Introductory Level;
Professional area). ASHA CE Provider
approval does not imply endorsement of
course content, specific products or
clinical procedures. |
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Interactive Metronome is approved by the
Continuing Education board of AOTA to
provide continuing education activities
in occupational therapy. This program is
offered for .8 CEUs (Introductory Level;
Professional area). The assignment of
AOTA CEUs does not imply endorsement of
specific course content, products, or
clinical procedures by AOTA. |
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Interactive Metronome, Inc. is
recognized by the Board of
Certification, Inc. to offer continuing
education (CE) for Certified Athletic
Trainers (ATs). This program has been
approved for a maximum of .8 CEUs. ATs
are responsible for claiming only those
hours actually spent participating in
the CE activity. |
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Instructors
(one of the following):
- Dara
Coburn, MS, CCC-SLP
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Andrew Dillen Hartley, OT
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Sally N. Fryer, PT, CST-D
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Barbara
Fuoco-McCooley, MA, CCC-SLP
-
Linda Heifetz Rubin, OT
-
Mary Jones OTR/L, LMT
-
Jonathan P. McKee, OTR/L
- Amy Vega,
MS, CCC-SLP
Click here to register today!
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Contact us
with any questions
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IM Contact
Information: |
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If at any time you need
clinical, technical or marketing support, please contact
us. We look forward to helping you making IM succeed in
your practice. |
877-994-6776 (US only)
954-385-4660
Fax: 954-385-4674
Clinical Support: opt. 5
Technical Support: opt. 4
Marketing Support: opt. 6
We appreciate your business and support |
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