Provider eNews
July 2007
 
 

Quick Reference Sheet for Download

Having problems remembering when a patient should be moved to the next phase of treatment or need a little help deciding what to do when a patient is having a performance problem?

That's what we're here for. Our Clinical Education department has developed a quick reference sheet to help you.

Click here to download it.

 

IM Certification Course Schedule- Earn .8 CEUs



Join us for a one-day workshop leading to full Interactive Metronome (IM) Certification.

Date

Location

7/28 Portland, OR
7/28 St. Louis, MO
8/4 San Antonio, TX
8/4 Detroit, MI
8/11 Long Angeles, CA
8/11 Columbus, OH
8/18 Little Rock, AR
8/18 Jacksonville, FL
8/18 Norfolk, VA
8/25 Lexington, KY
8/25 Charlotte, NC
9/8 Pittsburgh, PA
9/9 Orlando, FL
9/15 Seattle, WA
9/15 Metairie, LA
9/22 Las Vegas, NV
9/22 Wilmington, DE
9/28 Chicago, IL
Certification Course at the IM Professional Conference 2007
10/6 Ft. Lauderdale, FL
10/13 Denver, CO
10/13 San Diego, CA
10/20 Biloxi, MS
10/20 Indianapolis, IN
10/20 Dallas, TX
10/27 Memphis, TN
10/27 Phoenix, AZ
11/3 Newark, NJ
11/3 Austin, TX
11/10 Minneapolis, MN
11/10 San Francisco, CA
11/17 Birmingham, AL
12/1 Atlanta, GA
12/1 Portland, OR
12/8 Wichita, KS
12/8 Houston, TX
12/15 Boston, MA
12/15 Long Beach, CA

The cost of the course is $200 (individual) or $180 (group of 2 or more)

*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 x230 (US Only) or 954-385-4660 x230

Click here to register today!
 

Clinical Corner

Get answers to your clinical questions here. Also be sure to visit the provider login section of the website and use the FAQ/Best Practices tool. This exciting new feature lets you search for answers to IM questions by Diagnosis, Deficit, or both.

You can also e-mail us your clinical questions
 

QUESTION: What functional assessments would you recommend for a patient with balance problems?


ANSWER:  Pre and post assessments for balance (static and dynamic) include:


The Berg Balance Scale
Assessment scale of ability to maintain balance, either statically or while performing various functional movements, to help make decisions about the patients mobility and level of care needed. Comprises 14 observable tasks common to everyday life measured on a 5 point ordinal scale. Maximum score 56, a higher score reflects better balance; score of 45 required for independent safe ambulation.

Dynamic Gait Index
Developed to assess the likelihood of falling in older adults. This scale was designed to test eight facets of gait. A four-point ordinal scale, ranging from 0-3. “0” indicates the lowest level of function and “3” the highest level of function. Total Score = 24 < 19/24 = predictive of falls in the elderly, > 22/24 = safe ambulators

Both are very functional measures. Click here for Additional assessment tools for balance and gait.

Another consideration....if your patient experiences vertigo with his balance issue...would be to determine if he exhibits Benign Peripheral Positional Vertigo- BPPV. A physical therapist who specializes in Vestibular Rehab would be the one to do this kind of assessment. BPPV can result from falls or blows to the head/concussions experienced in athletic activities and can be long-lasting unless the person receives proper treatment. It can be aggravated by movement of the head or visual stimuli. It is relatively quickly and easily treated by a trained PT with manipulation of crystals in the semi-circular canals via head/body maneuvers. IM will not be effective if BPPV is the problem.
 

Support Message
Please note that Interactive Metronome, Inc no longer supports the authorization of hours for version v4.16 through v4.8. Technical support for this product ceased December 2003. If you need to upgrade your equipment please contact us at 877-997-6776.
 
IM Contact Information:
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
 

The IM Professional Conference Early Bird Registration Deadline is just 2 weeks away!

Save & Register Today!

Deadline for Discount July 31, 2007

Date:  September 28-30
Place:  Chicago, IL- Embassy Suites Hotel-O'Hare-Rosemont
click link above book your sleep rooms ($129/king-$139/2 doubles)
Cost:  $349 per person on or before July 31, 2007
$399 per person after July 31, 2007
Group Rates:
(2 or more) 
$329 per person on or before July 31, 2007
$349 per person after July 31, 2007
AOTA & ASHA CEUs:

11

The 2007 Conference Schedule

Fri
9/28

5:30 p.m.

7:30 p.m.

Registration check-in cocktail mixer & hors d'oeuvres

Sat
9/29

7:00 a.m.

8:00 a.m.

Continental Breakfast

8:00 a.m.

8:15 a.m.

Late Registrations

8:15 a.m.

9:00 a.m.

Introduction to IM & Patient Testimonial- Matthew Wukasch, CEO & Kelly Buggle, TBI Patient

9:00 a.m.

10:30 a.m.

The Brain Clock: An Overview of Contemporary Research & Theory Regarding the Neuroscience of Brain-based Interval Timing & Its Relevance to Learning & Rehabilitation- Dr. Kevin McGrew

10:30 a.m.

10:45 a.m.

Break
Poster Session Feature: New Provider Tips on Starting IM- Jennifer Gustafson, OT & Dalita Meyer, OT

10:45 a.m.

11:45 a.m.

General Session
Research: Effect of Interactive Metronome on Auditory Processing- Dr. Joel Etra, SLP.D, CCC-SLP

11:45 a.m.

1:00 p.m.

Lunch

1:00 p.m.

2:00 p.m.

Room A Room B
The Use of IM in Infancy- Lucy Barlow, SLP

Strategies to Preserve Function and Independence: IM and Parkinson’s Disease- Karen Farron, OT

2:00 p.m.

3:00 p.m.

Room A Room B

Integrating IM in our Treatment of Autism, Apraxia, ADHD, CAPD, and Reading Disorders: Digging Deeper- Janey Tolliver, SLP

Making It Work: Module 1- Improving Visual Attention & Processing with Visual-Only IM- Amy Vega, SLP

3:00 p.m.

3:15 p.m.

Snack Break
Feature: IM-HOME- Al Guerra, Brad Cohen

3:15 p.m.

4:15 p.m.

Room A Room B

Accelerating Outcomes with Time Constraints: Evidence-based Pediatric Practices– John McDonough, OT

Making It Work: Module 2-
Improving Visual Attention, Processing, & Executive Functions With IM - Supplementary Tasks- Amy Vega, SLP

4:15 p.m.

4:30 p.m.

Break
Poster Session Feature: Minutes Before Tasks & Tasks Before Minutes–
Roxanna Fernandez-Violanta, MD

4:30 p.m.

5:30 p.m.

General Session

A Pilot Study- The Use of IM in Public Schools– Deb Law, OT, Patricia Snowden, SLP, & Amy Mason, SLP

5:30 p.m.

6:30 P.M.

Cocktail Hour

6:30 p.m.

8:00 p.m.

Dinner

Sun
9/30

7:00 a.m.

8:00 a.m.

Continental Breakfast

8:00 a.m.

9:00 a.m.

General Session
IM Protocols for Older Adults: Changing the Outcomes of Finger Dexterity- Dr. Leonard Trujillo

9:00 a.m.

10:00 a.m.

Room A Room B

Advanced IM Best Practices for the Aphasic/Apraxic Population– Dara Coburn, SLP

Making It Work: Module 3-
Advanced IM Practices for Correcting Dissociative Responses & Improving Upper Extremity Coordination- Linda Rubin, OT

10:00 a.m.

10:15 a.m.

Snack Break
Poster Session Feature: Using IM with CAPD & ADHD– Leigh Messner, OT

10:15 a.m.

11:15 a.m.

Room A Room B

Use of IM to Improve Switch Activation and Ambulation in a Young Near Drowning Victim- LorRaine Jones SLP

Making It Work: Module 4-
Advanced IM Practices for Lower Extremity Coordination & Balance- Linda Rubin, OT

11:15 a.m.

12:30p.m.

General Session

Panel Discussion featuring all Presenters and Final Thoughts on IM

REGISTER TODAY!

*You do not have to be an IM Provider to attend
Click here to sign-up to become certified on 9/28 in Chicago
 


We are please to announce Dr. McGrew will be headlining the IM Professional Conference 2007

Keynote Speaker at the IM Professional Conference 2007

Dr. Kevin McGrew is the Director of the Institute on Applied Psychometrics (IAP; www.IAPsych.com) and is currently a Visiting Professor in the Department of Educational Psychology at the University of Minnesota.  McGrew has 10 years of experience both as a practicing school psychologist and Professor of Applied Psychology at St. Cloud State University, St. Cloud, Minnesota.  McGrew has extensive experience in both clinical (1-1) and large-scale assessment and data management and analysis.  Dr. McGrew has published over 60 different journal articles, books or book chapters in the areas of applied psychometrics, educational and psychological measurement, intelligence, psychoeducational assessment, personal competence, community adjustment of individuals with disabilities, and the use of educational indicators for policy research in special education. 

McGrew’s experience have included the: (a) directing and completing the calculation of the norms and statistical/psychometric analysis for two editions of the nationally standardized Woodcock-Johnson Battery (WJ-R & WJ-III), (b) conducting research studies with the nationally representative Scales of Independent Behavior (SIB) and Inventory of Client and Agency Planning (ICAP) norm samples, (c) completion of all norm and psychometric analysis for the Minnesota Braille Skills Inventory (MBSI) and the Braille Assessment Inventory (BAI), and (d) directing the National Center on Educational Outcomes (NCEO) initial efforts to conduct secondary analysis of national databases to produce outcome reports on students with disabilities. 

McGrew has also provided significant consultation, and/or served as an advisory board member, to: (a) test publishers (Riverside Publishing; Psychological Corporation), (b) university research centers (Stanford Research Institute regarding SEELS and NLTS-2; University of Minnesota National Center on Educational Outcomes and Institute on Community Integration; University of Arizona National Research Consortium on Testing and Persons with Disabilities in Higher Education), state departments of education (e.g., Maryland, Florida, Minnesota) and private foundations or research organizations (the Woodcock-Munoz Foundation; AIR National Center on Student Progress Monitoring)
 

Bloggin

Dr. Kevin McGrew, Keynote speaker for the IM Professional Conference 2007, is a regular blogger on  the impact of timing in the brain on cognition, movement and behavior. He posts most current research daily on his website called "Tick Tock Talk: The IQ brain clock".

At the conference Dr. McGrew will be talking about this research and how IM fits into the picture. His presentation is entitled "The Brain Clock: An Overview of Contemporary Research & Theory Regarding the Neuroscience of Brain-based Interval Timing & Its Relevance to Learning & Rehabilitation".

Below are couple of the many blogs you can find on his website.

Working memory and mental timing

I've previously attempted to summarize the gist of the conclusions of Dr. Penny Lewis (see "Mental timing scholars" section of the IQ Brain Clock) on the important association between mental/interval time-keeping and working memory. In addition, I recently posted a series of PowerPoint slides (see "On-line PPT slides" section of the IQ Brain Clock) where, if you take time to view the entire show, you will see that I've hypothesized that working memory (and other related neuropsychological constructs of executive function; controlled executive attention) most likely plays a prominent role in performance on SMT (synchronized metronome tapping) performance tasks, and, may be a causative factor in explaining the benefits of SMT-based training (e.g., Interactive Metronome).

Below are a few snipets from Dr. Lewis important paper ("Remembering the time: A continuous clock - a viewable copy is under the "Key research articles" section of this blog) that links working memory and the brain's master internal clock.

  • Behavioural evidence that working memory and time measurement draw upon the same cognitive resources stems from dual-task studies showing interference between these two types of processing. Both visuospatial and phonological working memory tasks disrupt timing, and the extent of such disruption has been shown to correlate with the extent of working memory load (e.g. number of items to be remembered, number of syllables to be rehearsed or degrees of mental rotation).
  • Turning to pharmacology, manipulations targeting working memory can also disrupt cognitive timing.
  • Additional evidence linking time perception to working memory stems from the observation that both are modulated by dopamine, a neurotransmitter which regulates activity throughout much of the brain, including the prefrontal cortex. The influence of prefrontal dopaminergic projections upon working memory is well documented
  • Because the basal ganglia are heavily innervated by dopamine, and because their function is severely disrupted in Parkinson’s disease, the influence of dopamine on subjective time measurement has typically been interpreted as support for the central role of these structures in timing.
  • Overall, the data on dopamine suggest a selective influence of prefrontal dopamine on more cognitive timing tasks, thus implying that this form of timing might be mediated via the same dopamine-sensitive processors as working memory.

Auditory timing/processing malleability

It is no secret that I love skimming the brief contemporary research synthesis articles published in Current Directions in Psychological Science.

Today I ran across an interesting review (Kraus and Banai, 2007) touching on the malleability/training of auditory processing (Ga) abilities, and, of particular interest to this blog, research touching on auditory timing (mediated by the brainstem) was covered. The article reinforces my belief that brain-based auditory temporal processing timing training interventions may hold promise in education.
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