Provider & Clinician eNews
October  2008
 
 

Clinical Questions Answered Here


Learn the answers to Frequently Asked Clinical Questions

Be sure to visit the FAQ/Best Practices tool. This exciting new feature lets you search for answers to IM questions by Diagnosis, Deficit, or both.
 

Q: I was certified about 7 years ago and have been using the program with amazing success ever since. Would it be helpful to attend a certification course as an update, or should I just wait for conference? I have to confess that I get great results for my kids with IM, but haven't a clue what the 6 phases of IM are. Can you please tell me more about the 6 Phases?

A: If you are using your clinical judgment with each patient and adapting to his/her needs rather than doing the same program for each patient, then you are essentially already following the 6 phases of IM without really thinking about the progression as "phases."  The 6 phases have always been part of the IM certification, they just were not emphasized as much as they are now and were overshadowed by the sample treatment plans that many adopted as treatment 'protocols.'

 
We have consistently found that you can open up the realm of possible outcomes and reach out to more individuals who need IM when you use IM as a tool to improve timing and rhythm and individualize the approach rather than putting the patient "through IM."  This means giving hands-on assist, having a child lay prone or supine over an exercise ball to facilitate better control of body and behavior and to calm the CNS for a sensory child who gets into high arousal during IM, using IM with an infant to improve development of language, eye contact, sensory processing, and motor skills through completely hands-on IM while distracting the child with a video to watch, etc.  Kids and low functioning adults that were not considered 'candidates' for IM, are now candidates and are realizing substantial improvements in function.

Click here to download the Quick Reference Sheet that outlines the '6 phases.' 

The 6 phases essentially are:

  1. Start with Reference Tone, No Guide Sounds with Hands Only
  2. Learn Guide Sounds with Hands Only
  3. Show improvement with Hands using Guide Sounds
  4. Introduce all other IM Tasks
  5. Work on making IM settings more challenging to facilitate improvement in cognitive processing, speed, and fine motor skills
  6. Work on making IM tasks progressively longer to facilitate sustained attention to task and cognitive/physical endurance
We tend to follow this hierarchy without thinking, "Hmmm? I wonder what phase I am in now?"  The phases are less important than the hierarchy itself.  If you are still curious and wish to have an update on current IM practice and best practices (methods of using IM to meet various treatment goals), then attending a basic course will be helpful.  We are developing a self-study and live course on pediatric best practices to be held in the future
 

Date

Location

10/11 Knoxville, TN
10/11 Saint Louis, MO
10/18 Cleveland, OH
10/18 Chicago, IL
10/18 San Francisco, CA
10/25 Newark, NJ
10/25 Richmond, VA
10/25 Birmingham, AL
11/1 Toronto, ON
11/1 Ft. Lauderdale, FL
11/1 Austin, TX
11/8 Pittsburgh, PA
11/8 Des Moines, IA
11/8 Portland, OR
11/15 Burlington, VT
11/15 Tampa (Largo), FL
11/15 Milwaukee, WI
11/15 Vancouver, BC
11/22 Atlantic City, NJ
11/22 Memphis, TN
11/22 Baton Rouge, LA
11/22 San Diego, CA
12/6 Grand Rapids, MI
12/6 Orlando, FL
12/6 Charlotte, NC
12/6 Sioux Falls, SD
12/6 Salt Lake City, UT
12/13 Baltimore, MD
12/13 Kansas City, MO
12/13 Mobile, AL
12/13 Dallas, TX
12/13 Long Island, NY
12/14 Brooklyn, NY

*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)
954-385-4660
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

Watch the IM Gait Mate Demo Video

Click here

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 www.IMGaitMate.com

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

 


GUIDANCE THROUGH THERAPY: Simple Strokes co-owner and physical therapist Robin Smith helps Matthew Gray, 8, take steps in a walker. Smith, along with husband Trey Smith, founded the Southaven therapy center five years ago. -- PHOTOS BY ROSALIND GUY

ROSALIND GUY | The Daily News

Simple Strokes Therapy Uses Latest Tools to Bring Out Optimal Abilities

On a recent Wednesday morning at Simple Strokes Therapy in Southaven, 8-year-old Matthew Gary worked with an occupational therapist. Matthew, who has an undiagnosed developmental disorder, is learning to walk and communicate better.

He wears a blue and black glove-like device on his left arm that he uses to drum a beat along with a steady rhythm coming from a nearby computer. It’s not child’s play, though.

Matthew recently was referred to the center where he already has seen progress, which thrills his dad.

Melissa Slade, an occupational therapist with Simple Strokes Therapy, said since Matthew began the therapy sessions, she’s seen a marked improvement in his walking. Another patient, a little girl, now sleeps through the night, she added.

“Every child receives different benefits from this,” Slade said, describing the benefits of the new therapy program.

Simple Strokes Therapy recently began offering the Interactive Metronome, a brain-based rehabilitation assessment and training program. It was developed in the early 1990s to improve the processing abilities that affect attention, motor planning and sequencing.

In recent years, therapy centers like Simple Strokes Therapy have found that the program works well on children who have been diagnosed with attention deficit hyperactivity disorder (ADHD) as well as other developmental disabilities.

Steady growth

The metronome is just one of the tools therapists at the Southaven facility use to help children from newborn to age 21 reach their optimal abilities. They also offer aquatics therapy, speech therapy, physical therapy and Simply Growing, a mother’s day out program for children ages 18 months to 5 years.

The new programs are a sign of the growth Simple Strokes Therapy has seen since the husband-wife ownership team of Trey and Robin Smith opened the center five years ago, said Trey Smith.

When the couple first started the business, they mostly were doing home-based therapy. Back then, Robin Smith, who recently earned her doctorate in physical therapy, was working with children through Baptist Memorial Hospital-DeSoto’s early intervention program.

“They came to Robin and said there’s an opportunity that we would like for you to pursue,” Trey Smith said.

That opportunity was to go into the DeSoto County Schools and provide therapy.

Over time, word got out about the services she was offering, and soon other school systems – Tate County, Marshall County and Holly Springs – were calling.

“The outcomes were good, so by word of mouth she started getting more calls from other school districts,” Trey Smith said. “So it really started out with school-based therapy.”

As the patient base started to grow, the couple began to bring in other therapists to help with the workload.

“In 2003, we were approached by the Mississippi First Steps Early Intervention program to do home-based therapy for children ages 0 to 3,” Smith said. “And that is when we moved into our little facility on Goodman Road in order to have more of an office space just because we were seeing growth and we had actually increased our numbers.”

Teamwork

As they continued to experience more growth within their patient base and in anticipation of even more, the Smiths began building the current facility off Airways Place in 2005 and moved into it last year.

“We’ve grown tremendously in the last three years,” Smith said. “And the outcomes remain positive with all the children.”

Smith’s background is in financial planning and business administration, so he handles the business end of the operation, while his wife enjoys working with the children.

Together, they share joy at seeing the progress children who visit the center make.

Over the past year, more patients are being referred to Simple Strokes from outlying areas, including Memphis, and it’s a trend the owners think will continue. As they do, they said they will continue to add services as needed to suit the needs of the children.

“That’s why we do it,” Robin Smith said. “For the children. It’s all about the children.”
 

The Core:Tx ®  is versatile with 14 pre-selected movements and the ability to add any new movements of functional motor patterns. These exercises can be used to facilitate neuro-muscular control and carry-over to functional task performance while at the same time measuring progress.

Call 877-994-6776 to for more info.

13794 NW 4th Street • Suite 204 • Sunrise, FL • 33325 • www.interactivemetronome.com • 877-994-6776 • 954-385-4660