Pushing the Envelope,
Achieving the Outcomes
Interactive
Metronome (IM)
has not
been widely used with Alzheimer’s patients. To date there
is no published research that clearly shows a link
between the use of IM and clinical outcomes in patients
diagnosed with Alzheimer’s. But sometimes patients are
running out of hope. And sometimes their care providers
take chances. This is one of those cases.
Kathy
Lambert was 67 years old when she was diagnosed with
Alzheimer’s . Whether it was the doctor’s advice that
there was “no hope” or the shock of the diagnosis that
contributed to her rapid decline doesn’t matter, Kathy’s
functions disappeared quickly.
Kathy had spent her life as an
upholsterer. She and Larry had been married since high
school. Self-described “hard working country people”
they pleaded with their doctor for something to try that
might help slow down the effects of Alzheimer’s. Their
doctor referred them to the Brain Fitness Center when
Kathy was 2 years post-diagnosis.
The Director of the Brain Fitness
Center, Nancy Thomas, met the Lamberts together. She
noticed that Larry did almost all the talking. Kathy was
stooped. She constantly looked down at the floor afraid
to speak. She was still aware enough to realize when she
lost track of the conversation so she reacted by keeping
quiet. Depression was mixed with the typical symptoms of
dementia.
Larry reported that Kathy could no
longer find items in the grocery store, she constantly
lost her keys and forgot her grandkids’ names. Worst of
all, her career and joy of upholstery had disappeared.
Kathy sat folding and re-folding fabric unsure what to
do with it. In time the family removed her sewing
machine for fear that Kathy would try to sew and hurt
herself. Lastly, her muscle tone had declined to the
point where Kathy had trouble walking unassisted. This
was it. This was Alzheimer’s.
The Brain Fitness Center specializes in
exactly what its name indicates. It serves clients from
6 to 87 years old with dyslexia, cognitive processing
disorders, reading fluency deficits and non-verbal
learning disability. Nancy Thomas has seen the benefits
that therapy technology can create when used
appropriately with the most challenging patients. She
decided that she would start Kathy by assessing her
motor planning and sequencing on the Interactive
Metronome.
Kathy
performed her initial assessment while seated since she
had trouble with prolonged standing. Even assisted Kathy
couldn’t perform the heel strike exercises. Her
millisecond averages were below average and she couldn’t
tolerate the introduction of IM’s Guide Sounds. Nancy
decided that she would modify the IM’s settings to
Kathy’s ability and then start increasing the length and
difficulty of the program.
Kathy came in 5 days a week for the
first 2 weeks and then slowed to a 3 times a week
schedule. Nancy reported “After the first two weeks it
was like seeing a butterfly come out of its cocoon.
Kathy stood taller and her gait was improving.” Even
still she had trouble with any exercise that required
stepping backwards onto the heel. Therapy continued.
After three months of therapy at the
Brain Fitness Center Kathy purchased an IM Home and
decided to increase her own therapy program to 7 days a
week. She exercised every day until her IM scores were
above average, including her heels! Despite never having
used a computer Kathy was managing her own therapy
regimen. Other objective measures used by Brain Fitness
Center showed that was achieving “prolonged
attention” and “time on task” increases.
When Kathy visits the Brain Fitness
Center today she is alert and cognizant. Nancy describes
her as “delightful and delighted. Her shoulders are
squared, she makes eye contact, her memory is improved
enough to navigate the grocery store and her sense of
humor has returned."
Kathy recently demonstrated the use of
Interactive Metronome at her local Traumatic Brain
Injury Support Group. She is back to work as an
upholsterer and has “a whole lot more years of real
life”.
Nancy says there is something special
now in their eyes when Kathy and Larry look at each
other. Larry puts it simply “I got my wife back.”
The Interactive Metronome is a
mainstream therapy tool that engages patients and drives
them to improve their rehabilitation outcomes. IM has
over 15,000 providers in hospitals and clinics
throughout the United States and Canada.
Nancy Thomas has been an Educator for
over 30 years. Before opening the Brain Fitness Center
in Parkersburg, West Virginia she spent the previous 20
years as a Special Education Teacher.
While Alzheimer’s is currently an
incurable, degenerative disease there is evidence that
complex motor-cognitive exercises can slow functional
decline. IM’s clinical application has always outpaced
the published research cycle. Nevertheless, IM Providers
continue to push the envelope seeking to help those who
need it most.
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