Treat Fundamental Timing Skills in Patients with Aphasia & Apraxia - Self-Study    


  • Speech and Language Pathologist
  • Speech and Language Pathology Asst

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Course Description
Several peer reviewed studies have shown that individuals with aphasia have difficulty processing the microstructure of speech (auditory temporal processing), which contributes to impairments in receptive & expressive language. Humans process time over 12 orders of magnitude, ranging from microseconds to hours. Timing is most prominent in the auditory domain and the most sophisticated level of timing & neural network synchronization occurs at the microsecond level for processing the rapidly changing and variable acoustics of speech. According to Tierney & Kraus (2013), the ability to tap consistently to a beat can be directly correlated to the consistency of the auditory brainstem response to sound. Those that have trouble synchronizing motor movements with an auditory beat & display less rhythm tend to exhibit greater distortions in the perception of speech, and have more neural jitter. Individuals who are able to move more rhythmically & synchronously to an auditory beat, process speech sounds more accurately & have less neural jitter. The transformation of temporal auditory periodicity into rhythmic motor output likely takes place via the connection of the Inferior Colliculus [master time-keeper of the brain] to the cerebellum. Imaging studies have delineated the role of the cerebellum in sensorimotor synchronization. This course will focus on the scientific and clinical rationale for including feedback-driven timing & rhythm training [via Interactive Metronome®] in the treatment of individuals with aphasia and apraxia following stroke or traumatic brain injury. Treatment hierarchy and facilitative strategies will be discussed.
*Note: Contact hours are offered pending successful completion of a written exam at the end of the course.
Instructor(s) - One of the following:

Dara Coburn, MS, CCC-SLP received her undergraduate and masters degree from the University of Central Arkansas and holds the Certificate of Clinical Competence issued by the American Speech-Language-Hearing Association. Dara is the National Program Champion for Interactive Metronome within the HealthSouth Corporation. She also serves as Interactive Metronome’s Clinical Support contact person for Life Care Centers of America. With expertise and experience in the field of neurological disorders, Dara was able to accept this new treatment tool and has been able to successfully integrate it into her practice by modifying it to individually meet her patient's needs.

Course Objectives:

Target Audience:
This webinar welcomes the following professionals who have completed the Interactive Metronome Certification Course.

  • Speech and Language Pathologist
  • Speech and Language Pathology Asst

Instructional Level:


The Interactive Metronome, Inc. has developed and patented a licensed technology trademarked as the Interactive Metronome®. (U.S. Patents #4,919,030; #5,529,498; #5,743,744; #6,719,690; other U.S. and foreign patents pending) Interactive Metronome, Inc. is the sole source of the following products: Interactive Metronome® , Gait Mate® and IM Home®. Because there are no other like-kind products available, course offerings will only cover information that pertains to the effective and safe use of the above-named products.

Course Meets Requirements for:
  • 1.00 Contact Hours SLP(ASHA) = 0.10 CEUs
This course covers information that pertains to licensed therapists and therapy assistants. SLPA professionals must practice IM under the supervision of a licensed SLP.
Interactive Metronome is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA)to provide continuing education activities in speech-language pathology and audiology. This program is offered for 0.10 CEUs (Intermediate Level; Professional area). ASHA CE Provider approval does not imply endorsement of course content, specific products or clinical procedures.
    Effective July 1, 2011, individuals must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs.
  • ASHA Member (includes Life member and International affiliates)
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Currently enrolled in a masters or doctoral program in SLP or audiology