I have many parents ask me right away – “How long until we see some improvement?” or “What should I look for?” In my experience, this is very unpredictable. Some of the patients who I see who I think will do really well, take much longer to show improvements and others who have more difficulty make progress more quickly. But it also sometimes happens in the opposite way.

Sometimes the children who have the most difficulty have the furthest to go – so improvement may seem to come more quickly. Sometimes its easier to see even the littlest thing – like they were able to feed themselves an entire meal instead of throwing their food or spoon – are much more obvious. In other situations, especially with my patients who have more of the ADHD/ADD type symptoms we need to look more closely at what they are doing and how they are doing it. I especially see progress first in these patients during homework time. That is when I hear that they are sticking with their homework longer or getting it done faster or even just that they can sit at their desk for 20 minutes at a time when before it was more like 5 minutes before they were up and running around or asking questions.

Falling Apart at the Seams

A few weeks ago, I met an 8-year-old called Samantha who absolutely could not sit still unless it was in front of the computer and she was playing her chosen games. When she came to the Occupational Therapy Evaluation, she refused to do most tasks on the standardized testing, and could not sit for more than a minute before she was up and running around the room. Even with parental guidance, she continued to refuse to participate and was just falling apart at the seams. Her mother reported that this was what a typical school day was like for this child.

A few years ago, she had received a diagnosis of a Sensory Integration disorder, and had attended therapy. Then, when she started school, she was discharged with a good sensory diet, but family let it go by the wayside over time. As symptoms began to emerge again over time, they didn’t think about restarting sensory diet activities, and behavior got out of control in all of her environments. Because the family wanted to try to keep her calm, she got anything she asked for, was able to decide her own bed time, what she ate at every meal and what she got to do during her playtime – which was almost always sitting in front of the computer. Her...

It’s all in the Timing…..
It’s amazing in our culture how many references there are to time or timing… “His timing was just off today”...””Time is money...”Timing is everything”…the list goes on and on. It’s “time” for us to start looking at that on a more personal level. Since time is mentioned so much, it must be important, right?
These phrases all refer to timing as something important for success. When we talk about a quarterback or a pitcher on a team, we know their timing needs to be spot on for accuracy and success. This is what we need for our children with special needs too. Even when we look as simply as our sleep/wake cycles – circadian rhythms– the importance of a sleep wake cycle can make or break someone’s day. Have you ever met a person who was excited that they couldn’t fall to sleep at night? Or how about breathing? When we are comfortable, we are breathing very rhythmically. If we aren’t, we tend to pass out! Even our heart beats out a rhythm on a regular basis. 

Is IM a shot of self-confidence?

When working with children with Cerebral Palsy and Asperger’s Syndrome it sometimes initially seems that they are overconfident when you are just speaking with them. But after a few physical challenges, hearing stories from their parents and actually getting the chance to talk with them and know them better, you tend to find that the trend in self-confidence goes down a quick spiral.  

Clapping to a bell? …That sounds ­boring. How is this going to actually help my child?

This is a question that I hear from many parents as I try to explain to them what IM is and how it works to make changes in the brain’s mesh of neurological connections. “I don’t think my child would do that for a whole hour” or “I think you are going to lose them during the session” are common responses, and there is always the “My child already knows how to clap, so how would this ever help them? These are actually all really good statements, and a parent should never hesitate to ask what it is that we are doing and why we think it will help.

Developmental Delays in a Pre-teen child

I’ve been an OT for 20 years now and have seen many patients with the diagnosis of Developmental Delay.  As these children age, some of them do “catch up” but others tend to develop at their own pace. Sometimes other syndromes or conditions or influences are impacting these children as well. One day a mother was talking to me after our OT session and she stated – “He is just marching to the beat of his own drummer!” and that has stuck with me for the past 15 or so years.  Well, that statement in itself has a rhythmical reference to it, so I thought why not try IM with some of my patients who had Developmental Delays and see if it would be helpful.

A 12-year-old boy was my first prospect. I had known him and worked with him since he was 18 months old. I reviewed with mom what I had learned, and let her know that I thought this might be a good option for her son who was struggling in school and was very slow and awkward in general. She agreed, knowing that at the very least it would be a good workout for him and that he would have to do some good motor planning during the tasks.  She committed to coming in 2x/week before school...

Hemiplegic Cerebral Palsy

One of my favorite groups of patients to work with using Interactive Metronome^® are those affected by hemiplegia. These are my kiddos who either totally neglect one of their arms, or who only use their arm when absolutely necessary. They constantly hear “use both hands” or “use your helper hand” time and time again. There are other options for those affected with hemiplegia such as constraint-induced therapy, which can also be beneficial, but IM is a great way to get them to start using their affected upper extremity.

IM helps with reading skills

One of the things that many of the parents of the children whom I have worked with have told me while we were doing IM sessions was that they noticed some type of improvement with reading. Some of these children had difficulty with reading and letter recognition from the start, and others did not, but improvement was still observed by parents or teachers.

Fireworks! Autism Spectrum, Social Interaction and IM!

Children who are on the Autism Spectrum generally have great difficulty with their social skills. They don’t know when or how to interact with others. Following conversations is very difficult for them as is giving eye contact. It seems that they are sometimes “Out of Sync” with their environment and the people who are in it.

Gift Ideas to enhance an IM program

Are you looking for a gift for your child who is participating in IM sessions?  Parents at our clinic ask me all the time what would be a good gift for their child. Something to enhance their therapy yet is fun. Below I’ve listed some games which can be found at the Wal-Mart, Target, Amazon or Toys R Us, so they are easy to find.