By Interactive Metronome, Bricole Reincke - December 6, 2016
A 77-year-old female presented to a chiropractic functional neurology clinic complaining of imbalance, instability, chronic obsessive-compulsive disorder (OCD), anxiety, and rheumatoid arthritis.
Neurological testing was performed which included a Four Step Square Test and a Biodex Biosway Clinical Test of Sensory Integration & Balance (CTSIB) on perturbed and non-perturbed surfaces. Treatment consisted of Interactive Metronome (IM) training for 10 sessions, 12-18 minutes in length over a 5-week period. These twice-weekly sessions consisted of hand clapping to metronome activity and standing or seated stepping with both feet to metronome activity at 54 beats per minute (BPM). The participant performed these tasks over increased time intervals beginning at 2.6 minutes per session and reaching a maximum of 18 minutes. The repetitions performed began with 138 for the initial session and reached a maximum of 972. At the end of the 5-week period, the patient returned to retest the CTSIB and the Four Step Square Test.
The patient showed an improvement during pre/post Four Step Test by 12%. CTSIB post testing on perturbed surface, with eyes closed, headphones on, showed an average improvement of 16.5%, whereas with eyes opened it showed an improvement of 21.7%. CTSIB post testing on non-perturbed surface with eyes open showed an improvement of 51.4% and with eyes closed improvement was only 0.6%.
The patient showed an improvement of results in all of the post testing after the five-week period of IM treatment. However, there was a difference in the percentage of improvement between eyes open and closed on the CTSIB. Significantly more improvement was realized with eyes open. The current case demonstrates that interactive metronome might be utilized as an effective tool in elderly patients for improving balance and stability. Future research should be conducted in this area.
Start Time: 07 Oct 2016, 9:00 AM
End Time: 09 Oct 2016, 5:00 AM
Where: Wyndham Orlando Resort International Drive, 8001 International Drive FL 32819, Orlando, USA