Study detail featured image

Enhancing Timing Skills and Function in Children with Cognitive and Motor Impairments: A Retrospective Study of Interactive Metronome

Study - Published in Journal of Hand Therapy


Pediatric, Motor Skills

This study retrospectively examines the efficacy of Interactive Metronome (IM) training in improving timing skills, hand function, and self-regulatory behaviors as reported by parents. Forty-eight children, aged 6-17, with varied motor and cognitive impairments participated in an average of 14 one-hour IM training sessions over 8.5 weeks in an outpatient therapy setting.

Improvements were significant as assessed by the IM Long Form Assessment, the Jebsen Taylor Test of Hand Function, and a parent questionnaire. These enhancements occurred despite the absence of direct skill training.

Notably, enhancements were seen in both dominant and non-dominant hands, suggesting a potential area for future research. The success of the program was attributed to the unbiased and nonjudgmental feedback provided by IM, internal motivation, parental support, and positive rehabilitation experiences.

Abridged Summary & Results of Study

A Retrospective Outcomes Study Examining the Effect of Interactive Metronome on Hand Function

Authors: Tracy M. Shank & Wendy Harron


Year: 2015

Children who participated in Interactive Metronome (IM) training demonstrated statistically significant improvements in timing skills, behavior, & hand function in both the dominant and non-dominant hand.


  • n=48 children, 41 boys and 7 girls ages 6-17 (average 9 years) with mixed motor and cognitive impairments, completed an average of 14 1-hour long IM training sessions over a period of 8.5 weeks in an outpatient therapy setting.

Diagnoses included:

  • 14 – ADHD
  • 5 – CP/Hemiplegia
  • 9 – Coordination Disorder
  • 10 – PDD/Autism
  • 5 – rare neuromuscular disorders
  • 5 – neurologic conditions such as seizures/concussion

Retrospective analysis of pre/post assessments, including:

  • Interactive Metronome (IM) Long Form Assessment for timing skills
  • Jebsen Taylor Test of Hand Function
  • Parent questionnaire for behavior

Curious? Got Questions?

We have IM consultants standing by to answer your questions.

Get IM Certified!

Getting Certified in Interactive Metronome is Easy! Attend a Live, Online Virtual Certification course and in one day you can start offering Interactive Metronome to your clients.

Education, Support & More!

We offer ongoing support and continuing education in Interactive Metronome so you can get the most from it. Learn how to profitably implement IM into your practice and help more patients in less time.

Our FREE on-demand library is chock full of specific short classes tailored to different populations and conditions as well as advanced IM application courses.

We routinely have Live webinars where you can sharpen your skills and learn the latest from clinicians.

And our clinical advisers are happy to help you with suggestions for particular clients.

IM Works.
Find Out How It Can Impact Your Practice

With IM you can easily scale & grow your practice, all while achieving better patient outcomes!

    Attending a Live Event (satisfy your Live Contact Hour/CEU requirements)Attending a Live Webinar Based Presentation from an IM RepresentativeReceiving more information about accelerating treatment outcomes with Interactive Metronome
    (Check all that apply)
    I understand that my email will be added to the IM communications list.

    Connect With Us

    We’re social people – we invite you to keep in touch with us. Follow us and be the first to hear news, get updates, media stories, press releases, special offers and more!

    • AOTA Approved Provider - ASHA Approved Provider - GSA and CE Approved