Special Report: The Interactive Metronome (IM) and ADHD

National Time Management Month is celebrated during February each year. February is the perfect month to focus on time management skills with your clients. Time management is not as complex or difficult as it seems. When children learn time management early in life, they tend to do so for the rest of their lives. Time management in students helps them achieve their academic and recreational goals. It also teaches them to be independent and productive.

Children diagnosed with Attention-deficit/hyperactivity disorder (ADHD) often have difficulty staying on task and staying organized, all of which can make time management challenging. This is because of the way the brain tends to process things when a person is living with ADHD.

Latest Research: How Rhythmic Skills Relate and Develop in School-Age Children

In this first study of its kind, Bonacina et al. provide evidence for how rhythmic skills interconnect and develop in school-age children. Of particular interest is the finding that children who clapped to a beat during the Interactive Metronome (IM) condition, while receiving feedback for millisecond timing, demonstrated the least variability in their synchronization and performed better on all of the other rhythm activities evaluated. Rhythm is complicated, there are several rhythm intelligences, and IM alone impacts all of the vital rhythms that are so important to the development of language and literacy.

A bit of research: Fast thinking

Cognitive psychologists theorize that the faster we are able to process information (or think), the more intelligent we are, and the more readily we can learn and demonstrate what we’ve learned. There are many recent studies that support this view, including this one published in the journal Intelligence. Each individual is born with a certain amount of resources for attending to and processing information. How well a person allocates those resources appears to be a major factor in determining intelligence. Taub et al (2007) demonstrated that Interactive Metronome (IM) training has a significant positive effect on reading achievement (affecting 4 of 5 critical pre-reading skills) in elementary school students. They proposed that IM training was primarily improving “processing [thinking] speed,” which in turn improved the students’ ability to allocate resources for attending and holding information in working memory … all essential for fluent reading.

Ben-Shakhar, G. and Sheffer, L. (2001). The relationship between the ability to divide attention and standard
 measures of general cognitive abilities. Intelligence, 29: 293-306.
Taub. G., McGrew, K.S., and Keith, T.Z. (2007). Improvement in interval timing tracking and effects on reading
 achievement. Psychology in the Schools, 44(8), 849-863.

Individualized IM “on-demand focus” training

 

As summarized in prior posts, neurocognitive research suggests that the predominant gear of our minds transmission is neutral.  Our mental engine is working (idling) but to those observing us, our brain is not moving—we often do not appear cognitively engaged in any complex thinking or processing.

The typical person spends up to half their time engaged in the spontaneous chasing of miscellaneous thoughts down various rabbit holes of our minds.  Our thought promiscuous mind wanders here-and-there when daydreaming (“zoning out”) or becoming trapped in a cycle of negative unchecked thoughts (e.g., rumination over negative unhappy thoughts; mania; obsessions).  However, the unconstrained busy or wandering mind can also produce creative insights and thoughts.   An unquiet or busy mind can be good or bad depending on the demands facing the individual at any given time.  More importantly, the amount of optimal mind wandering may vary for different people.

A little more science than usual: Great research on intelligence

In the literature, psychologists describe two forms of intelligence that each contributes separately to our ability to perform tasks. These are “fluid intelligence” and “crystallized intelligence.” Whereas crystallized intelligence is the information and knowledge about things we have learned over the years, fluid intelligence is our ability to strategize and problem-solve. In the example of taking a test, we would recall knowledge about facts and information we learned from class and from studying our notes to answer the test questions (crystallized intelligence), but we may need to answer the questions in a strategic way like crossing out all multiple choice responses that clearly are not the answer and narrow the choices down to the two most possible, working from there to get the correct response (fluid intelligence). Stankov et al. (2006) studied the physiological neural oscillations (or rhythmic, repetitive neural signals between brain regions in the central nervous system) involved in human intelligence, or what we know is our ability to learn, access what we’ve learned, and problem-solve. They discuss the importance of synchronicity in brain activity to intelligence and propose that the degree of synchronization in brain activity may account for differences between individuals’ cognitive processing abilities. In a small pilot study completed in 2004, Dr Alpiner demonstrated under fMRI that individuals who’d received training for timing and rhythm using the Interactive Metronome demonstrated...

A bit of research: Timing as an essential part of social communication

Timing in the brain is critical for communicating effectively or participating in group activities (i.e., sports, music, play). Some individuals wait until just the right moment to act, while others have a tendency to “jump the gun.” This may manifest in a penalty for a false start if playing football or social difficulty if a person constantly interrupts others when they are speaking. Miyake et al (2004) describe the neurological underpinnings of the tendency to make “anticipatory” timing errors like these in a paper published in Acta Neurobiologiae Experimentalis. Once we’ve learned a task or situation, we tend to respond as if on automatic pilot (without consciously thinking about it). But sometimes, something changes ever so slightly in the situation, and we must adapt and recalibrate our response. How well we do this depends upon our brain’s ability to perceive time…even in small increments like milliseconds. During the initial phases of Interactive Metronome (IM) training individuals with these timing-related problems often clap or move too fast (milliseconds ahead of the beat instead of on it), but soon become more in sync with the beat and with their peers.

Miyake, Y., Onishi, Y., and Pöppel, E. (2004). Two types of anticipation in synchronization tapping. Acta
 Neurobiologiae Experimentalis, 64, 415-426.

A bit of research: Central Auditory Processing Disorder (CAPD)

Individuals with language-learning disabilities show slowed or delayed timing in the brain (in particular in the brainstem), so that they are not processing the timed or temporal elements of speech quickly enough to decipher sounds accurately and comprehend what is being said (also called temporal processing). Auditory Processing Disorder is at the heart of language-learning disabilities and is the leading cause of problems with learning to read and write. But there is hope!! Research shows that auditory processing (or the brain’s ability to understand speech & language) can be improved (Kraus & Banai, 2007). Interactive Metronome training targets the underlying problem with timing in the brain. Once mental timing is improved, the brain can process information in the speech stream more timely and accurately, leading to development of phonological skills that are so vital for auditory comprehension, reading and writing.

Kraus, N. and Banai, K. (2007). Auditory-processing malleability. Current Directions in Psychological Science, 16(2), 105-110.
 

A bit of Research: The influence of timing in children with ADHD

A recent study by the Kennedy Krieger Institute (2011) showed that areas of the brain that control thinking and motor skills are different (smaller) in children with ADHD compared to other children. The specific regions of the brain that were mentioned are known to be involved in mental timing. Mental timing (AKA timing in the brain) is vital for many of our thinking skills and for good motor coordination. Studies have shown that timing in the brain is disrupted in children and adults with ADHD, leading to problems with focus, other cognitive abilities, and motor skills. Interactive Metronome, a patented non-medical treatment for ADHD, is the ONLY program that simultaneously works on thinking AND motor skills by specifically addressing and improving the areas of the brain responsible for mental timing.

Kennedy Krieger Institute (2011, June 10). Brain imaging study of preschoolers with ADHD detects brain differences linked to symptoms.
 

A bit of Research: Autism Spectrum Disorder

There is still controversy over whether Autism Spectrum Disorders result from some interaction with environment after birth (i.e., toxic exposures, immune-modulation post-vaccination, etc) or whether they result from genetic defect(s). Some would argue both are contributing factors, that certain individuals are born with a genetic predisposition and that exposure(s) in the environment turn on or off certain genes that may contribute to the development of Autism Spectrum Disorders. In this study, researchers provide a strong argument for a genetic defect in the “clock genes,” genes that control our perception of time and with genes for a process called “methylation” that controls the turning on and off of our genes or how they are expressed (ultimately how they control our abilities). Individuals on the Autism Spectrum demonstrate numerous symptoms resulting from an impaired perception of time from circadian rhythm (sleep/wake/appetite) to millisecond timing required for speech-language, social/behavioral, cognitive, motor, and visual skills. The Interactive Metronome (IM) is a training program that is administered under the guidance of a certified professional. It is designed to improve the basic timing skills necessary for development of speech, language, cognitive, and motor skills. Many parents and professionals also report decrease in aggressive behavior, improved social skills, and better sensory processing following IM training.
Wimpory, D. (2002). Social timing clock genes and autism: A new hypothesis. Journal of Intellectual Disability Research,...

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