Matthew Wukasch and Kevin McGrew, pre­sent­ing clin­i­cal uses of Inter­ac­tive Metronome. This session took place at the 2013 SharpBrains Virtual Summit: http://sharpbrains.com/summit-2013/agenda/

1. Slide 1
Accelerate Outcomes.
Exceed Expectations.

2. Presenters
 Matthew Wukasch, CEO
Interactive Metronome
 Dr. Kevin S. McGrew
Director of Scientific
Advisory Board
Interactive Metronome
Slide 2

3. What is IM?
 Assessment & treatment tool that
targets & improves neural
synchronization, communication,
& reduces Neural Jitter.
 Evidence-based, objective,
flexible, & engaging.
 Patented technology: around the
globe in hospitals, therapy
clinics, schools & homes.
Slide 3

4. Interactive Metronome Today
Over 20,000 Medical Rehabilitation, Mental Health
and Education Professionals are Interactive
Metronome Certified (IMC) in over 30 countries.
Slide 4

5. Slide 5
IM’s Goals
1) To drive functional
neuroplasticity
2) To improve mental/interval
timing
3) To improve the brain’s efficiency
and performance
 Focus
 Processing speed
 Working memory
 Visual and auditory processing
 Coordination

6. Who Can Benefit?
 ADHD
 Apraxia/Dyspraxia
 Autism Spectrum Disorders
(including Asperger’s, PDD)
 Brain Injury
 Brain Tumor (following surgery or
chemotherapy)
 Auditory Processing Disorder
 Cerebral Palsy
 Concussion
 Dyslexia and Other Reading
Disorders
 Language-Learning Disabled
 Limb Amputation
 Non-verbal Learning Disorder
 Sensory Processing Disorder
 Stuttering
 Stroke
 MS
 Parkinson’s
 Spinal
Cord Injury
Slide 6

7. How it works
Slide 7

8. Slide 8
IM Equipment
 Software
 Hardware
• Master Control Unit
• Hand Trigger
• Tap Mat
• In-Motion Insole
Triggers
 Marketing
• Brochure Starter Kit

9. IM
Software
 User friendly
interface
 11 animated games
 28 wallpapers
 Background music
 Avatar builder
 eClinic compatibility

10. Kevin McGrew Affiliations
 Institute of Applied Psychometrics (IAP)-Director
 Woodcock-Munoz Foundation – Research Director
 Measurement Learning Consultants - Associate
Director
 University of Minnesota - Visiting Professor (Educ.
Psych.)
 Interactive Metronome - Director of Research and
Science (External Consultant) *
* Conflict of interest disclosure: Financial relationship and
interest in IM
Brief and select 10 minute overview of
the science of Interactive Metronome
Dr. Kevin S. McGrew

11. As recently as Sept 18, 2013…

12. Slide 12
Academic Correlation Study
Timing in Child Development.
High/Scope Educational Research Foundation
Kuhlman, K. & Schweinhart, L.J. (1999)
585 students
Significant correlation between IM timing
and academic performance
Reading, Mathematics
Oral/written language
Writing
Attention
Motor coordination and performance

13. Select IM Efficacy Research:
Randomized Control Design Studies
How can IM produce positive outcomes
across such diverse behavior/cognitive domains?

14. Slide 14
ADHD Study
Effect of Interactive Metronome Training on Children with ADHD.
The American Journal Of Occupational Therapy
Statistically significant
improvement:
 Attention
 Motor control and coordination
 Processing speed
 Language processing
 Reading
 Decrease in impulsive
behavior

15. Significant IM effects on reading
fluency/rate and comprehension

16. (in press)
Significant IM effects on math calculation and fluency

17. (Sept 23, 2013)

18. Sample
info

19. •21 of 26 outcome measures favored IM group
•Overall binomial probability =.00098
Measures
and
Results

20. Measures
and
Results
Effect size

21. Positive IM effects on neuropsychological
and EEG-ERPs in subjects with traumatic
blast injuries

22. •There is a long-standing tradition within psychological research to
search for general principles or cognitive mechanisms that can be
used to address all aspects of behavior and cognition.
•An underlying mechanism that can be applied to a wide range of
novel problems and domains of performance
•“Jack-of-all-trades” mechanisms (Chiappe & McDonald,2005)
Working hypothesis:
IM must be increasing the ability or efficiency of some
domain general learning mechanism(s)

23. Focus of attention
Controlled attention
Key cognitive task demand of IM:
Requires the ability to control attention (focus) by
deflecting attentional capture via inhibiting responding
to external and internal (mind wandering; default
network) distractions

24. IM Effect hypothesis: Increases brain/neural
efficiency or synchronization
• Builds more brain network communication connections
• Increases efficiency of existing brain network
communication
Hypothesis: Increased brain clock temporal resolution
facilitates neural efficiency and synchronization which in
turn increases efficiency of working memory and executive
functions
Central
Executive
(Executive
functions or
control?
• Inhibit
•Shift
•Update
Working Memory
Focus of
 attention

25. Report
available at:

26. Clinical Limitations of IM Pro
 Mechanism of action is
Number of reps
 Neuroplasticity does not
come without cost
 IM works best when
combined with other
interventions
 Clinical time is a scarce
resource
 Travel time / clinical expense
Slide 26

27. IM-Home v2.0
 Clinically driven
protocol
 Coaching still
largely the
clinician’s role
 Compliance
 Gamification
 eClinic
For more information: www.imhome.org

28. IM-HomeeClinic
PREVIEW
Slide 28

29. Home-Training Advantages
 Reps can be performed at home with
lower dosage / day
 Home delivery frees up domain specific
work to be performed in the clinic
 Lower expense
 Less travel/ time commitment
Slide 29

30. BrainBeat
First Consumer Initiative
 Targeted to kids 6-12
 Built on Game engine
software
 Game has built-in coach
 Games has levels and Goals
 Game provides real-time
feedback
 Auto difficulty
 Game elements look and feel
X-Box like adding sugar to
the medicine.
Slide 30

31. BrainBeat
Cognitive Fitness Formula
 Needs to be consumed like other
consumables (web based, apps)
 Coaching- educator and motivator
 Compliance- engaging, fun, game like
 Clear Metric relatable to the consumer
(validated 3rd party?)
Slide 31

32. Mission - To proliferate our
technology and further
commercialize
Slide 32
In-Clinic
 Higher pain
Non-Clinical
 ADHD kids not going to
clinic
 Wellness Aging
 Athletics
 Enrichment
IM-Home
 Still clinically oriented more
population, less challenged
Population

33. Future Efforts
International Distributors
 Good traction in Asia
 Translation into Japanese / Korean
Licensing / Partnerships
 Supplement brain fitness platforms
 Supplement traditional tutoring
businesses
 Supplement cognitive fitness focused
centers
Stand Alone Platform Based Consumer
Offering
 Wellness and baby boomer
 Athletics
 Game systems
Slide 33

34. Questions
Matthew Wukasch
mwukasch@interactivemetronome.com
Slide 34

35. Q&A
10 minutes
(Included in session
recording)

36. Sponsors
Partners
Thank You for
Joining Us!

37. To Learn More…
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