title: Interactive Metronome training in children with attention deficit and developmental coordination disorders.
abstract: The objective of this study was to examine the efficacy of Interactive Metronome (Interactive Metronome, Sunrise, Florida, USA) training in a group of children with mixed attentional and motor coordination disorders to further explore which subcomponents of attentional control and motor functioning the training influences. Twelve children who had been diagnosed with attention deficit hyperactivity disorder, in conjunction with either developmental coordination disorder (n=10) or pervasive developmental disorder (n=2), underwent 15 1-h sessions of Interactive Metronome training over a 15-week period. Each child was assessed before and after the treatment using measures of attention, coordination, and motor control to determine the efficacy of training on these cognitive and behavioral realms. As a group, the children made significant improvements in complex visual choice reaction time and visuomotor control after the training. There were, however, no significant changes in sustained attention or inhibitory control over inappropriate motor responses after treatment. These results suggest Interactive Metronome training may address deficits in visuomotor control and speed, but appears to have little effect on sustained attention or motor inhibition.
authors.affiliation: Department of Occupational Therapy, School of Allied Health Sciences, Medical College of Georgia, Augusta, Georgia 30912, USA. scosper@mcg.edu
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Cosper
authors.forename: Gregory P
authors.initials: GP
authors.lastname: Lee
authors.forename: Susan Beth
authors.initials: SB
authors.lastname: Peters
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Bishop
mesh_terms: D000161:Acoustic Stimulation / Q000295:instrumentation*; D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000534:rehabilitation*; D002648:Child; D002659:Child Development Disorders, Pervasive / Q000175:diagnosis / Q000534:rehabilitation*; D015897:Comorbidity; D056228:Feedback, Sensory; D005260:Female; D006801:Humans; D008297:Male; D019957:Motor Skills Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D026741:Physical Therapy Modalities / Q000295:instrumentation*; D011930:Reaction Time; D013813:Therapy, Computer-Assisted / Q000295:instrumentation*; D013998:Time Perception