title: A retrospective outcomes study examining the effect of interactive metronome on hand function.
abstract: BACKGROUND
  Interactive Metronome (IM, The Interactive Metronome Company, Sunrise, Florida, USA) is a computer-based modality marketed to rehabilitation professionals who want to improve outcomes in areas of coordination, motor skills, self-regulation behaviors, and cognitive skills.
  
  
  OBJECTIVE
  This retrospective study examined the efficacy of IM training on improving timing skills, hand function, and parental report of self-regulatory behaviors.
  
  
  METHODS
  Forty eight children with mixed motor and cognitive diagnoses completed an average of 14 one-hour training sessions over an average of 8.5 weeks in an outpatient setting. Each child was assessed before and after training with the Interactive Metronome Long Form Assessment, the Jebsen Taylor Test of Hand Function, and a parent questionnaire.
  
  
  RESULTS
  All three measures improved with statistical significance despite participants having no direct skill training.
  
  
  CONCLUSIONS
  These results suggest an intimate relationship between cognition and motor skills that has potential therapeutic value.
  
  
  METHODS
  Level 4, Retrospective Case Series.
authors.affiliation: Outpatient Therapy Services, Nemours / A. I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803 USA. Electronic address: tracyshank28@gmail.com.
authors.forename: Tracy M
authors.initials: TM
authors.lastname: Shank
authors.affiliation: Outpatient Therapy Services, Nemours / A. I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803 USA.
authors.forename: Wendy
authors.initials: W
authors.lastname: Harron
mesh_terms: D000293:Adolescent; D001927:Brain Diseases / Q000503:physiopathology / Q000534:rehabilitation*; D002648:Child; D004185:Disability Evaluation; D005260:Female; D006225:Hand / Q000503:physiopathology*; D006801:Humans; D008297:Male; D019957:Motor Skills Disorders / Q000503:physiopathology / Q000534:rehabilitation*; D065886:Neurodevelopmental Disorders / Q000503:physiopathology / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D012984:Software; D013813:Therapy, Computer-Assisted
keywords: Cognition; Hand function; Interactive metronome; Outcome study; Pediatric