Cleveland Clinic Children's Outcomes
Pediatric Therapy Services
Interactive Metronome for Motor Control and Coordination
2019 - 2023
Therapy Services offers Interactive Metronome® (IM), a computer-based program run by occupational therapists to improve attention, motor control, and coordination in children with a wide range of cognitive and physical difficulties with reaction speed and timing. Interactive Metronome can help children with learning disability, dyslexia, apraxia, ADD/ADHD, auditory/language processing disorders, developmental coordination disorder, cerebral palsy and traumatic brain injury.
Change in Average Raw Score
2019-2023 (N = 345)
The IM assessment is administered before treatment and at discharge. Analysis of patients’ change in raw score from baseline to discharge in 2019–2023 indicates a reduction of 94.99 points for the adjusted millisecond score. Lower scores indicate better performance in motor coordination.
Change in Adjusted Millisecond
2019-2023 (N=345)
Improvement in Descriptive Category
2019 - 2023
The IM assessment tool consists of 7 descriptive categories for performance ranging from extreme deficiency to superior for children 6 years of age and older. The seven descriptive categories are: extreme deficiency, severe deficiency, below average, average, above average, exceptional and superior. The graph below summarizes group data for patient performance on the IM assessment. From 2019-2023, 84% of the 291 patients showed improvement with an average increase of performance of 1.82 levels above baseline testing. The following graph indicates that the majority of children begin the program with deficits and completed the program with improved performance.
Descriptive Category
2019 - 2023 (N = 345)
