Get the Most from IM-Home

Get the Most from IM-Home: Tips &

Motivational Strategies

Lisa Poe, OTR/L

What you will learn in this webinarHow to: • Identify a client who would be a great candidate for

the IM-Home Unit• What age appropriate education will you provide?• Intrinsic motivators• Extrinsic motivator• Create a reward chart• Create your own custom exercise

Transitioning from the IMPro to the IM-Home

• Clinical Setting– Insurance limitations or schedule constraints

– Client has neurodegenerative disease and needs ongoing treatment to maintain gains

• Continued ongoing performance program

• School System• Classroom performance• Inclusion into regular education classes• Sports performance• Sports performance

• Rural Environment

• Competitive Athletes

• Adults• Stress management, attention/focus in the work environment• Senior adults – Brain Fitness

Why IM-Home?

Education

Understanding

Engagement

First Consultation/Meeting

• Goal Setting• Understand the effects of IM Home and its

neurological benefits• Importance of participating and completing program• Address possibility of decreased motivation and

strategies to meet these challenges

Understanding the Brain

• IM Resource Video– Meadow –

Movie: Neuroplasticity Explanation for Interactive Metronome_Meadow.flv

Understanding the Brain

• IM Resource Video– DSL vs Dial-Up –

Movie: Ask the Expert- Dial Up vs DSL.flv

www.imhome.org

• Best Practices for Pediatrics and Adults• Video Clips of Success Stories• IM Specific Research• Supporting Research

Look Book

• The Look Book is a great place to check out case studies, special program info, success stories and a “Provider of the Month” section

Home Visit

• Understanding your client’s environment

• Interests, hobbies, play room

• Family involvement• Create individualized

training exercises/templates

IM Universe

• Video games• Sports – Golf, Basketball, Soccer• Kids – Aliens, Monkey, Fairy• Eye Movement – Fishing (saccades), Sammich

(smooth pursuit)• General – Zen Garden, Groovy, Picture Board

IM Universe in Action

Movie: IM Universe.flv

Motivation

Intrinsic vs Extrinsic

Intrinsic Motivation

• Intrinsic (internal) motivation is motivation within the individual that is driven by interest or enjoyment in the task itself.

Intrinsic Motivators

• Interest• Hobbies• Self- accomplishments• Individualized goals

Extrinsic Motivation

• Extrinsic (external) motivation refers to the performance of an activity in order to accomplish an outcome.

Extrinsic Motivators• Rewards

– Time with family members

– Praise – verbal/tactile– Reward Charts – KISMIF

– Keep it simple, make it fun

– Ticket System– Individual goals

Not Motivated???

• Challenging client• Scheduling conflict

o Parent – worko Child – extracurricular activities

• During your initial consultation/history review, parent reports child has difficult time completing task

Create a Reward Chart• Step 1: Decide what the motivation will be emphasized on

– ms task average, Burst total, In A Row total

• Step 2: Determine the length of time – daily, weekly, completion of each session

• Step 3: Choose your medium to display the clients success – poster board, note book, stickers, pretend money/bank, etc.

Create a Reward Chart

Pediatrics

Age Appropriate: 6 – 11 year old

• Important to develop and build a trusting relationship

• What are their interest – Dolls, trains, dancing, action figures/heroes, video games, sports, friends, etc.

• Level of understanding – “Do you know why you came to see me today?” Usual response “My Mom says I have a hard time focusing.”

• Opens the door for you to teach the child what the IM-Home is and how it works.

• For explanation purposes, you may use cartoon pictures of the brain/neuron, brain model, involvement of the child placing their right hand on the right side of the head with instruction this helps their left side move and feel and vice versa with the left hand on left side of head, moving the right arm and leg, etc.

Katelyn with Stroller

Movie: M2u00319.flv

Katelyn with Friend

Movie: M2U00327.flv

Katelyn with Doll

Movie: M2U00328.flv

Katelyn Walking

Movie: M2U00334.flv

Mallory with Doll

Movie: M2U00348.flv

Mallory with Tap Mat

Movie: M2U00349.flv

Mallory Clapping

Movie: M2U00352.flv

Mallory with Tap Mat & Doll

Movie: M2U00355.flv

Mallory with Multiple Triggers

Movie: M2U00357.flv

Adolescence/Teenagers

12 – 18 years old• Develop a trusting relationship• Interest – Sports, video games, hobbies, etc.• Provide education on the effects of the Interactive

Metronome – try to relate what their interest is• Example – Client enjoyed Nascar racing. While comparing

the pistons moving smoothly up and down to the neurons firing in the brain, the client responded “Oh, the brain is like the engine in a race car. The better the engine, the better the car!”

Isaac with Slingshot

Movie: M2U00359.flv

Isaac with Basketball

Movie: M2U00363.flv

Isaac Doing Homework

Movie: M2U00364.flv

Isaac with Multiple Triggers

Movie: M2U00366.flv

Evan Racking Billiards

Movie: M2U00337.flv

Evan Tapping Cue

Movie: M2U00338.flv

Evan Playing Guitar

Movie: M2U00342.flv

Adults/Geriatrics

Adults/Geriatrics• Begin to develop relationship• What are their interest• Problems/concerns• Neurological Deficit – CVA, TBI, Chemo Brain,

Cognitive Decline, etc.• Education - IM Research, brain model, etc.• Case Studies• IM Marketing materials

Stephen

Movie: Stephen.flv

Frances Sitting/Standing

Movie: frances.flv

Frances in Kitchen

Movie: frances2.flv

PosterCreative ways to get your clients motivated at home

Download from Additional Materials

link in Confirmation Email

or on Provider Login

Resources• IM Home Certification Course• IM Home Web Library• Video Clips• Research• Best Practices for Pediatrics and Adults• Information from Peers who are IM Certified• Understanding Body: A good look inside your insides by Rebecca Treays

ISBN 07 460 33524• Your Fantastic Elastic Brain by Joanne Deak ISBN 9780982993804

• YouTube – Imetronome• IM Webinars• Ipad apps – Ned the Neuron https://itunes.apple.com/us/app/nedtheneuron/id562657316?mt=8• Brain Jump with Ned the Neuron: Challenges Grow Your Brain

http://www.youtube.com/watch?v=g7FdMi03CzI• Your Fantastic Elastic Brain http://www.youtube.com/watch?v=ch3kbXBah5Y

Peer reviewed journal references and relevant publications

• Askins, Lindsey;Diasio, Brittany; Szewerniak, Dagmara; and Cahill, Susan M. Ph.D., OTR/L (2013) “Children with Developmental Disabilities and their Motivation to Play,” The Open Journal and Occupational Therapy: Vol. 1: Iss. 4, Article 4.

• Benson, J. Nicka, M., Stern, P. How does a child with sensory processing problems play? The Internet Journal of Allied Health Sciences and Practice. October 2006. Volume 4 Number 4.

• Henry, Alexis D. (2000) “Surveys of Play for Children and Adolescents” Therapy Skills Builders. www.tpcweb.com

You can call or email us anytimeWe’re here to help!

Call 877-994-6776:

• Opt. 3 – Education – imcourses@interactivemetronome.com

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