Effects of interactive metronome on balance and stability indexes of a 77-year �old female

Abstract

Event Abstract Back to Event Effects of interactive metronome on balance and stability indexes of a 77-year –old female Michael Bagnell1, Hannah Irons2 and Susan E. Esposito2* 1 Bagnell Brain Center, United States 2 Life University, United States Background: A 77-year-old female presented to a chiropractic functional neurology clinic complaining of imbalance, instability, chronic obsessive-compulsive disorder (OCD), anxiety, and rheumatoid arthritis. Methods: Neurological testing was performed which included a Four Step Square Test and a Biodex Biosway Clinical Test of Sensory Integration & Balance (CTSIB) on perturbed and non-perturbed surfaces. Treatment consisted of Interactive Metronome (IM) training for 10 sessions, 12-18 minutes in length over a 5-week period. These twice-weekly sessions consisted of hand clapping to metronome activity and standing or seated stepping with both feet to metronome activity at 54 beats per minute (BPM). The participant performed these tasks over increased time intervals beginning at 2.6 minutes per session and reaching a maximum of 18 minutes. The repetitions performed began with 138 for the initial session and reached a maximum of 972. At the end of the 5-week period, the patient returned to retest the CTSIB and the Four Step Square Test. Results: The patient showed an improvement during pre/post Four Step Test by 12%. CTSIB post testing on perturbed surface, with eyes closed, headphones on, showed an average improvement of 16.5%, whereas with eyes opened it showed an improvement of 21.7%. CTSIB post testing on non-perturbed surface with eyes open showed an improvement of 51.4% and with eyes closed improvement was only 0.6%. Conclusion: The patient showed an improvement of results in all of the post testing after the five-week period of IM treatment. However, there was a difference in the percentage of improvement between eyes open and closed on the CTSIB. Significantly more improvement was realized with eyes open. The current case demonstrates that interactive metronome might be utilized as an effective tool in elderly patients for improving balance and stability. Future research should be conducted in this area. Keywords: Balance control, chiropractic neurology, Neurorehabilitatation, instability, Interactive metronome Conference: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function, Orlando, United States, 7 Oct - 9 Oct, 2016. Presentation Type: Poster Presentation Topic: Abstracts ISCN 2016 Citation: Bagnell M, Irons H and Esposito SE (2016). Effects of interactive metronome on balance and stability indexes of a 77-year –old female. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00029 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 29 Aug 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. Susan E Esposito, Life University, Marietta, United States, susanesposito@gmail.com Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Michael Bagnell Hannah Irons Susan E Esposito Google Michael Bagnell Hannah Irons Susan E Esposito Google Scholar Michael Bagnell Hannah Irons Susan E Esposito PubMed Michael Bagnell Hannah Irons Susan E Esposito Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.