Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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A Systematic Review on Intervention of Interactive Metronome: Focus on Single-Subject Research Design in Korean Academic Journals

상호작용식 메트로놈(Interactive Metronome)의 중재에 대한 체계적 고찰: 국내 단일대상연구를 중심으로

  • Son, Yeong Soo (Brain Rehabilitation Geriatric Hospital / Dept. of Occupational Therapy, Graduate School, Wonkwang University) ;
  • Choi, Yoo Im (Dept. of Occupational Therapy, Wonkwang University)
  • 손영수 (비에스의료재단 브레인재활요양병원 재활치료센터/원광대학교 대학원 작업치료학과) ;
  • 최유임 (원광대학교 의과대학 작업치료학과)
  • Received : 2022.08.11
  • Accepted : 2022.09.28
  • Published : 2023.02.28
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Abstract

Objective : This study aimed to confirm the research characteristics and quality of single-subject literature among domestic studies that applied interactive metronome (IM) intervention. Methods : Regarding literature search, 11 single-subject studies using IM were selected from an online database from January 2011 to June 2022. Moreover, the general characteristics and quality of the research method were analyzed. Results : The qualitative level of the analyzed literature was above the moderate level. However, intervention blindness and reliability showed low compliance. The ABA design accounted for the largest proportion of methods. Most of the study participants had attention deficit hyperactivity disorder. Attention, balance, bilateral coordination, and timing were checked as dependent variables. The IM-SFT was used most frequently as an evaluation method. The mediation session applied more than 8-10 interventions for 3-11 weeks. The intervention results in all studies indicated functional improvement after intervention. Conclusion : It might be necessary to expand the application of IM interventions to diverse diseases. In addition, there is a need to study the effect on the participants' quality of life and changes in daily life along with dependent variables such as attention and balance

목적 : 본 연구는 아동 및 성인 환자를 대상으로 IM 중재를 적용한 국내 연구 중 단일대상연구 문헌의 연구 특성과 질적 수준을 확인하는 것이다. 연구방법 : 문헌 검색은 2011년 1월부터 2022년 6월까지 온라인 데이터베이스를 통해 IM 중재를 적용한 11편의 단일대상연구 문헌을 선정하였으며, 대상 문헌을 연구의 내용에 따라 일반적인 특성과 연구 방법의 질적 수준을 분석하였다. 결과 : 분석 문헌의 질적 수준은 모두 중간 수준 이상이었으나 중재 블라인드 및 신뢰도에서 낮은 이행도를 보였다. 단일대상연구의 설계 방법으로는 ABA 설계가 가장 많은 비중을 차지하였다. 연구 대상자는 ADHD가 가장 많았고, 종속변수는 집중력, 균형, 양측 협응, 타이밍 등을 확인하였으며, 평가 방법으로는 IM-SFT가 가장 높은 빈도로 사용되었다. 중재 회기는 대부분 8~10회 이상의 중재를 적용하였고 3~11주 동안 적용하였다. 중재 결과 선정된 모든 연구에서 중재 후 기능적 향상을 보고하였다. 결론 : 보다 다양한 질환을 대상으로 IM 중재의 적용을 확대해 볼 필요성이 있을 것으로 판단되며, 집중력, 균형 등과 같은 종속변인과 함께 대상자의 삶의 질, 일상생활의 변화 등에 미치는 영향까지 연구해 볼 필요성이 있을 것으로 판단된다.

Keywords

References

  1. Backman, C. L., Harris, S. R., Chisholm, J. A. M., & Monette, A. D. (1997). Single-subject research in rehabilitation: A review of studies using AB, withdrawal, multiple baseline, and alternating treatments designs. Archives of Physical Medicine and Rehabilitation, 78(10), 1145-1153. https://doi.org/10.1016/S0003-9993(97)90142-8
  2. Bak, A. R., & Yoo, D. H. (2016). The effects of interactive metronome on short-term memory and attention for children with mental retardation. The Journal of Korean Academy of Sensory Integration, 14(1), 19-30. https://doi.org/10.18064/JKASI.2016.14.1.019
  3. Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65-94. https://doi.org/10.1037//0033-2909.121.1.65
  4. Buhusi, C. V., & Meck, W. H. (2005). What makes us tick? Functional and neural mechanisms of interval timing. Nature Reviews Neuroscience, 6(10), 755-765. https://doi.org/10.1038/nrn1764
  5. Byiers, B. J., Reichle, J., & Symons, F. J. (2012). Single-subject experimental design for evidence-based practice. American Journal of Speech-Language Pathology, 21(4), 397-414. https://doi.org/10.1044/1058-03602012/11-003
  6. Chakraborty, S., Kaf, W., & Lucker, J. R. (2017). Interactive Metronome: Research review related to treating auditory processing disorders in children. Journal of the Academy of Rehabilitative Audiology, 50, 28-35.
  7. Cho, S. Y., & Ju, Y. (2018). The effect of interactive metronome training on attention to autism spectrum disorder children: Single case study. Therapeutic Science for Rehabilitation, 7(4), 57-66. https://doi.org/10.22683/tsnr.2018.7.4.057
  8. Choi, Y. I., Kim, E. J., & Park, E. Y. (2012). Review the level of quality of single subject research design in the field of Korean occupational therapy by using the Journal of Korean Society of Occupational Therapy. Korean Journal of Occupational Therapy, 20(4), 111-124.
  9. Cosper, S. M., Lee, G. P., Peters, S. B., & Bishop, E. (2009). Interactive Metronome training in children with attention deficit and developmental coordination disorders. International Journal of Rehabilitation Research, 32(4), 331-336. http://doi.org/10.1097/MRR.0b013e328325a8cf
  10. Debaere, F., Swinnen, S. P., Beatse, E., Sunaert, S., Van Hecke, P., & Duysens, J. (2001). Brain areas involved in interlimb coordination: A distributed network. Neuroimage, 14(5), 947-958. https://doi.org/10.1006/nimg.2001.0892
  11. Gim, Y. J., Shin, M. H., Jeong, H. W., & Jeon, B. J. (2021). The effect of interactive metronome training on reading fluency in elementary students: A single case study. Journal of Korean Academy of Sensory Integration, 19(2), 26-35. https://doi.org/10.18064/JKASI.2021.19.2.26
  12. Greenspan, S. I. (1992). Infancy and early childhood: The practice of clinical assessment and intervention with emotional and developmental challenges. International Universities Press, Inc.
  13. Greenspan, S. I. (1997a). Developmentally based psychotherapy. International Universities Press, Inc.
  14. Greenspan, S. I. (1997b). The growth of the mind and the endangered origins of intelligence. Addison-Wesley Longman.
  15. Hill, V., Dunn, L., Dunning, K., & Page, S. J. (2011). A pilot study of rhythm and timing training as a supplement to occupational therapy in stroke rehabilitation. Topics in Stroke Rehabilitation, 18(6), 728-737. https://doi.org/10.1310/tsr1806-728 10.3109/17518423.2011.635608
  16. Jang, S. Y., Park, J. W., Lee, S. W., Lee, J. H., Jang, K. M., Choi, B. N., & Kim, S. K. (2012). The effect of interactive metronome training for increasing concentration of attention deficit-hyperactive disorder (ADHD) child. Journal of Korean Society of Assistive Technology, 4(1), 73-87.
  17. Johansson, A. M., Domellof, E., & Ronnqvist, L. (2012). Short-and long-term effects of synchronized metronome training in children with hemiplegic cerebral palsy: A two case study. Developmental Neurorehabilitation, 15(2), 160-169. https://doi.org/
  18. Jung, J. H. (2019). Effects of Interactive Metronome (IM) training on executive function of stroke patients. Journal of Convergence for Information Technology, 9(7), 145-152. https://doi.org/10.22156/CS4SMB.2019.9.7.145
  19. Jung, J. H., & Kim, S. K. (2013). The effects of interactive metronome on bilateral coordination, balance, and upper extremity function for children with hemiplegic cerebral palsy: Single-subject research. Journal of Korean Society of Occupational Therapy, 21(2), 37-48. https://doi.org/10.14519/jksot.2013.21.4.04
  20. Jung, Y. J., & Choi, Y. I. (2021). Analysis of occupational therapy intervention research for improving memory: Focus on single-subject research design in Korean academic journals. Therapeutic Science for Rehabilitation, 10(4), 39-52. https://doi.org/10.22683/tsnr.2021.10.4.039
  21. Kang, J. W. (2017). The effect of interactive metronome training on increasing attention and impulsivity control for children with attention deficit hyperactivity disorder. Therapeutic Science for Neurorehabilitation, 6(1), 45-54. https://doi.org/10.22683/tsnr.2017.6.1.045
  22. Kazdin, A. E. (1982). Single-case research designs. Oxford University Press.
  23. Kim, J. M., Kim, S. K., Jang, J. Y., & Jo, A. Y. (2013). The effects of interactive metronome on memory, attention, and social interaction skills in patients with mild dementia. Journal of Korean Society of Occupational Therapy, 21(3), 31-44.
  24. Kim, K. M., Kim, M. S., & Lee, S. M. (2015). The effects of interactive metronome on timing, attention, bilateral coordination and balance for adult with intellectual disabilities: Single subject design. Journal of Special Education and Rehabilitation Science, 54(3), 349-364. https://doi.org/10.15870/jsers.2015.09.54.3.349
  25. Koomar, J., Burpee, J. D., DeJean, V., Frick, S., Kawar, M. J., & Fischer, D. M. (2001). Theoretical and clinical perspectives on the interactive metronome: A view from occupational therapy practice. American Journal of Occupational Therapy, 55(2), 163-166. https://doi.org/10.5014/ajot.55.2.163
  26. Kuhlman, K., & Schweinhart, L. J. (1999). Timing in child development. High/Scope Educational Research Foundation.
  27. Kwag, S. W., Sim, J. M., & Roh, H. L. (2014). Study on the characteristics and quality level of single subject researches in the sensory integration therapy field of Korean occupational therapy. The Journal of Korean Academy of Sensory Integration, 12(2), 25-36. https://doi.org/10.18064/JKASI.2014.12.2.025
  28. Lee, H. K., Kim, H. J., Kim, S. B., & Kang, N. (2022). A review and meta-analysis of interactive metronome training: Positive effects for motor functioning. Perceptual and Motor Skills, 129(5), 1-21. https://doi.org/10.1177/0031512522111040
  29. Lee, K. W. (2018). Effect of interactive metronome intervention to improve motor timing of children with developmental coordination disorder. (Master's thesis). Yonsei University.
  30. Lee, S. H., Park, E. H., & Kim, Y. T. (2000). Single subject research in educational and clinical settings. Hakjisa.
  31. Leisman, G., & Melillo, R. (2010). Effects of motor sequence training on attentional performance in ADHD children. International Journal on Disability and Human Development, 9(4), 275-282. https://doi.org/10.1515/IJDHD.2010.043
  32. Lewis, P. A., & Miall, R. C. (2006). Remembering the time: A continuous clock. Trends in Cognitive Sciences, 10(9), 401-406. https://doi.org/10.1016/j.tics.2006.07.006
  33. Logan, L. R., Hickman, R. R., Harris, S. R., & Heriza, C. B. (2008). Single-subject research design: Recommendations for levels of evidence and quality rating. Developmental Medicine & Child Neurology, 50(2), 99-103. https://doi.org/10.1111/j.1469-8749.2007.02005.x
  34. Mauk, M. D., & Buonomano, D. V. (2004). The neural basis of temporal processing. Annual Review of Neuroscience, 27(1), 307-340. http://doi.org/10.1146/annurev.neuro.27.070203.144247
  35. McGrew, K. S. (2013). The science behind interactive metronome: An integration of brain clock, temporal processing, brain network and neurocognitive research and theory. The MindHubTM Pub, 2, 2-3.
  36. Nam, S. M., Kim, S. J., & Kim, M. J. (2020). A review of domestic research using interactive metronome. Journal of Korean Society for Rhythmic Exercises, 13(2), 155-164. http://doi.org/10.34270/jksre.2020.13.2.155
  37. Namgung, Y., Son, D. I., & Kim, K. M. (2015). Effect of interactive metronome® training on timing, attention and motor function of children with ADHD: Case report. Journal of Korean Academy of Sensory Integration, 13(2), 63-73. https://doi.org/10.18064/JKASI.2015.13.2.063
  38. Odom, S. L., Brown, W. H., Frey, T., Karasu, N., Smith-Canter, L. L., & Strain, P. S. (2003). Evidence-based practices for young children with autism: Contributions for single-subject design research. Focus on Autism and Other Developmental Disabilities, 18(3), 166-175. https://doi.org/10.1177/10883576030180030401
  39. Park, E. J., Park, S. H., & Park, S. H. (2018). A systematic review of interactive metronome intervention: Based on OTPF-III. Journal of Humanities and Social Sciences 21, 9(3), 265-276. http://doi.org/10.22143/HSS21.9.3.21
  40. Park, E. Y., Kim, S. S., & Cho, K. S. (2005). Review of the contents and methods of single-subject design research in Korea. Korean Journal of Special Education, 40(1), 65-89.
  41. Park, M. K., & Kim, H. (2018). Effect of interactive metronome training on postural control and hand writing performance of children with attention deficit hyperactivity disorder (ADHD): Single subject research. Journal of Korean Academy of Sensory Integration, 16(1), 14-24. http://doi.org/10.18064/JKASI.2018.16.1.014
  42. Park, S. M., Kim, M. Y., Park, J. H., & Park, H. Y. (2016). Effects of interactive metronome (IM) training on balance, fall efficacy, and cognitive function of community-dwelling older adults. Korean Journal of Occupational Therapy, 24(4), 95-108. https://doi.org/10.14519/jksot.2016.24.4.07
  43. Rosenblum, S., & Regev, N. (2013). Timing abilities among children with developmental coordination disorders (DCD) in comparison to children with typical development. Research in Developmental Disabilities, 34(1), 218-227. http://doi.org/10.1016/j.ridd.2012.07.011
  44. Sim, K. B. (2018). Study on the characteristics and quality level of single subject researches in the stroke patients: The field of health care. Journal of Korean Society of Community Based Occupational Therapy, 8(2), 15-28. http://doi.org/10.18598/kcbot.2018.8.2.02
  45. Song, J. W., & Hong, E. K. (2020). Interactive metronome training for a child with praxis problems: A single subject design. The Journal of Korean Academy of Sensory Integration, 18(3), 27-38. http://doi.org/10.18064/JKASI.2020.18.3.27
  46. Stein, B. E., & Meredith, M. A. (1993). Cognitive neuroscience. The merging of the senses. The MIT Press.
  47. Taub, G. E., McGrew, K. S., & Keith, T. Z. (2007). Improvements in interval time tracking and effects on reading achievement. Psychology in the Schools, 44(8), 849-863. http://doi.org/10.1002/pits.20270
  48. Wuang, Y. P., Wang, C. C., Huang, M. H., & Su, C. Y. (2008). Profiles and cognitive predictors of motor functions among early school-age children with mild intellectual disabilities. Journal of Intellectual Disability Research, 52(12), 1048-1060. http://doi.org/0.1111/j.1365-2788.2008.01096.x 1096.x
  49. Yang, M. H. (2015). Single subject research (1st ed., pp. 15-54). Hakjisa.