A Review and Meta-Analysis of Interactive Metronome Training: Positive Effects for Motor Functioning

Abstract

Interactive metronome training may be effective for improving motor performances through timing. In this systematic review and meta-analysis, 18 prospective studies met our eligibility criteria, and we summarized the effects of interactive metronome training protocols on motor functioning. We estimated effect sizes by quantifying differences in altered motor functions between participants in interactive metronome training and control groups. Two additional subgroup analyses determined whether the positive effects on motor function improvements were different among (a) three types of participants (i.e., athletes, healthy individuals, and patients with neurological disorders) and (b) two different training protocols (i.e., interactive metronome training only and interactive metronome training combined with an additional motor program). Random-effects model meta-analysis revealed moderate positive effects of interactive metronome training on motor function, with interactive metronome treatment effects significant across athletes, healthy individuals, and patients with neurological disorders. Interactive metronome training combined with additional motor programs showed comparable effects to those obtained after interactive metronome training alone. These findings suggest motor improvement benefits to strengthening or capitalizing on an individual’s motor timing.

Keywords

Interactive metronome training meta-analysis motor skill motor performance rehabilitation

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References

Ahn

H.-J.

Chin

Park

Lee

B. H.

Suh

M. K.

Seo

S. W.

D. L.

(2010). Seoul neuropsychological screening battery-dementia version (SNSB-D): A useful tool for assessing and monitoring cognitive impairments in dementia patients. Journal of Korean Medical Science, 25(7), 1071-1076. https://doi.org/10.3346/jkms.2010.25.7.1071

Bonacina

Krizman

White-Schwoch

Kraus

(2018). Clapping in time parallels literacy and calls upon overlapping neural mechanisms in early readers. Annals of the New York Academy of Sciences Sci, 1423(1), 338-348. https://doi.org/10.1111/nyas.13704

Borenstein

Hedges

L. V.

Higgins

J. P.

Rothstein

H. R.

(2010). A basic introduction to fixed-effect and random-effects models for meta-analysis. Research Synthesis Methods, 1(2), 97-111. https://doi.org/10.1002/jrsm.12

Braun Janzen

Thompson

W. F.

Ammirante

Ranvaud

(2014). Timing skills and expertise: Discrete and continuous timed movements among musicians and athletes. Frontiers in Psychology, 5, 1482. https://doi.org/10.3389/fpsyg.2014.01482

Brenner

Driesen

Smeets

J. B.

(2014). Precise timing when hitting falling balls. Front Frontiers in Human Neuroscience, 8, 342. https://doi.org/10.3389/fnhum.2014.00342

Bressler

S. L.

Menon

(2010). Large-scale brain networks in cognition: Emerging methods and principles. Trends in Cognitive Sciences, 14(6), 277-290. https://doi.org/10.1016/j.tics.2010.04.004

Bruininks

R. H.

Bruininks

B. D.

(2005). Bruininks-Oseretsky test of motor proficiency. AGS Publishing.

Caljouw

S. R.

van der Kamp

Savelsbergh

G. J.

(2004). Timing of goal-directed hitting: Impact requirements change the information-movement coupling. Experimental Brain Research, 155(2), 135-144. https://doi.org/10.1007/s00221-003-1705-0

Chan

D. Y.

Chan

C. C.

D. K.

(2006). Motor relearning programme for stroke patients: A randomized controlled trial. Clinical Rehabilitation, 20(3), 191-200. https://doi.org/10.1191/0269215506cr930oa

10.

Chanubol

Wongphaet

Chavanich

Werner

Hesse

Bardeleben

Merholz

(2012). A randomized controlled trial of cognitive sensory motor training therapy on the recovery of arm function in acute stroke patients. Clinical Rehabilitation, 26(12), 1096-1104. https://doi.org/10.1177%2F0269215512444631

11.

Cosper

S. M.

Lee

G. P.

Peters

S. B.

Bishop

(2009). Interactive metronome training in children with attention deficit and developmental coordination disorders. International Journal of Rehabilitation Research, 32(4), 331-336. https://doi.org/10.1097/MRR.0b013e328325a8cf

12.

Cumpston

Page

M. J.

Chandler

Welch

V. A.

Higgins

J. P.

Thomas

(2019). Updated guidance for trusted systematic reviews: A new edition of the cochrane handbook for systematic reviews of interventions. Cochrane Database of Systematic Reviews, 10, ED000142. https://doi.org/10.1002/14651858.ED000142

13.

DeGangi

G. A.

(1983). DeGangi-Berk test of sensory integration (TSI). Western Psychological Services Los Angeles.

14.

Egger

Smith

G. D.

Schneider

Minder

(1997). Bias in meta-analysis detected by a simple, graphical test. the British Medical Journal, 315(7109), 629-634. https://doi.org/10.1136/bmj.315.7109.629

15.

Enders

L. R.

Boykin

G. L.

Rice

V. J.

(2020). Effects of neurocognitive temporal training on weapon firing performance. Perceptual and Motor Skills, 127(5), 939-959. https://doi.org/10.1177/0031512520927508

16.

Gladstone

D. J.

Danells

C. J.

Black

S. E.

(2002). The fugl-meyer assessment of motor recovery after stroke: A critical review of its measurement properties. Neurorehabilitation and Neural Repair, 16(3), 232-240. https://doi.org/10.1177%2F154596802401105171

17.

Higgins

J. P.

Thompson

S. G.

Deeks

J. J.

Altman

D. G.

(2003). Measuring inconsistency in meta-analyses. The British Medical Journal, 327(7414), 557-560. https://doi.org/10.1136/bmj.327.7414.557

18.

Hill

Dunn

Dunning

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

19.

Jebsen

R. H.

Taylor

Trieschmann

R. B.

Trotter

M. J.

Howard

L. A.

(1969). An objective and standardized test of hand function. Archives of Physical Medicine and Rehabilitation, 50(6), 311-319.

20.

Kang

Summers

J. J.

Cauraugh

J. H.

(2016). Transcranial direct current stimulation facilitates motor learning post-stroke: A systematic review and meta-analysis. Journal of Neurology, Neurosurgery, and Psychiatry, 87(4), 345-355. http://dx.doi.org/10.1136/jnnp-2015-311242

21.

Karampela

Madison

Holm

(2020). Motor timing training improves sustained attention performance but not fluid intelligence: Near but not far transfer. Experimental Brain Research, 238(4), 1051-1060. https://doi.org/10.1007/s00221-020-05780-4

22.

Keren-Happuch

Chen

S. H.

M. H.

Desmond

J. E.

(2014). A meta-analysis of cerebellar contributions to higher cognition from PET and fMRI studies. Human Brain Mapping, 35(2), 593-615. https://doi.org/10.1002/hbm.22194

23.

Kim

H. H.

G. H.

Yoo

B. K.

(2012). The effects of a sensory integration programme with applied interactive metronome training for children with developmental disabilities: A pilot study. Hong Kong Journal of Occupational Therapy, 22(1), 25-30. https://doi.org/10.1016/j.hkjot.2012.05.001

24.

Kim

J. H.

Han

J. K.

Han

D. H.

(2018). Training effects of interactive metronome (R) on golf performance and brain activity in professional woman golf players. Human Movement Science, 61, 63-71. https://doi.org/10.1016/j.humov.2018.07.005

25.

Kim

J. H.

Ridgel

A. L.

(2019). Effects of interactive metronome and golf swing mechanics training on technique and motor timing in professional and amateur golfers. International Journal of Sports Science & Coaching, 14(6), 786-797. https://doi.org/10.1177%2F1747954119883376

26.

Kim

J. H.

Ridgel

A. L.

Han

D. H.

(2020). Effects of interactive metronome on the changes in arm angle and motor timing in the upper extremity during a golf putt. International Journal of Performance Analysis in Sport, 20(5), 818-829. https://doi.org/10.1080/24748668.2020.1789427

27.

Leisman

Braun-Benjamin

Melillo

(2014). Cognitive-motor interactions of the basal ganglia in development. Frontiers in Systems Neuroscience, 8, 16. https://doi.org/10.3389/fnsys.2014.00016

28.

Libkuman

T. M.

Otani

Steger

(2002). Training in timing improves accuracy in golf. Journal of General Psychology, 129(1), 77-96. https://doi.org/10.1080/00221300209602034

29.

Liu

Sheng

Liu

(2019). Corticomuscular coherence and its applications: A review. Frontiers in Human Neuroscience, 13, 100. https://doi.org/10.3389/fnhum.2019.00100

30.

Llorens

Fuentes

M. A.

Borrego

Latorre

Alcaniz

Colomer

Noe

(2021). Effectiveness of a combined transcranial direct current stimulation and virtual reality-based intervention on upper limb function in chronic individuals post-stroke with persistent severe hemiparesis: A randomized controlled trial. Journal of NeuroEngineering and Rehabilitation, 18(1), 108. https://doi.org/10.1186/s12984-021-00896-2

31.

Malapani

Dubois

Rancurel

Gibbon

(1998). Cerebellar dysfunctions of temporal processing in the seconds range in humans. Neuroreport, 9(17), 3907-3912. https://doi.org/10.1097/00001756-199812010-00026

32.

Mathiowetz

Weber

Kashman

Volland

(1985). Adult norms for the nine hole peg test of finger dexterity. The Occupational Therapy Journal of Research, 5(1), 24-38. https://doi.org/10.1177%2F153944928500500102

33.

McGrew

(2013). The science behind interactive metronome: An integration of brain clock, temporal processing, brain network and neurocognitive research and theory (pp. 2-3). The MindHubTM Pub.

34.

Nelson

L. A.

Macdonald

Stall

Pazdan

(2013). Effects of interactive metronome therapy on cognitive functioning after blast-related brain injury: A randomized controlled pilot trial. Neuropsychology, 27(6), 666-679. https://doi.org/10.1037/a0034117

35.

Park

M. O.

Lee

S. H.

(2018). Effects of cognitive-motor dual-task training combined with auditory motor synchronization training on cognitive functioning in individuals with chronic stroke: A pilot randomized controlled trial. Medicine, 97(22), e10910. https://doi.org/10.1097/MD.0000000000010910

36.

Penhune

V. B.

Doyon

(2005). Cerebellum and M1 interaction during early learning of timed motor sequences. Neuroimage, 26(3), 801-812. https://doi.org/10.1016/j.neuroimage.2005.02.041

37.

Rönnqvist

McDonald

Sommer

(2018). Influences of synchronized metronome training on soccer players’ timing ability, performance accuracy, and lower-limb kinematics. Frontiers in Psychology, 9, 2469. https://doi.org/10.3389/fpsyg.2018.02469

38.

Sale

M. V.

Mattingley

J. B.

Zalesky

Cocchi

(2015). Imaging human brain networks to improve the clinical efficacy of non-invasive brain stimulation. Neuroscience and Biobehavioral Reviews, 57, 187-198. https://doi.org/10.1016/j.neubiorev.2015.09.010

39.

Schmidt

R. A.

Lee

T. D.

Winstein

C. J.

Wulf

Zelaznik

H. N.

(2019). Motor control and learning : A behavioral emphasis Human kinetics (Sixth edition).

40.

Serrien

D. J.

Spape

M. M.

(2010). Coupling between perception and action timing during sensorimotor synchronization. Neuroscience Letters, 486(3), 215-219. https://doi.org/10.1016/j.neulet.2010.09.056

41.

Shaffer

R. J.

Jacokes

L. E.

Cassily

J. F.

Greenspan

S. I.

Tuchman

R. F.

Stemmer

P. J.

(2001). Effect of interactive metronome® training on children with ADHD. American Journal of Occupational Therapy, 55(2), 155-162. https://doi.org/10.5014/ajot.55.2.155

42.

Shank

T. M.

Harron

(2015). A retrospective outcomes study examining the effect of interactive metronome on hand function. Journal of Hand Therapy, 28(4), 396-402. https://doi.org/10.1016/j.jht.2015.06.003

43.

Sommer

Hager

Ronnqvist

(2014). Synchronized metronome training induces changes in the kinematic properties of the golf swing. Sports Biomechanics, 13(1), 1-16. https://doi.org/10.1080/14763141.2013.873817

44.

Sommer

Hager

C. K.

Boraxbekk

C. J.

Ronnqvist

(2018). Timing training in female soccer players: Effects on skilled movement performance and brain responses. Frontiers in Human Neuroscience, 12, 311. https://doi.org/10.3389/fnhum.2018.00311

45.

Sommer

Rönnqvist

(2009). Improved motor-timing: Effects of synchronized metro-nome training on golf shot accuracy. Journal of Sports Science & Medicine, 8(4), 648-656

46.

Sue Baron

(2004). Delis-Kaplan executive function system. Child Neuropsychology, 10(2), 147-152. https://psycnet.apa.org/doi/10.1037/t15082-000

47.

Takeuchi

Izumi

S.-I.

(2013). Rehabilitation with poststroke motor recovery: A review with a focus on neural plasticity. Stroke research and treatment. https://doi.org/10.1155/2013/128641

48.

Tanaka

Kunimatsu

Suzuki

T. W.

Kameda

Ohmae

Uematsu

Takeya

(2021). Roles of the cerebellum in motor preparation and prediction of timing. Neuroscience, 462, 220-234. https://doi.org/10.1016/j.neuroscience.2020.04.039

49.

Thaut

M. H.

(2003). Neural basis of rhythmic timing networks in the human brain. Annals of the New York Academy of Sciences, 999(1), 364-373. https://doi.org/10.1196/annals.1284.044

50.

Thier

Dicke

P. W.

Haas

Thielert

C. D.

Catz

(2002). The role of the oculomotor vermis in the control of saccadic eye movements. Annals of the New York Academy of Sciences, 978(1 THE CEREBELLU), 50-62. https://doi.org/10.1111/j.1749-6632.2002.tb07555.x

51.

Trujillo

(2017). The Effectiveness of interactive metronome® as a restorative modality to improve cognition and motor performance in healthy older adults in Eastern North Carolina. Journal of Neurology and Neuroscience, 8(2). https://doi.org/10.21767/2171-6625.1000186

52.

Wang

R. Y.

Tseng

H. Y.

Liao

K. K.

Wang

C. J.

Lai

K. L.

Yang

Y. R.

(2012). rTMS combined with task-oriented training to improve symmetry of interhemispheric corticomotor excitability and gait performance after stroke: a randomized trial. Neurorehabilitation and Neural Repair, 26(3), 222-230. https://doi.org/10.1177/1545968311423265

53.

Yang

Weng

Bandettini

P. A.

(2014). Cerebellum engages in automation of verb-generation skill. Journal of Integrative Neuroscience, 13(1), 1-17. https://doi.org/10.1142/S0219635214500010

54.

G. H.

Lee

J. S.

Kim

S. K.

Cha

T. H.

(2017). Effects of interactive metronome training on upper extremity function, ADL and QOL in stroke patients. NeuroRehabilitation, 41(1), 161-168. https://doi.org/10.3233/NRE-171468

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