Page 28 Introduction Interactive Metronome (IM) is a computer-based neurological assessment and treatment tool to improve processing abilities (McGrew, 2013). Methods A search of electronic databases, peer reviewed journals, and various clinical reports between 1995 and 2017 was conducted to review research literature and analyze the evidence available for using IM to treat auditory processing disorders (APD) in children. Results The literature suggests that IM improves auditory temporal processing, language comprehension, reading, and attention skills that are deficient in children with APD. Conclusions Further assessments of IM training is needed to support its use, as an effective rehabilitative treatment. Authors Sapna Chakraborty Wafaa Kaf Jay R. Lucker Missouri State University, Howard University Department of Communication Sciences and Disorders Abstract JOURNAL OF THE ACADEMY OF REHABILITATIVE AUDIOLOGY Interactive Metronome: Research Review Related to Treating Auditory Processing Disorders in Children Research Article 2017, Volume XLX Introduction Interactive Metronome® (IM) is a patented computer-based interactive version of a traditional music metronome (Cassily, 1996). Jim Cassily, an acoustics engineer, developed IM in the early 1990s. In 1994, he created a remote- control headset that presented metronome beats to help a child walk with a new prosthetic leg. Success led Cassily to apply IM to help children with learning and developmental disorders (McGrew, 2013). IM is a brain-training assessment and treatment tool used for pediatric and adult individuals to improve processing abilities that affect attention, motor planning, and sequencing. The Interactive Metronome program consists of a software, a master control unit, a hand trigger, insole triggers, a tap mat, and headphones. The software includes a reference tone, guide sounds transmitted through headphones, visual guidance through the computer screen, graded sequential interactive neuro motor exercises, and the ability to record the speed of the patient’s response. IM provides rhythm and timing training by presenting an auditory tone in the form of metronome beats through the headphones. The listener matches the timing of the beats with handclaps or foot taps, and obtains feedback from a computerized hand and foot sensor as shown in Figure 1. The listener learns to match the rhythm of the beat in a synchronous manner, which requires an integration of auditory perception of rhythm with the motor task (such as clapping hands). The training provides the listener with auditory and visual feedback that indicates the extent to which the beat of the metronome was matching to the rhythm of the motor task. The motor responses are classified as either too quick (before the tone