TJ a seven – year-old boy, was diagnosed with ADHD. He was prescribed Ritalin, but his parents were still concerned with his behavior. They noted that he continued to have difficulties in sustaining attention, sitting still and completing tasks. He avoided and even resisted activities that presented new motor challenges. For example, when children from the neighborhood were playing soccer and asked him to join he refused.

After a year, his parents decided it was time to try something else. They obtained a referral for TJ to try Interactive Metronome (IM) at Optimal Training Functions, an occupational therapy clinic.


Because of TJ’s difficulty with attention and organizational skills in the classroom the SCAN-C screening tool for basic auditory processing was performed during the initial clinical evaluation. He scored in the low-normal range (the 16th percentile) in his ability to process "filtered words" or verbal information that is partially obscured due to a hand over the mouth or the speaker turning away. TJ also had difficulty with eyes-closed balance and stability and with coordinated limb movements, such as: jump-turn, batting the ball while on hands/knees and the belly crawl.


The results of TJ's IM pretest assessment confirmed the clinical observations. He showed a severe deficiency for a child his age, revealing difficulties with motor planning and sequencing. He said he often "forgot to listen" to the auditory beat and demonstrated great difficulty in attending to tasks and adjusting his motor activity to the auditory stimuli.

TJ returned for 15 sessions using Interactive Metronome. At the completion of the last session, he had improved by 81% to within a range considered exceptional for a seven-year-old. Six weeks after TJ completed Interactive Metronome training; I was rewarded by receiving a letter he wrote without any prompting to say, "Metronome rily (sic) helped me so much!"


TJ's parents reported that the most significant changes were in his ability to interact with his neighborhood peers. When I saw him during a three month follow up, his parents noted that he continued to try new motor activities with less resistance and frustration and now even rollerbladed. According to his parents, "The physical changes have stuck. He is more interactive and selfconfident too."


As TJ's interaction and socialization increased his parents worked with him on appropriate social rules. They also noted that he displayed improved organizational skills in initiating and completing tasks. During my last follow up with TJ, I observed improved eyes-closed balance and stronger core stability. After completing the IM program in the clinic, TJ started a daily home program of various visual tasks to continue to support the progress he had made in his organizational skills.

Improvement Starts Here

With over 25 years of proven success, you can trust Advanced Vision Therapy Center to provide the care you need.

Our Clinical Director is Idaho's only residency trained optometrist in vision therapy and neuro-optometry and is a Fellow of the American Academy of Optometry.  His residency at University of California, Berkeley means he has the expertise and experience to treat even the most complex cases.

Read what our patients have to say.

  Vision therapy can be a bit unfamiliar to some people. We are going to begin this blog by discussing briefly when vision therapy is used. Many visual conditions can be effectively treated and managed with prescription glasses or contact lenses. However, for other visual conditions (convergence insufficiency, binocular vision dysfunction, etc) prescription glasses or contact lenses cannot correct the vision problem. It is in these cases that vision therapy may be prescribed.   ... Read More
  Many people are unaware of the differences between an optometrist, a neuro-optometrist, and a behavioral or developmental optometrist. Sure, they sound alike but the services they provide are quite different. And if you, or someone you know, has a vision problem that cannot be corrected with glasses or contact lenses this blog is for you.   ... Read More
  At Advanced Vision Therapy Center our results speak for themselves. Jonah, however, wanted to share his story with you. We invite you to watch this short video to learn more about Jonah's experience and success.   ... Read More
  It's a dangerous world we live in today! With October upon us, people are thinking about spooky, creepy crawly things, and of course things that go bump in the night. Most ghoul hunters know that to protect themselves from the evil lurking in the shadows this time of year, they need the necessities such as garlic, silver bullets, a know, for protection.     ... Read More
  Traumatic Brain Injury (TBI) is a term used within the medical community to describe an injury to the brain which is not hereditary, congenital or degenerative. Traumatic Brain Injury can be result from a blow to the head, whiplash, seizure disorders, tumors, stroke, toxic exposure, or infectious diseases to name a few. The incidence of prevalence of brain injury outnumbers breast cancer, spinal cord injury, multiple sclerosis and HIV/AIDs combined.   ... Read More
  Many people have heard of vision therapy, but don't know a lot about it. As with any type of therapy, the effectiveness of the program is dependent upon several factors. It is advisable to ask questions and do your homework. Vision therapy programs vary greatly from provider to provider.   ... Read More
  Everyday in our schools students are presented with information that they are required to look at, interpret, and process that information. For years it was believed that the eyes had nothing to do with learning. That is definitely not the case. Did you know it is estimated that 80% of what we learn is through visual information?     ... Read More
  Convergence Insufficiency (CI) is a common eye-teaming problem which occurs when the eyes are unable to maintain the ocular posture necessary for reading or near tasks. Convergence Insufficiency results from misalignment of the eyes when focusing on up close, such as when reading. The eyes have a strong tendency to drift outward when reading or doing close up work. The exact cause is unknown.    ... Read More
  After this abnormally tedious Boise winter, we are all ready to get outside and play in the sun! Hold on though, before you rush outside, have you taken the necessary precautions to protect yourself for ultraviolet rays? There are three types of ultraviolet rays, these wavelengths are not visible to the human eye and are shorter than violet wavelengths of light.    ... Read More
  Whether you are playing sports as a hobby or competitively there is a lot to consider. Are you using proper form? Is your equipment up to date? Are you warmed up? Are you wearing the appropriate safety gear? Is your opponent looking bigger and stronger than last time? Seriously, did he grow six inches? Whatever your thought process or preparation is you may be missing a key step. Are you wearing your protective eye-wear?   ... Read More
Contact Us

7960 W. Rifleman Street, #155
Boise , Idaho , 83704 USA
Phone:  208-377-1310
Fax:  208-321-1952