Pediatric Dyslexia

“Ann” is a fourteen-year-old female diagnosed with dyslexia. For the past few years she had been in inclusion classes and receiving remedial reading with the reading specialist in her school district two times per week. She had completed the 4th level in the Wilson Reading Program and was not receiving remedial tutoring during the time that she was completing IM treatment. At the initial pretesting session, the Gray Oral Reading Test-4 was administered to assess her reading rate, accuracy, fluency, and comprehension. Ann broke down in tears at her inability to read the simple passages, but she then collected herself and chose to continue the testing with a renewed strength and hope that Interactive Metronome (IM)treatment would be of value in helping her to read better. Ann found her hope in IM through the positive experiences of friend who had completed treatment the previous summer with a 1.5- year gain in reading comprehension fluency and comprehension.


Ann’s initial level of functioning in grade equivalency was a 1.4 in reading rate, 2.2 in accuracy, 1.4 in fluency, and <1.1 in comprehension according to the GORT-4.


After observing Ann’s stress from being confronted with her severe reading deficits on the GORT-4, it was decided to administer the IM pretest Long Form Assessment during a separate second session. Wearing headphones, Ann tried to match the rhythmic beat she heard with specific hand and foot motions using hand and foot triggers. The IM system used the data captured by the triggers to calculate and record how closely Ann was able to synchronize her motions to the rhythmic reference beat. The results were then displayed as a numerical score in milliseconds (ms) that provided a measure of her basic neurological and motor planning, sequencing, and timing capacities. Lower IM millisecond scores indicate better performance. Ann‘s performance on the IM Pre Long Form Assessment also demonstrated severe deficiency, yielding an overall score of 130.4 ms and a Super-Right-On (SRO) of 10.1%.


On the Attend Over Time Test, Ann’s performance demonstrated her difficulty with task vigilance, yielding an overall score of 155.0 ms and a SRO of 6%. This was also noted in her initial regular treatment sessions when same task scores worsened as the task durations increased.

 Although Ann considered herself athletic since she was involved in both lacrosse and cheerleading at her middle school this past school year, she did not demonstrate the expected level of stamina for an athlete. Her eyes welled with tears over fatigue during the third through fifth sessions. However, she was determined to complete the sessions without reducing the task durations back to a level of comfort. The visual feedback component in the Interactive Metronome system helped keep Ann on task by providing the additional visual cues to help her monitor her taps. She was better able to “see” the early and late taps and to adjust her rhythm to synchronize with the reference tone. The use of the visual feedback component was gradually faded until it was no longer used after the sixth session.

Although she strove to meet the standards without modifications, some (such as reducing the number of tasks) were often made without Ann’s knowledge. Before the seventh session, she reported that she had begun freshman lacrosse camp at her high school with surprising adeptness in her ability to play the game. Her coach quickly assigned her to take charge of the drills at practice. Ann reported a dramatic improvement in her ability to catch the ball after it bounced off the wall with 100% accuracy, which replaced her previous performance accuracy of 40-45%. By the last session, Ann also made the varsity cheerleading squad and the competitive cheerleading squad at her high school. This was quite a feat for an incoming freshmen student. Her self-esteem was obviously boosted by her newfound performance ability.

Ann met her objectives by the fourteenth session with her task vigilance and Super- Right-On accuracy improving. She entered for her final Long Form Assessment with mostly quiet confidence but some hint of anxiety over her final performance ability. She quickly overcame her initial hesitancy once she began the tasks. Her final overall score was a 30.1 ms and a SRO of 40%, a 300% improvement.

Reading results from the GORT-4 test indicated an eight month acceleration in reading rate, two years in accuracy, 1.6 years in fluency, and most significantly, over 6.7 years in reading comprehension. Her therapist therorized that her newfound confidence in her abilities helped her to be less anxious at the presentation of the reading task and allowed her to achieve a score indicating a dramatic improvement in ability.

This case demonstrates the positive effect Interactive Metronome treatment can have on reading fluency and comprehension as observed by Ann’s gains. Only IM treatment took place for the weeks of intervention culminating with positive outcomes noted in attention, self-confidence, and sports agility and timing as well as dramatic gains in reading related areas.


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