
Learning The Method
MNRI® Upper Limbs Reflex and Manual Skill Integration
Overview
Course Overview
Upper limb reflexes begin development in the womb and are among the first reflexes to actively engage after birth, first to protect us from harm, and second (once security is ensured) to allow active exploration of the outside world. As upper limb motor reflexes engage and mature, they form the foundation for the development of learned manual skills. Once basic manual skills become automatic, advanced skills begin to emerge and a child’s movement repertoire expands and advances to include gross motor skills, fine motor coordination, and the motor planning ability necessary to productively function in the world. Manual skills are not the only developmental abilities dependant upon upper limb reflex integration. The visual and auditory systems as well as verbal, written, and general communication-related abilities all depend on adequate upper limb reflex integration. Fine motor coordination systems, including the hands-eyes, hands-auditory, and hands-articulation systems, link fine motor coordination to visual, auditory, and vocal decoding, allowing communication to develop from sounds to words, to conversations, to reading, to writing, to comprehension and more. MNRI Upper Limb Reflex and Manual Skills techniques target reflexes and the underlying neuro-structural system to engage and improve manual, gross, or fine motor skill function and speech delays. Many professionals subject to fatigue or upper limb injury often use the upper limb and manual skill techniques as a stress release program.
Learning Objectives
- Analyze core principles of the Masgutova Neurosensorimotor Reflex Integration (MNRI®) Method and the role of reflexes in human development.
- Analyze how upper limb reflex patterns contribute to the maturation of motor reflex schemes (e.g., environmental exploration, touching, reaching, crawling, self-feeding) and their influence on self-protection, gross and fine motor development, eating, communication, and cognition.
- Analyze the effects of non-integrated upper limb reflexes on the brain–body system and differentiate common functional implications for receptive/expressive language and gross/fine motor performance.
- Analyze the maturational progression of upper limb reflexes and relate expected protective responses and associated manual skill components to functional development across the lifespan.
- Investigate how upper limb reflexes and related manual skills support the formation of conscious motor control within the brain–body system and connect these foundations to gross motor control, midrange (medium) motor control, fine motor control, and hand–eye coordination.
- Analyze how dysfunctional upper limb reflex patterns can impact protection, learning, and overall development, including barriers to participation in daily occupations.
- Demonstrate motivational games and activity adaptations that can be paired with MNRI® techniques to facilitate upper limb reflex integration and support functional carryover.
- Apply MNRI® upper limb techniques for each reflex through instructor demonstration, and guided practice.
- Investigate individualized MNRI® program plans for clients with varied upper extremity challenges and then link these findings to occupational performance needs and goals.
- Apply strategies that integrate MNRI® Upper Limb Reflex and Manual Skills content into daily routines to enhance occupational performance.
Course Agenda
| Hour 1 | Movement as a basis of Natural Development |
| Hour 2 | Upper Limb and Manual Skills Development |
| Hour 3 | Robinson Hand Grasp, Babkin and Hands Pulling |
| Hour 4 | Neuro-Physiological Basis for Development |
| Hours 5-6 | MNRI® Reflex Assessment |
| Hours 7-8 | Foundations for Natural Development |
| Hour 9 | Natural Flow of Intentional and Controlled Movements |
| Hour 10 | Individual Therapy Program |
| Hour 11 | Behavioral, Social, and Cognitive Changes |
| Hour 12 | Up-Down Motor Coordination System |
| Hour 13 | Development of Lifelong Reflexes |
| Hours 14-15 | Technique practice |
| Hour 16 | Summarize Course Activities |
Target Audience
Speech Language Pathologists, Speech Language Pathologist Assistants, Occupational Therapists, Certified Occupational Therapy Assistants, Nurses, Physical Therapists, Physical Therapist Assistants, Educators, Psychologists, Physicians, Massage Therapists, Mental Health Counselors, Other Health Care Providers, Parents.
Criteria for Certificate of Completion
• Full attendance to the entire course
• Participation in practice with instructor feedback
• Post course evaluation
CEU Information





