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CAPT CertificationAOTA Certification
The assignment of AOTA CEUs does not imply
endorsement of specific course content, products, or
clinical procedures by AOTA or indicate AOTA approval
of a certification or other professional recognition.
This course is offered for 2.4 AOTA CEUs /
24 Contact Hours (Introductory level;
Occupational Therapy Process: Evaluation, Intervention)
NCBTMB CertificationASHA Certification
This course is offered for 2.4 ASHA CEUs
(Introductory level, Professional area)

MNRI® Oral-Facial Reflex Integration Level 2

Dates: August 3-5, 2017
Location: Minneapolis, MN
Address: A Chance to Grow
Address:  1800 Second street NE
Address:  Minneapolis, MN 55418
Instructor: Lori Burgess
Local Area  
Coordinator: Michelle Koyama
Email: michelle.koyama@actg.org
Phone: 952-925-3648

The Masgutova Method® is a set of programs focused on the restoration and maturation of primary movements, reflexes, coordination systems, skills for optimal performance of natural mechanisms, developmental processes, brain functioning, and sensory-motor integration. The Masgutova Method® is oriented on the stimulation of reflex patterns in order to awaken natural, genetic motor resources, self-regenerating strength of motor memory and sensory-motor coherence. This achievement innately carries the implication of the fulfillment of all potentials within movement abilities and learning skills.

The Mission of the Svetlana Masgutova Educational Institute® Neuro-sensory-motor Reflex Integration, LLC is to provide children and adults reliable knowledge and safe tools for the use of natural, genetic motor resources to facilitate successful neuro-sensory-motor development and joyful learning. 

MNRI® Oral-Facial Reflex Integration: Neuro-Motor Facilitation for Speech Development. Course Level 2

Course Overview:

Oral-Facial motor reflexes emerging in uterine and infancy time development serve as the basis for all abilities concerned with eating, and also articulation and speech. They play their essential role for a broad range of needs:                                        

  • Human survival, including eating (and olfactory system), breathing, and global oral neuro-cranial-vascular function 
  • Start human cognition process by/thanks to oral-rooting, trigger orientation in space (left-right) and motor-proprioceptive activity for changing the body position in space (rolling over)
  • Supply managing visual, auditory and vestibular system input
  • Impact at the “body-brain” mechanism governing the connection between reflex patterns and muscle-tendon tone regulation
  • Coordination of different systems in combinations: hand, mouth, ear, eye, tongue, neck, and cranial coordination


  • Nonverbal, emotional expressions and verbal communication (articulation)
  • Language development (decoding and coding, phoneme/sound programming and performance) and comprehension.

Oral-Facial reflexes affect survival mechanisms and brainstem function though out of our life, and also higher functions – speech and communication. The MNRI Oral-Facial Reflex Integration Program techniques work to activate, restore and facilitate reflex patterns, primary oral-motor coordination serving as the basis for the maturation of more complex oral-motor skills, communication and cognition. Delay in development and maturation of oral-facial reflexes can be caused by congenital issues or traumatic events that occur in utero, at birth, or postnatally. This delay next can negatively affect the survival (eating and breathing problems), speech and comprehension formation. MNRI Facial Reflex program techniques have been used with great success for children experiencing various delays in communication development – approximately 7 of non-verbal children out of 10 start their oral speech development. 

MNRI Oral-Facial Reflex Integration course explores:

  • ·The general MNRI Method and the role played by the Facial Reflex Integration Program for survival
  • ·Neurophysiological aspects of the dynamic and postural Oral-Facial reflexes and brainstem functioning
  • ·Neurodevelopmental aspects of the Oral-Facial reflexes and brain speech centers functioning
  • ·Oral-facial reflexes and how they relate to primary motor reflex patterns and oral- muscle activity
  • ·Evolution of oral-facial reflexes development within their basic®transitional®variant patterns
  • ·Oral-facial reflex activity and how it relates to cognitive oral-motor programing and performance in future articulation development
  • ·The role of inappropriately developed protection mechanisms and articulation/speech programming
  • ·The role oral-facial reflexes play in establishing a foundation for oral-motor, language-communication, cognitive development, and emotional and behavioral regulation
  • ·MNRI techniques to assess, repattern, and integrate oral-facial reflexes within its developmental dynamics
  • ·MNRI techniques to assess the mirror neurons activation for tongue activation, articulation/speech imitation
  • ·How to create an MNRI oral-facial reflex integration home program for individual clients
  • ·How to incorporate MNRI Oral-Facial Reflex Integration course content into daily client and home practice

Course Objectives

Upon successful completion of the three-day, 24-hour Oral-Facial Integration course, participants

1.   Learn about the Masgutova Neurosensorimotor Reflex Integration SM (MNRI) Method

      a.   The innate nature of the motor reflex system, and specifically, Oral-Facial aspect of it

      b.  The role of a reflex and its sensory, motor, and central and autonomic, cranial nervous system mechanisms                                                                                  

      c.  When, why, and how the brain engages in negative protection versus positive protection, learning and development

      d.    The physiological and psychological basis for motor program strategies and developmental stages of oral-facial abilities and skills

      e.  The maturational role of oral-facial reflexes within the primary motor reflex system and the impact of dysfunctional and pathological reflex patterns on daily life of children and adults with developmental and neurodeficits.

2. Learn the importance of oral-facial symmetry and the maturational progression of certain oral-facial reflex

      a.   Identify each reflex and their dynamics

      b.  Understand and explain the impact integration of each oral-facial reflex can have on:

             ● Protection and survival mechanisms including sucking, swallowing, breathing, rooting, fear paralysis, eating and general oral neuro-cranial-vascular function

                 ● Managing sensory input coming from the upper part of the body, and oral-facial-cranial system          

                 ● Postural control and hand, mouth, ear, eye, tongue, neck and cranial-nervous coordination systems

                 ● Nonverbal, emotional expressions, and verbal communication (articulation and speech)

                 ● Related primary motor reflex patterns and oral-motor abilities and skills

      c.   Explore how oral-facial reflexes provide protection and support for the brain functions and neurodevelopment, and for formation of higher skills

3.   Learn to implement MNRI assessment techniques to determine the level of development of a reflex pattern (i.

e. integrated, dysfunctional or pathological) of oral-facial reflex proposed by the course

      a.  Demonstrate through supervised hands-on-application the ability to conduct an MNRI assessment of the oral-facial reflex

4.   Learn to implement the MNRI techniques to integrate each oral-facial reflex   

        a.   Learn through demonstration and hands-on-practice the MNRI techniques designed to activate and integrate oral-facial reflexes, and to address oral-facial-cranial symmetry issues

      b. Learn through course discussion and instructor demonstration how to deal with unique and challenging client situations using MNRI method techniques in context of primary oral-motor activity and articulation skills training

      c.   Demonstrate for the course instructor the ability to apply correction/integration procedures for each oral-facial reflex

5.   Learn to use course knowledge to create and apply an individual MNRI program for clients with various challenges             

a.   Use the MNRI pre-assessment techniques to identify dysfunctional oral-facial reflexes

      b.    Develop an MNRI program for clients based on assessment results and targeted individual challenges

c.   Explore with client family the potential impact the individualized program can have on

  • Motor-structural, and postural aspects of oral-facial reflex maturation
  • Motor, communication and cognitive learning abilities and emotional and behavioral regulation 

6.   Explore, evaluate and develop strategies to incorporate the use of the MNRI Oral-Facial Reflex Integration course content into daily client and home practice.

Reflexes Addressed in this Course:

Primary Motor Reflex Patterns (phases: basic, variants)

  • Sucking                                                         ·  Chewing                                                        ·  Oral-Facial Tendon Guard
  • Swallowing                                                   ·  Babkin Palmomental                                   ·  Oral-Cognitive Orientation

These reflexes are discussed in the context of creating the neuro-motor basis for future sound pronunciation. Participants will get the techniques of the work with primary patterns for pronouncing different level sounds –consonants and vowels.

Additional Oral-Facial Reflexes and Automatic Responses covered by the techniques of the course:



  • Biting                                                         · Nourishing                                      · Gag and Vomiting reflexes
  • Puckering                                                  · Teeth Clenching                             · Breathing (Inhale/Exhale cycle)
    • Yawning (shallow & deep)                    · Rooting/Oral Searching                   · TMJ/Vestibular Leveling

Head Righting & TMJ Position Regulation

  • Head Righting – Ocular & Labyrinthine    · Mouth Closing/Opening reaction             

Visual Reflexes 

  • Convergence/Divergence                       · Eye Leveling                                                ·                                                                 Pupillary/Accommodation
  • · Eye Tracking                                            · STNR for Binocular Vision

Auditory Reflexes

    · Acoustic Reflex                                       ·  Binaural Hearing & Auditory Processing    ·         Primary Sound Articulation

    Primary Motor Coordination & Cognitive Systems

  • Mouth-Hand, Hand-Mouth                    · Pavlov Orientation                                                     ·                                                                 Oral Orientation
  • · Mouth-Eyes-Ears-Hands                                                     


Prerequisite Classes:
  • MNRI® Dynamic & Postural Reflex Pattern Integration
  • MNRI® Oral-Facial Reflex Integration Level 1
  • MNRI® Tactile Integration
Any 1 additional class is also required

Course Length:  The course covers a period of three days and requires a minimum of 24 hours of direct classroom instruction to complete.

Curriculum Design:  The course curriculum consists of a combination of historical and theoretical lecture, case study slides and videos, technique demonstration and applied practice, and class discussion. 

Course Materials:  The Oral-Facial Reflex Integration: Neuro-Motor Facilitation for Speech Development course manual, written by Svetlana Masgutova, Ph.D., is the primary source for content presented in class.  Supplementary course content draws from a variety of articles and MNRI case studies, and is referenced as needed upon presentation in class.  The course manual is included as part of the course fee and is distributed to course participants at initial course check-in. 

Financial Disclosure: Lori Burgess receives a stipend based upon an enrollment percentage.

Non-financial Disclosure: No relevant relationship exists.

Course Disclosure: The Svetlana Masgutova Educational Institute has developed and patented a licensed technology trademarked as MNRI®. Because there are no other like-kind products available, course offerings will only cover information that pertains to the effective and safe use of the above-named products. This presentation will focus exclusively on MNRI® and will not include information on other similar or related products or services.

Special Needs Requests: If you require special accommodations, please notify SMEI at events@masgutovamethod.com at the time of registration so that needed accommodations can be made prior to the course.

Course Completion Requirements: This course is not approved for partial credit. Participants must attend the course in its entirety to receive continuing education units.

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.

Courses are subject to cancellation due to lack of minimum required participants registered for the course within 10 days of the course start date. Full refunds will be issued if the course is canceled due to the low number of attendees.

Please reach out to the Local Area Coordinator listed to confirm that the course will be held prior to registering if within the 10 day window.

Course Hours: 24

CEUs: This course is offered for 2.4 ASHA CEUs
(Introductory level, Professional area)
This course is offered for 2.4 AOTA CEUs / 24 Contact Hours
(Introductory level; Occupational Therapy Process: Evaluation, Intervention)

CE Hours: This course is offered for 24 NCBTMB CE Hours

Prerequisite Classes:
  • MNRI® Dynamic & Postural Reflex Integration
  • MNRI® Oral Facial Reflex Integration 1
  • MNRI® Tactile Integration
Any 1 additional class is also required
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