The Masgutova Neurosensorimotor Reflex Integration (MNRI®): A Scoping Review

Abstract

Background. The Masgutova Neurosensorimotor Reflex Integration (MNRI®) method emerged from Russia in the 1990s as an intervention to improve maturation, development, and functional abilities for a variety of clients. MNRI® has since become an emerging intervention in occupational therapy in the US, particularly with pediatric clients. The evidence supporting use of MNRI® remains limited. Method. Using updates by Levac and colleagues (2010) to the Arksey and O’Malley (2005) process for scoping review, databases and the MNRI®website were searched. Fourteen unique articles were identified and reviewed. Articles were categorized by common characteristics and reviewed for gaps in the literature. Results. A paucity of literature was found on the MNRI® method. Studies included varying lower levels of evidence and research conducted by the developer of the program or affiliates of the MNRI® organization. Characteristics of the MNRI® method were noted to align with the criteria defining controversial practices. Discussion. Research regarding the MNRI® needs to be conducted by individuals beyond that of Masgutova and her affiliates. Future studies would benefit from comparing MNRI® to other interventions classified as gold standard treatment modalities; conducting research of greater rigor; and establish strong psychometric properties for outcome measures used by MNRI® therapists.