Showing posts with label mnri. Show all posts
Showing posts with label mnri. Show all posts

The MNRI Method

Monday, June 24, 2013
Reflexes are involuntary movements the body makes in response to a stimulus. Certain primitive reflexes are present at or shortly after birth, but disappear at predictable stages of development as a child grows. Specific reflexes that do not fade away – or those that don’t develop as the child grows – can be a complication from cerebral palsy. Common primitive reflexes that may improperly function or persist include, but are not limited to: Asymmetrical tonic reflex – when the head turns, the legs on the same side will extend, and the opposite limbs contract like in a fencing pose. Asymmetrical tonic reflex should disappear around six months of age. Symmetrical tonic neck reflex – the infant assumes a crawling position when the head is extended. Symmetrical tonic neck reflex should disappear between eight and 11 months. Spinal gallant reflexes – when the infant lies on its stomach, the hips will turn towards the side of the body that is touched. Spinal gallant reflexes should disappear between three and nine months. Tonic labyrinthine reflex – when the head is tilted back, the back arches, the legs straighten, and the arms bend. Tonic labyrinthine reflex should disappear by three-and-a-half years of age. Palmer grasp reflex – when stimulating the palm the hand flexes in a grasping motion. Palmer grasp reflex should disappear around four to six months. Placing reflex – when an infant is held upright and the back of a foot touches the surface, the legs will flex. Placing reflex should disappear by five months. Moro (startle) reflex – when an infant is tilted so his or her legs are above their head, the arms will extend. Moro reflex should disappear by six months. Not long ago, we discovered a specific therapy that addresses the reflex challenges caused by CP and other neurological conditions called Masgutova Neurosensorimotor Reflex Integration (MNRI) Method. MNRI is comprised of a number of programs, each designed to reinforce and optimize the integration of primary motor reflex patterns. Initially, we traveled to Culver City and Orange County to get this treatment, which was not ideal both based on our lack of time for traveling and Emmy's trouble coping with car travel. But when the therapist began offering in-home treatments, we signed up and Emmy is now doing MNRI every Saturday for two hours at a time. The techniques don't require her to do much, she can even be asleep, so I don't feel so bad that I'm making her "work" on a weekend. There are times I think she even enjoys it, such as in this clip from today. So is it working? Honestly, it's tough to say. Emerson is getting so many different treatments and therapies at any given time that it's impossible to know what's doing what. But I'll tell you, she has been making so much progress, especially in the last month or so, that it's impossible to ignore that some of that progress isn't the result of MNRI. It's such a complex therapy; the originator Svetlana Masgutova is brilliant and did an early assessment on Emmy that blew me away. But I've certainly seen her tolerance for the various exercises increase over the months and her ability to stay organized during the two hour appointments. And that counts for a lot. Would I recommend it to others, absolutely. All our kids are different and what might work for one, may not work for another and vice versa. So I think everything is worth a shot. Besides, any therapy we can do poolside and/or while asleep is pretty good in Emmy's book. For more information or to locate a practitioner, visit http://masgutovamethod.com/

What's in a Week

Friday, June 14, 2013
TGIF and the end of another long week. Every day in Emerson's life is a sprint. Link the days and weeks together and every month is a never-ending marathon of therapies, appointments and activities. But the weekends are just a little bit slower paced around here and we look forward to them. Here's a gander into the nonstop therapy schedule of a typical week in Emmy's life. This doesn't include all of her doctor's appointments which include a pediatrician, neurologist, epileptologist, pulmonologist, orthopedist, ophthalmologist, gastroenterologist, urologist, ENT, optometrist, dentist and dietician who all like to see her every three to six months. Keep in mind, this is a two-year-old we're talking about! Monday: 11:45-12:30 - Vision therapy; 3:00-4:00 - Occupational therapy. Tuesday: 9:00-10:00 - Travel to NAPA Center; 10:00-11:00 - Feeding Therapy and VitalStim; 11:00-12:00 - Cuevas Medek Exercise (CME); 12:00-1:00 - Travel home from NAPA Center. Wednesday: 9:00-10:00 - Physical Therapy; 12:00-1:00 - Developmental Therapy; 2:30-3:30 - Hippotherapy. Thursday: 9:00-10:00 - Physical Therapy; 11:30-12:30 - Travel to NAPA Center; 12:30-1:30 - Cuevas Medek Exercise (CME); 1:30-2:30 - Feeding Therapy and VitalStim; 2:30-4:00 - Travel home from NAPA Center. Friday: 9:00-11:30 - CHIME Infant & Toddler Program; 3:30-4:30 - CranioSacral Therapy. Saturday: 12:00-2:00 - Masgutova Neurosensorimotor Reflex Integration (MNRI) . Sunday: OFF. But that's not enough, and each day we're also expected to work on more therapy in our "free time". It's exhausting for her and exhausting for me, but we do it, because we know it's important. Yep, she's a STAR!