Tired of Googling for interventions that actually work? We dive into the mother of all systematic reviews covering 129 studies and 52 occupational therapy interventions across nine decades of pediatric OT research. Discover which interventions landed in the green zone (do these!), which fell into the red (avoid!), and why parent collaboration and occupation-based approaches consistently outperform bottom-up methods. Michele and Lacy discuss this evidence-based, color-coded roadmap that you can apply in your therapy sessions tomorrow. Plus they answer a listener question about the differences between sensory integration, sensory processing, sensory stimulation, and sensory desensitization. ***In episode 20, Lacy and Michele interview one of the authors of this article, Dr. Iona Novak. She shares new intervention updates and trends she has seen since this publication.

We share our own thoughts in the Research Review and encourage you to read the original article too.

Novak, I., & Honan, I. (2019). Effectiveness of paediatric occupational therapy for children with disabilities: A systematic review. Australian occupational therapy journal, 66(3), 258-273.

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Michele and Lacy recap the AOTA Children & Youth Conference where they presented on sleep interventions, hard conversations with families, and community-based fieldwork. They share the hottest topics in pediatric OT—parent collaboration, mental health strategies, handwriting, and more—plus the conversations and products that made this conference memorable.

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Reflex integration is one of the hottest topics in pediatric OT right now—but is it evidence-based? In this episode, we examine the research on the Masgutova Neurosensorimotor Reflex Integration (MNRI®) method and uncover critical gaps that every therapist needs to know about. From inconsistent intervention methods to assessment measures missing statistical verification, to a stunning finding about retained primitive reflexes in typical preschool and elementary children (present in 93-100%). We break down what the evidence actually shows. We'll also give you a practical framework for evaluating any controversial practice and help you make informed decisions that balance research, clinical reasoning, and family values. This is the honest, thorough analysis you've been looking for.

Get the OT Practice Checklist here to evaluate the evidence for and "red flags" against an intervention method/practice.

We share our own thoughts in the Research Review and encourage you to read the original article too.

Berg, L. A., Brown, D., Kroll, K., Pfaff, C., & Cleveland, L. (2022). The Masgutova Neurosensorimotor Reflex Integration (MNRI®): A Scoping Review. The Open Journal of Occupational Therapy, 10(4), 1-16. https://doi.org/10.15453/2168-6408.1927

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; reflex integration; primitive reflexes; MNRI method; reflex integration therapy

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