At the end of Phase III Neonatal Touch & Massage Certification (NTMC) Hands-On Training, the participants will demonstrate their skill by being able to:
- Integrate appropriate touch & massage techniques for infants in three different clinical scenarios.
- Justify two caregiving activities appropriate for infants in two different stages of development.
- Construct a plan for appropriate handling and positioning of infants in three different clinical scenarios.
- Formulate two goals to support parent engagement in their infant’s care.
- Critique a clinical video of myofascial trigger point releases by identifying one modification in technique needed to achieve the intended goal.
- Complete both Phase I Application & Registration and Phase II On-Line Education prior to attending the Phase III Hands-On Training
- Attend all of Day 1 & 2 of Hands-On Training 8:00am-4:00pm Day 1 and Day 2 (see details for Virtual/In-Person options below)*
- Complete and pass with a >80% score on the skill development activities, written tests, and video analysis tests
- Complete course evaluation
- Obtain contact hours for the Hands-On Training
NTMC Hands-On Training is a live course with instructor lecture, demonstration, group Q & A, role playing, case scenarios, videos and skill development session with dolls or other attendees, which is offered in either a physical location (In-Person) format or via the internet (Virtual using Zoom) format. Student to faculty ratio is 16:1 or less.
In-Person Hands-On Training
- Arrive by 7:40 AM to complete the sign in process.
- All Live NTMCs are 8AM-4PM in the time zone of the location. Scroll to “Locations & Dates” below for a link to your program’s specific details.
- No early dismissal will be available
- Lunch is 45 minutes long, so plan to bring lunch or purchase it at the facility
- Dress is casual, and please wear a short sleeve shirt on Day 1 and a sleeveless shirt on Day 2 (feel free to have a sweater for in between activities!).
Virtual Hands-On Training
We understand that technology is not everyone’s friend! So if you are not comfortable and able to meet the below requirements, simply sign up for an in-person NTMC Hands-On Training instead!
- Sign on by 7:40 AM to assure Zoom functioning.
- ALL Virtual Hands-On Training are provided 9AM- 5PM Eastern; 8AM-4 PM Central; 7AM-3PM Mountain; 6AM-2PM Pacific. Scroll to “Locations & Dates” below for a link to your program’s specific details.
- NTMC is provided live through a Zoom platform
- Access to a computer with a functioning video/web camera and microphone
- Adequate internet bandwidth and speed to support continual streaming
- Comfort and competence accessing a live Zoom meeting with the use of your web camera and computer audio
- A quiet background/ space for optimal learning and interaction
- Feel free to dress comfortable but you will be streaming live through your web camera with other attendees for the duration of the training. We will also be taking screenshot photos of you during the certification class to validate your attendance and for a NTMC Graduation picture.
- About 6 weeks prior to the course, a package will be mailed to you via UPS for those living in the USA and via email if you live internationally. This package will have detailed information about how to access Zoom and what supplies you need. We will be providing the ppt handouts and other resources for the course.
** Accessing a zoom meeting is simple and straight-forward. Details regarding your specific Hands-On Training Zoom meeting will be sent to you after registration. However, if you are unfamiliar with zoom, check out how to access a meeting here.
- Complete both Phase I Application & Registration and Phase II On-Line Education prior to attending the Phase III Hands-On Training
- In-Person NTMC is provided from 8 AM to 4 PM each day in the time zone of the location (arrive by 7:40 AM).
- Virtual NTMCs are 9AM-5PM Eastern; 8 AM to 4 PM Central; 7AM – 3PM Mountain, 6 AM – 2 PM Pacific (sign on by 7:40 AM).
Access NTMC Speakers’ Disclosures Here.
Day One Agenda
Time | Topic | Description |
|---|---|---|
| 8:00am-8:20am | Dynamic Systems in the NICU | Details how the dynamic systems in the NICU are multifactorial and how the impact of each caregiver on the infant-parent dyad extends beyond the hospital. Reviews challenges of major and minor morbidities, and how the care we provide impacts the parents and the infant’s developing systems, overall health and well-being throughout childhood |
| 8:20am-9:40am | Neuromotor, Behavioral and Systems Development in the 1st Year of Life | Reviews developmental progression in utero and the first year of life, with a focus on neurodevelopmental, psychological, psychosocial, environmental, and family factors that impact the infant’s long-term development. Delineates the difference between the development of a preterm vs. term newborn with implications for assessment and care for the infant-parent relationship and the increased risk of neurodevelopmental, motor, language, psychological, cognitive feeding and behavioral challenges. |
| 9:40am-10am | Development Integration Model | Introduction to the Neurodevelopmental CARE UmbrellaTM and how care practices can be adapted based on the infant’s neurodevelopment. Discusses the impact of neuroprotective, developmental, and family-integrated caregiving activities on short and long-term developmental outcomes. Reviews strategies to foster the infant-parent relationship through compassionate, adaptive, and responsive care using NTMC principles and practices. |
| 10am-10:10am | BREAK | |
| 10:10am-11:10am | Fostering Optimal Development: Touch, Handling & Caregiving in the NICU | Practical skills demonstrated on how to promote infant comfort, movement, alignment, and parasympathetic response to support the infant’s safe feeding, swallowing and developing systems. Neuropromotion and neuroprotection for all care practices is reviewed with an emphasis on 2-person caregiving, handling and positioning, and family-integrated caregiving activities to help the neonatal caregiver support parent’s engagement in their infant’s care. |
| 11:10am-12:00pm | Clinical Scenarios: Integrating Neuroprotection & Neuropromotion at the Bedside | Integration of neurodevelopmental knowledge and care practices within clinical scenarios across a range of gestational ages and medical acuity. Care techniques include swaddled bathing, sidelying diaper change, oral immune therapy, alignment for oral feeding and swallowing, progressive bathing and back to sleep/tummy to play. Clinical scenarios also include coaching parents to help foster the infant-parent dyad, that can be used beyond the NICU to support the infant’s developing cognitive, language, physical, and social development. |
| 12:00pm-12:45pm | LUNCH | |
| 12:45p-2:20pm | Massage: Implications, Technique & Family Integration | Review of touch and massage practices, including benefits, supporting evidence, and contraindications. Demonstration of positive touch and massage techniques. Clinical practice opportunities with feedback on proper finger placement, touch pressure, and speed modification. Integration of massage into daily caregiving activities like feeding, dressing, diapering and sleep, with a focus on massage education and coaching techniques for parents and enhancing infant development. |
| 2:20pm-2:35pm | BREAK | |
| 2:35pm-3:25pm | Case Scenarios with Clinical Skill Integration | Application of knowledge learned from the Neurodevelopmental CARE UmbrellaTM, with a focus on adapting care practices based on the different stages of development to positively impact the infant-parent relationship as well as the infant’s oral feeding, rest, sleep, cognitive, language, physical, and social development. Clinical skill integration will including hands-on practice with feedback on neonatal touch, massage, positioning, handling, and skin-to-skin transfers. |
| 3:25pm-4:00pm | Testing: Video Analysis, Written Test & Course Evaluation | Validation of the course objectives will be met through a video analysis, written test and skill demonstration. |
Day Two Agenda
Time | Topic | Description |
|---|---|---|
| 8:00am-8:25am | Development Refresher for the Therapist | Integration of the Neurodevelopmental Care Umbrella is provided with a review of developmental progression for the preterm infant and throughout the first year of life, with an emphasis on reflex development and therapy assessment. |
| 8:25am-8:55am | Implications of NDT Principles: Alignment, Movement, Tone | Application of neuro-development treatment (NDT) principles and the motor control theories that support crucial systems of the body, with an emphasis on how atypical alignment, movement or tone can affect daily activities like sleep, play, breathing or eating. |
| 8:55am-10:10am | Myofascial Trigger Point Release: Science, Implications & Skills | Reviews the purpose, function and effects of the fascial system on the entire body. Provides clinical understanding of the benefits of myofascial release (MFR) and hands-on skills practice to maximize infant’s respiratory function, motor development, and oral motor feeding and swallowing skills. Outlines indications for MFR and contraindications within the NICU population. |
| 10am-10:20am | BREAK | |
| 10:20am-10:50am | Myofascial Release: Science, Implications & Skills | Clinical understanding of the benefits of myofascial trigger point releases (MTPR) for an infant’s musculoskeletal alignment and functional movement patterns, which then maximize infant’s sleep, respirations, feeding & swallowing, comfort, relaxation and ease of caregiving. MTPR skills are taught with both video demonstrations and hands-on practice with dolls and on yourself or others. |
| 10:50am-11:45am | Putting it into Practice: Massage, TPR, MFR | Integration of massage, MTPR and MFR techniques with the goal of improving infant’s movement patterns, alignment, and aid in breathing, oral motor feeding and swallowing. Application of skills into daily practice, both in the NICU and follow up clinics, with detailed review of treatments and clinical videos. |
| 11:45am-12:30pm | LUNCH | |
| 12:30p-2:20pm | Case Scenarios with Clinical Skill & Family Integration | Application of neuroprotective, developmental, family-integrated caregiving activities through case scenarios, with a focus on integrating massage, MTPR and MFR techniques into daily bedside practice. |
| 2:20pm-2:35pm | BREAK | |
| 2:35pm-3:25pm | The Craniosacral Systems Impact on the Development | Review of alignment in relation to cranial bones and how malalignment and asymmetry can impact sensory development, feeding, and the infant’s overall health and well-being. Reviews care in the NICU and beyond to reduce head molding and craniosacral system issues. |
| 3:25pm-4:00pm | Testing: Video Analysis, Written Test & Course Evaluation | Validation of the course objectives will be met through a video analysis, written test and skill demonstration. |
Access NTMC Speakers’ Disclosures Here.
MELISSA BLOOMER, MA, CCC-SLP, NTMTC
Melissa is a licensed SLP with nearly 20 years of experience working in a variety of acute care settings, with the last 12 years focused on infant feeding and family-integrated care. Melissa currently works in a Level IV NICU at Medstar Georgetown University Hospital in Washington DC. She is co-chair of the Feeding Committee, sits on the Developmental Care Committee and provides comprehensive education as a professional support for all regional Medstar NICUs. Melissa provides regular physician and nursing education and lectures in the Master’s Programs at Gallaudet, Howard, UDC and GWU in Pediatric Dysphagia. Melissa is passionate about infant-led feeding practices, feeding development and neurodevelopmental care. She strives to support and empower families in providing and advocating for optimized developmental care in the NICU and beyond.
RACHEL HARRIS, OTD, OTR/L, CNT, NTMTC
Rachel received her clinical doctorate in Occupational Therapy from Washington University School of Medicine. During her time at Washington University, she was actively involved in research related to maternal mental health and neonatal feeding outcomes. Rachel worked in a level IV NICU at Medical City Dallas Children’s Hospital for five years, where she also saw infants through home health with torticollis, plagiocephaly, and developmental delays. Rachel currently works in a Level III NICU in Chicago, is on the Creative Therapy Consultants’ team, is an NTMC presenter, and is passionate about improving outcomes for neonates and their families.
AUNE HJARTARSON NUNN, OT Reg. (Ont), CNT, NTMTC
Aune is an Occupational Therapist in the NICU at McMaster Children’s Hospital in Hamilton, Ontario, Canada. She received her undergraduate degree and Occupational Therapy Degree from McMaster University. She is part of McMaster NICU’s small baby team and the VON collaborative. Aune is a certified neonatal therapist, and has been privileged to call the NICU home for over 20 years. Aune is a sought after international speaker, educator, and consultant. She lectures in the McMaster University Masters OT Programme, has published in the area of clinical and video fluoroscopic assessment of aspiration in high risk infants. She was awarded the OT Practice Excellence Award at Hamilton Health Sciences. Aune is a dedicated life-long learner, and passionate about education to empower clinicians, teams, and families in the NICU.
BRIDGETTE RILLO, MBA, MSN, RNC-NIC, C-ELBW, NTMNC
Bridgette has been a nurse for over 18 years at a large level III-b NICU. She started her career in an emergency room and quickly learned her passion extended beyond emergency care. Bridgette transitioned to her role as a NICU nurse in 2005. She was a NICU educator for six years and continues to help other NICU nurses grow in their knowledge and experience. Bridgette has served on the unit’s Vermont Oxford Network Committee, Shared Governance Council and other NICU committees during her career. She received her Neonatal Intensive Care Nursing certification in 2015 and her Care of the Extremely Low Birth Weight Neonate certification in 2020. She received her Master of Science in Nursing Administration and a Master of Business Administration in December 2023. Bridgette’s goal is to continue her passion for improving the lives of infants and families in and beyond the NICU by sharing her knowledge, expertise, and experience with the future generation of nursing.
ERIN SPRINGER, MOTR/L, CNT, NTMTC
Erin has practiced as a pediatric and neonatal occupational therapist for 22 years. She received her Master of Science from University of Puget Sound and currently works at Swedish Medical Center in Seattle. She works in the Main Campus level 4 NICU as well as the off-site level 2 nurseries. She is a Certified Neonatal Therapist, certified lactation educator, and a certified Neonatal Touch & Massage therapist. Erin has presented nationally and locally on developmental care and support for infants in the NICU. She has completed training for Small Baby Care Specialist and also participates in the Vermont Oxford Network Quality Improvement initiatives focused on enhancing the care of micro-preemies. Erin also has experience in NICU follow-up for developmental and feeding support. She is passionate about working with these little babies and their families
KARA ANN WAITZMAN, OTR/L, CNT, NTMTC
Kara Ann has been a neonatal therapist for 36 years in a level III NICU and serves as the nursery’s developmental specialist. Kara Ann is president of Creative Therapy Consultants, Founder of the Neonatal Touch & Massage Certification (NTMC®) and Original Co-Founder of Infant-Driven Feeding® and original co-developer of the Infant-Driven Feeding Scales© She is certified in NTMC, is Pediatric Neurodevelopmental Therapy (NDT) trained, reliable in NIDCAP. She has served on the Association of Women’s Health, Obstetrics, and Neonatal Nurses (AWHONN) Continuum of Care Advisory Board and Power of Touch Committee, the National Association of Neonatal Therapists (NANT) Professional Collaborative, the Pampers Womb to World Advisory Board, and the March of Dimes Program Services board. Kara Ann has been a nationally sought after speaker, educator, and consultant for over two decades and has published articles on positioning and feeding, and written a chapter on Neuromotor Development and Massage. She developed videos on Massage, Skin-to-Skin, and Swaddled Bathing. Kara Ann has received professional awards including the Ohio Occupational Therapy Pediatric Model Practice Award, the March of Dimes Healthcare Worker of the Year Award, the MVH Excellence in Service Award and the Inaugural Pioneer in Neonatal Therapy Award from the National Association of Neonatal Therapists.
Course requirements for the Hands-On Training includes attendance (all of Day 1 for Nurses and all of Day 1 & 2 for Therapists), completion of all skill development activities and testing with > 80% test scores (which includes a video analysis test) and completion of the course evaluation. No partial credit will be given.
Physical Therapist CCUs
- This activity has been approved for 13.50 CCUs by the Texas Board of Physical Therapy Examiners for PTs and PTAs.*
- This activity has been approved for 1.35 CEUs by the California Physical Therapy Association for PTs and PTAs.*
- This activity has been approved for 13.5 Credit Hours by the Louisiana Physical Therapy Board for PTs and PTAs.*
Occupational Therapist CEUs
- Creative Therapy Consultants is an AOTA Approved Provider of professional development. PD activity approval ID# 7630. This live & distance learning interactive activity is offered at 1.36 CEUs, Advanced Level, OT Service Delivery. 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 PD activity is approved for 13.6 contact hours (1.36 CEUs).
Speech Language Pathologist CEUs
- The Neonatal Touch & Massage Certification Phase III Hands-On Training is offered for 1.35 ASHA CEUs (Advanced Level, Professional Area).*
* Partial credit for course will not be given.
Click here for a list of the 2025 NTMC locations/virtual dates

