Advanced Courses

Gynaecological Visceral Manipulation
(This class includes interal work!)

Course Length: 1 Day, 6 Hours course time for CPD purposes

Synopsis: This course is a unique class that does not fall under the Barral Institute. This course is designed as advanced training for those who have already studied visceral manipulation. It has been created and is taught by Gail Wetzler, PT,CVMI, California USA.  Gail has instructed visceral manipulation since 1992, and has been Director of the Visceral Manipulation Curriculum since 2000.

Course Highlights:

  • Internal pelvic techniques will be presented from Jean Pierre Barral’s, DO, MRO(F), advanced pelvic. Gail Wetzler has obtained special permission from Barral to teach this material for the Section on Women’s Health

  • You will also learn how the internal techniques can enhance your intervention outcomes for bladder, uteral, rectal, and pelvic floor dysfunctions.

Prerequisite: Only open to physiotherapists, chiropractors, osteopaths and medical doctors due to the internal pelvic techniques component. Previous completion of either VM3 Pelvis class or Visceral Approach to Women's Health class is required.

 

Clinical Interventions: Concussion Recovery, Barral Manual Therapy

Clinical Interventions: Concussion Recovery; Barral Manual Therapy (CI-CRBMT)

Synopsis:

This workshop introduces the basic premise and clinical reasoning for neurological, visceral and fascial manipulation for the post concussive patient. Learn how specific manual therapy can enhance treatment outcomes for post concussive injuries and their related symptoms (such as head pain, cervical dysfunction, loss of memory, depression, anxiety, fatigue and sleep disorders).

Course Highlights:
- Concussion injury - from acute to chronic
- Mechanism/Physiology/Anatomy of concussion
- How a concussion effects the entire body
- The importance of the diaphragm for the Body-Head connection
- Specific Visceral and Craniosacral techniques for concussion recovery
- Sleep/Mindfulness/Emotions

Prerequisite: VM1 & LT1 & one of NM1 /CST1/ cranial osteopathy or craniosacral training.

Neural Manipulation: Neuro-Visceral Manipulation of the Thorax and Abdomen (NVMTA)

Course Length: 3 Days, 18 Hours course time

Synopsis:

  • The workshop will present specific and advanced techniques that work with the nervous system of the abdomen.Course Highlights:

  • Discover locations in the body where the nervous system of the abdomen can be influenced directly or via trigger points.

  • Evaluate and manipulate the nervous system in relation to the skin of the abdominal region. 

  • Explore the nervous system structures within the abdominal cavity, focusing on the hiatus, gallbladder, liver, pancreas, spleen, small intestine and large intestine. 

  • Participate in supervised, hands-on sessions that guide you through specific techniques for locating and evaluating very precise structural points related to the abdominal organs to facilitate optimal release of restricted tissues.

Pre-requisite: Visceral Manipulation: Abdomen 2 (VM2) and NM2 or NM3

Required Advanced Reading: - be familiar with the contents of VM1 and VM2 and be aware of the anatomy of the abdominal nervous system.

Visceral, Neural and Articular Advanced Clinical Synthesis (VNAC)

Course Length: 3 Days, 18 Hours course time

VNAC, developed by Jean-Pierre Barral, is designed to help Visceral, Neural and Manual Articular trained practitioners sharpen their skills by integrating these evaluation and treatment techniques in the clinical setting.

Course Highlights:

  • Maximize the results for patients by integrating information from previous VM, NM and MAA seminars.

  • Learn to effectively blend the various modalities for the most complete evaluation and treatment.

  • Understand how Jean-Pierre Barral works with patients in his clinic utilizing all the evaluation and treatment techniques.

  • Learn how Jean-Pierre determines where to begin treatment keeping in mind that the cause is often far removed from the location of the patient’s pain.

  • Gain insights into using time and energy most efficiently during patient sessions.

  • Understand how to connect tensions found in the body with the emotional centers and incorporate precise emotional release.

  • Through the clinical synthesis of the techniques discover what to do for specific symptoms such as headaches, low back pain, liver problems, and knee pain.

Pre-requisite: VM3 OR VM4; and NM2 OR NM3; and MALE OR MAUE OR MASP
Advance Preparation: To prepare for the course we suggest that you review your class notes and study guides from the pre-requisite classes.

Email to register interest in attending this class when next scheduled.

Visceral Manipulation and Paediatrics (VMPED)

Course Length: 3 Days,  18 Hours course time

Synopsis: Visceral Manipulation and Paediatrics applies Visceral Manipulation techniques to working with infants, toddlers and children

Course Highlights:

  • Specific anatomy and physiology, focusing on differences between adults and children

  • Embryology: different theories and thoughts about the causes of the onset of symptoms in children

  • Fascial Testing

  • Evaluation protocols containing Listening Techniques

  • Listening to the body of the child.
    - What fascial tension is present?
    - What part of the structure is involved?
    - Is there an emotional component?

Prerequisites: VM2 (Abdomen 2), NM1 (Neuromeningeal Manipulation) & LT1 (Listening 1). 

Required Advance Reading: We leave it up to each prospective student to assume responsibility for advance preparation. A student may feel frustrated if they do not study beforehand and come prepared with the knowledge from the prerequisite classes.
Email to register interest in attending this class when next scheduled.

Visceral Manipulation: Applications for Paediatrics (VAP)

Course Length: 4 Days,  24 Hours course time

Synopsis: Visceral Manipulation: Applications for Paediatrics applies Visceral Manipulation techniques to working with infants, toddlers and children

Course Highlights:

  • Learn how early therapy on newborns and infants can possibly reduce the percentage of problems later in life.

  • Explore embryology and the developmental landmarks (normal and abnormal) that occur month by month during and after gestation.

  • Discover how to evaluate a baby or child.

  • Learn general treatment ideas, such as how to work with babies, toddlers, and children, as well as working with those who are tactilely sensitive.

  • Understand the signs of trauma, as well as evaluation and treatment techniques.

  • Integrate specific treatment techniques for common visceral restrictions found in children, as well as Barral’s approach to cranial techniques.

  • Learn about Visceral Manipulation precautions and contraindications when working with children.

  • Explore special considerations, e.g. typical surgeries, prematurity, children with neuromotor problems and craniosynostosis.

  • Practice working with infants and children in a supervised environment.

Prerequisites: VM2 (Abdomen 2), as well as sound knowledge of cranial anatomy.

Any type of cranial training will enhance your seminar experience. NM1 (Neuromeningeal Manipulation), VM4 (Thorax) and LT (Listening Techniques) are recommended, but not required.

Required Advance Reading: We leave it up to each prospective student to assume responsibility for advance preparation. A student may feel frustrated if they do not study beforehand and come prepared with the knowledge from the prerequisite classes.

Email to register interest in attending this class when next scheduled.

Advanced Visceral Components of the Abdomen and Pelvis (VMAP)

The goal of this series of 5 classes is to provide the practitioner with the following:

  • Increased understanding of the anatomical and physiological basis of Barral’s VM techniques.

  • Detailed understanding of organ evolution, embryology, anatomy, and physiology.

  • Deeper understanding of organ/brain connections.

  • Detailed understanding of common presentations of visceral pathology seen in clinical practice.

  • Deeper understanding of organ connections via fascial, vascular, neural, hormonal, and chemical pathways.

  • Provide participants with a pathology-specific protocol based on organ-organ and organ-brain interconnections to optimize patient outcomes.

  • Provide participants with a detailed study guide to serve as a valuable resource guide.

Course Highlights:

  • Learn about the historical and cultural beliefs around each organ discussed.

  • Learn about the evolution of the human organ system focusing on structural and functional differences with other species.

  • Review embryology, anatomy and physiology of each organ, with particular focus on neurovascular and mechanical details relevant to organ function / dysfunction.

  • Study the organ-brain connections.

  • Enhance your understanding of visceral-neural-vascular connections to improve your application of JP Barral’s techniques.

  • Learn how to utilize listening techniques to increase treatment precision and optimized patient responses.

  • Engage in proven listening drills to enhance your palpation and listening skills.

  • Learn how to integrate Barral’s visceral manipulation techniques with his cutting edge approach to enhancing organ-brain integration for optimum patient outcomes.

    Email to register interest in attending this class when next scheduled.

Advanced Visceral Components of the Neck and Thorax (VMAT)

Course Length: 3 Days, 18 Hours course time

Synopsis: The workshop will present specific and advanced techniques and explain the anatomy, breathing mechanism, function and physiology of the thorax.

Course Highlights:

  • Build on the knowledge of the thorax region as learned in VM4.

  • Review the myofascial structures of the thorax.

  • Explore the hyoid suspensory apparatus, thyroid, tonsils and pharynx.

  • Learn more precise techniques for the oesophagus, pleura, heart and pericardium

  • Classify retropharyngeal space.

  • Discover treatment techniques to enhance the breathing mechanism.

Prerequisite: VM4 (Thorax).

Required Advance Reading: The Thorax by Jean-Pierre Barral, RPT, DO.

Email to register interest in attending this class when next scheduled.

Visceral Integration Workshop (VIW)

Course Length: 2 days

Synopsis: Practice the skills learnt in Visceral Manipulation classes and give and receive treatment

Workshop Highlights:

  • A chance to ask questions relating to your own clinical experiences

  • Practice a complete assessment using Barral's approach

  • Receive a visceral manipulation treatment

  • Treat as part of a group to share ideas and knowledge

  • Integrate knowledge learnt in classes so it is more clinically applicable

Prerequisite: VM1-4

Required Advance Reading: None.

Email to register interest in attending this class when next scheduled.

Clinical Symposium with Jean Pierre Barral (SYMJP)

Course Length: 1 day

Synopsis: Enjoy this exceptional opportunity to witness Jean-Pierre Barral -- the developer of Visceral Manipulation and Nerve Manipulation -- as he demonstrates his skills on pre-selected cases and audience volunteers (time permitting). Observe hands-on presentations in particular areas, such as paediatrics, geriatrics, low-back pain or fibromyalgia. Then spend the afternoon with Jean-Pierre Barral as he discusses these and other cases from a Visceral Manipulation viewpoint. It's a rare opportunity to gain insight and expertise from one of the world's leading authorities in complementary care.

Course Highlights:

  • Receive detailed explanations as the instructor proceeds through each case.

  • Closely observe the nuances of Barral's distinctive treatment style.

  • Gain valuable information from other VM practitioners - the cases they're working on, areas they need advice in, patient successes.

Prerequisite: Any healthcare practitioner may attend; only alumni of VM2 (Abdomen 2) or higher-level courses may participate in question-and-answer sessions.

Required Advance Reading: None.

Email to register interest in attending this class when next scheduled.

Strategic Crossroads of the Body 1 (SCB1)

Course Length: 3 Days, 18 hours course time
Synopsis:  Pleura, fascia and peritoneum are considered as mechanical and immunologic protective envelopes to their contents. They permit harmonious gliding of all the structures they surround. Their fibres have very precise and logical directions, according to their different mechanical roles .Pleura, fascias and peritoneum, in addition to their mechanical roles also permit electromagnetic wave transmission.

During this course we will see the most important fascial and peritoneal crossroads where nerves, arteries, veins and lymph canals have the risk to be compressed in case of retraction, fibrosity due to surgery, accidents, hormonal imbalance and systemic diseases.  This seminar will permit you to locate the most important crossroads and to find the way to release their tensions with precise and specific techniques.

Diagnosis of crossroad compression includes checking arterial pulses, evaluating for nerve compression and finding fibrosed tissues.  After treatment we can reevaluate arterial pulses to have an objective measure of the effect of the treatment.  Treatment of the strategic crossroads of the body includes considering its impact on the entire body.

Includes the following "crossroads":

  • cranial/ cervical

  • cervicothoracic

  • axillary

  • intrathoracic

  • diaphragmatic

  • abdominal

  • abdominopelvic

  •  inguinal

  • intrapelvic

  • popliteal

    Prerequisite: VM2 and one of MALE, MAUE, MASP, NM2 or NM3.

    Email to register interest in attending this class when next scheduled.

Clinical Applications for Disc Disorders: Soft Tissue Applications (BICADD)

Course Length: 3 Days, 18 hours course time
Synopsis:  With 40 years of experience working in Visceral Manipulation Jean-Pierre Barral has now refined and created new techniques in relation to the Intervertebral Disc Pain Conditions. Through further advanced Listening, treatment skills and specific evaluation, this seminar will improve your hand sensitivity and increase your manual therapy skills. Practical skills include learning to palpate and release restrictions of the spinal discs themselves.  This is based on research that Jean-Pierre Barral has done allowing imaging of the changes made with Visceral Manipulation techniques on the intervertebral discs of the spine.

Prerequisite: VM2 or VM1 and LT1.

Email to register interest in attending this class when next scheduled.

Advanced Visceral Manipulation: Physiological and Neural Endocrine Effects of Soft Tissue Treatment and Clinical Applications (AVMHC)

Course Length: 3 Days, 18 hours course time
Synopsis:  With 40 years of experience working in Visceral Manipulation Jean-Pierre Barral has now refined and created new techniques. Through further advanced Listening, treatment skills and specific evaluation, this seminar will improve your hand sensitivity and increase your manual therapy skills. Considering the impact manual techniques can have on the hormonal system is a more recent area of study for Barral and he will present his practical techniques in this new seminar.

Visceral Manipulation affects the mobility and motility of the organs. It also affects the vascular, nervous, emotional, immune, and neuroendocrine stimulation systems. In this advanced seminar, we will study how very precise Visceral Manipulation techniques facilitate local and central neuroendocrine reactions.

Visceral Manipulation techniques activate through the vagus nerve and the sympathetic plexuses, and the hypothalamus responds. Most of the central effects follow the local mechanoreceptor stimulations. For example, when food is ingested it creates local dilations in the organs, which stimulate the local nervous fibers that then cause the brain to react. In this seminar, you will learn the precise visceral localizations that facilitate the best central responses. You will also see how to manipulate the vagus nerve—a key connection between the organs and the brain. 

Prerequisite: VM2 (Abdomen 2).

Email to register interest in attending this class when next scheduled.

Advanced Visceral Manipulation: Visceral and Osteoarticular Relationships (AVMVOR) 

Course Length: 3 Days, 18 hours course time
Synopsis:  The viscera have a distinct relationship with the spine and joints throughout the body. This course explores this special interface, in particular, how the visceral system affects the structural system. Through the integration of advanced visceral manipulation techniques, new possibilities arise for the treatment of osteoarticular dysfunctions.

It is rare to find a spine that is free from fixations; an articular blockage that is solely of mechanical origin is rarely seen. Our experience has shown that articular fixations are often the expression of an underlying visceral or psychological problem. The cervical spine is a perfect example where a blockage may come from a visceral, cranial, circulatory, musculo-ligamentary, or dural membrane source.

  • Learn how by treating the visceral system, you will influence osteoarticular dysfunctions.

  • Understand the visceral connection to the structural system of the body.

  • Expand your evaluation skills using listening and inhibition techniques to develop effective treatment plans based on the evaluation findings.

Prerequisite: VM2 (Abdomen 2)

Email to register interest in attending this class when next scheduled.

Advanced Visceral Manipulation: Trauma (AVMT) 

Course Length: 3 Days, 18 hours course time
Synopsis:  This course explores a comprehensive approach to trauma.

Prerequisite: VM4 and NM1.

Email to register interest in attending this class when next scheduled.

Vagus Nerve and Autonomic Nervous System (VNANS) 

Course Length: 3 Days, 18 hours course time
Synopsis: Equilibration of the autonomic nervous system is necessary for the long-term treatment of visceral dysfunction and many other symptoms. Explore and develop a new insight into the autonomic nervous system in accordance with the polyvagal theory.

Course Highlights:

  • Focus on the command and the regulation of the organs, as well as the 5 cranial nerves that belong to the social engagement system.

  • Gain a new understanding of the action of the cranial nerves, and a different and more precise semiology, as well as some new techniques.

  • Understand the functioning of the autonomic nervous system and its involvement in a very large number of symptoms and conditions encountered in clinical practice.

  • Master a clear, relevant and precise way to identify ANS imbalances and dysfunctions.

  • Learn powerful therapeutic tools to revive the functions of the autonomic nervous system as well as general homeostasis that are under the control of the new branch of the Vagus nerve.

  • Discover a new way to set up a treatment according to a hierarchy and a sequence which respects the unavoidable modes of operation of the autonomic nervous system and to be more armed in the management of chronic and psychosomatic diseases.

Prerequisite: VM2 and NM1

Email to register interest in attending this class when next scheduled.

Advanced Urogenital Manipulation (UGMA)

Course Length: 3 Days, 18 Hours course time

Synopsis: This course will introduce you to visceral manipulation concepts with reference to urogenital conditions. It has been created and is taught by Gail Wetzler, DPT,EDO, CVMI, Colarado USA.  Gail has instructed visceral manipulation since 1992, and has been Director of the Visceral Manipulation Curriculum since 2000. This course will contain advanced techniques for men's and women's health.

Course Highlights:

Visceral Approach to Mens issues includes:

  • Detailed anatomy

  • Physiology, cellular dysfunction, metabolism of the male reproductive and urinary systems

  • Common Pathologies:   Protatitis, Urinary Incontinence, Erectile Dysfunction, Undescended Testicle, BPH, Infertility 

  • Techniques to include:  fascia, ligaments, muscle,boney matrix, organs, nerve, vascular

  • Techniques include internal and external

  • Emotions:  Brain connection

 Visceral Approach to Womens issues includes:

  • Anatomy and dissection video

  • Neuroendocrine function

  • Endobiogeny-understanding metabolism

  • Pathologies:  Anatomical traps, Fibroma, Cysts, Endometriosis, Infertility, Dyspareunia

  • Emotions: Brain Connections

  • Techniques will be internal and external

  • Techniques will include boney matrix

Prerequisite: Only open to physiotherapists, chiropractors, osteopaths and medical doctors due to the internal pelvic techniques component. VM3 is also required.

Email to register interest in attending this class when next scheduled.

 

Visceral Manipulation: Advanced Clinical Application Courses

The goal of this series of 5 classes is to provide the practitioner with the following:

  • Increased understanding of the anatomical and physiological basis of Barral’s VM techniques.

  • Detailed understanding of organ evolution, embryology, anatomy, and physiology.

  • Deeper understanding of organ/brain connections.

  • Detailed understanding of common presentations of visceral pathology seen in clinical practice.

  • Deeper understanding of organ connections via fascial, vascular, neural, hormonal, and chemical pathways.

  • Provide participants with a pathology-specific protocol based on organ-organ and organ-brain interconnections to optimize patient outcomes.

  • Provide participants with a detailed study guide to serve as a valuable resource guide.

Course Highlights:

  • Learn about the historical and cultural beliefs around each organ discussed.

  • Learn about the evolution of the human organ system focusing on structural and functional differences with other species.

  • Review embryology, anatomy and physiology of each organ, with particular focus on neurovascular and mechanical details relevant to organ function / dysfunction.

  • Study the organ-brain connections.

  • Enhance your understanding of visceral-neural-vascular connections to improve your application of JP Barral’s techniques.

  • Learn how to utilize listening techniques to increase treatment precision and optimized patient responses.

  • Engage in proven listening drills to enhance your palpation and listening skills.

  • Learn how to integrate Barral’s visceral manipulation techniques with his cutting edge approach to enhancing organ-brain integration for optimum patient outcomes.

    Email to register interest in attending this class when next scheduled.

Visceral Manipulation: Advanced Clinical Applications for Common Gastrointestinal Issues - 1  
(VM-ACA-CG-1)

Course Length: 3 Days, 18 Hours course time

Synopsis: This advanced level workshop will strengthen the participant’s expertise in integrating Barral’s Visceral Manipulation techniques with common gastrointestinal issues as seen in the clinical practice. The focus of this class (CG-1) is the abdominal organs including the stomach, liver and gallbladder. The participants will gain a deeper understanding of each organ including their associated membranes, ligaments, innervation, vascularization, spatial and functional interrelationships, and organ-brain connections. Evaluation skills, treatment options and guidelines to enhance patient education including diet/lifestyle and “self-treatment” will be presented.

Course Highlights:

  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common stomach pathologies such as hiatal hernia, gastroesophageal reflux disease (GERD), and gastroparesis.

  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common functional liver issues such as fatty liver disease, hemochromatosis, metabolic and hormone function.

  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common structural liver issues such as fibrosis, cirrhosis and decreased liver viscoelasticity.

  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common gallbladder issue such as cholecystitis (gallbladder inflammation) and cholelithiasis (gallstones).

  • Learn about common surgical approaches for the above common conditions and the complications and expected tissue responses.

Prerequisite: VM2 (Abdomen 2) & LT1 (Visceral Listening Techniques 1) or VM1-4

Required Advance Reading: VM1, VM2 & LT1 Study Guides

Email to register interest in attending this class when next scheduled.

Visceral Manipulation: Advanced Clinical Applications for Common Gastrointestinal Issues - 2  
(VM-ACA-CG-2)

Course Length: 3 Days, 18 Hours course time

Synopsis: This advanced level workshop will strengthen the participant’s expertise in integrating Barral’s Visceral Manipulation techniques with common gastrointestinal issues as seen in the clinical practice. The focus of this class (CG-2) is the abdominal organs including the duodenum, jejunoileum, colon, and rectum. The participants will gain a deeper understanding of each organ including their associated membranes, ligaments, innervation, vascularization, spatial and functional interrelationships, and organ-brain connections.

Course Highlights:

  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patient’s suffering with common conditions of the duodenum.

  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common jejunoileum conditions such as small intestine bacterial overgrowth (SIBO), Crohn’s disease, intestinal hyperpermiability (leaky gut), and bowel obstruction.

  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common colon issues such as Crohn’s disease, ulcerative colitis and irritable bowel syndrome (IBS).

  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common rectum issues such as diverticulitis, hemorrhoids, anal fissures, constipation, diarrhea, and rectal prolapse.

  • Learn about common surgical approaches for the above common conditions and the complications and expected tissue responses.

Prerequisite: VM3 & LT1 or VM4

Required Advance Reading: Review VM1-3 and LT1 study guides

Email to register interest in attending this class when next scheduled.

Visceral Manipulation: Advanced Clinical Applications for Common Gastrointestinal Issues - 3  
(VM-ACA-CG-3)

Course Length: 3 Days, 18 Hours course time

Synopsis: This advanced level workshop will strengthen the participant’s expertise in integrating Barral’s Visceral Manipulation techniques with common gastrointestinal issues as seen in the clinical practice.

Course Highlights: Details to follow

Prerequisite: VM1-4

Required Advance Reading: Review your VM1-4 and LT1 study guides.  

Email to register interest in attending this class when next scheduled.

Visceral Manipulation: Advanced Clinical Applications for Common Gastrointestinal & Urogenital Issues  (VM-ACA-GU)

Course Length: 3 Days, 18 Hours course time

Synopsis: This advanced level workshop will strengthen the participant’s expertise in integrating Barral’s Visceral Manipulation techniques with common gastrointestinal issues and urogenital issues as seen in the clinical practice.

Course Highlights: Details to follow

Prerequisite: VM3 & LT1 or VM4

Required Advance Reading: Review VM3 and LT1 study guides.

Email to register interest in attending this class when next scheduled.

Visceral Manipulation: Advanced Clinical Applications for Common Thyro-Cardio-Pulmonary Issues  (VM-ACA-TCP)

Course Length: 3 Days, 18 Hours course time

Synopsis: This advanced level workshop will strengthen the participant’s expertise in integrating Barral’s Visceral Manipulation techniques with common issues of the Thyroid, heart and repiratory systems as seen in the clinical practice. 

Course Highlights: Details to follow

Prerequisite: VM4 & LT1 or VM3

Required Advance Reading: Review your VM4 and LT1 study guides. 

Email to register interest in attending this class when next scheduled.

Visceral Manipulation Dermal Relationships

Course Length: 3 Days, 18 Hours course time

Synopsis: This workshop is co-taught by Jean-Claude Guimberteau and Olivier Bazin.  It is the bridge between research and visceral manipulation in relation to the skin and connective tissue layers.

Course Highlights: Details to follow
Prerequisite: VM2

Email to register interest in attending this class when next scheduled.