Visceral osteo-articular connections and treatment


"We know so little; only the tissues know." - Jean Pierre Barral DO, MRO(F), RPT


To Whom


Objectives of the course

 To learn more about vertebral fixations, compensation mechanisms and visceral manipulation techniques.


In osteopathy we very often think the vertebral spine is the cause of many dysfunctions. At the beginning of Barral's osteopathic study he believed 80% of the vertebral fixations were primary, but now for him it’s quite the opposite.

The course focuses on vertebral fixations, compensation mechanisms as well as visceral manipulation tehniques.

We consider 2 types of vertebral fixations:

1)    called a bifixation, it means the 2 facets are fixed and we must manipulate the spine

2)    called a unifixation, it means one facet only is fixed and it’s a compensation

The compensations can come from an other part of the spine, the upper and lower limbs and the skull. However, most of the time the compensations come from the visceral systems. For instance, if we take the cervical spine which is the perfect example of an articular compensatory system, an articular unifixation can come from the eyes, the teeth, the gum, the thyroid gland, the pleura, the lungs, the heart and pericardium, the parotid glands, the dura mater, the brain, the ears, the trachea, the oesophagus, the sinuses...

In this course, we will analyse for each organ what kind of articular fixation it can cause, do the differential diagnosis and treatment.

We will cover also the thoracic cage, abdomen and pelvis.

Time and Venue

14th through 16th of November, 2018
Metropolia University of Applied Sciences, Vanha viertotie 23, 00350 Helsinki


700 € (including VAT 24 %)
630 € (price for alumni, including VAT 24%)


Jean-Pierre Barral D.O., MRO(F), RPT

Jean-Pierre Barral is a Diplomate of Osteopathy, a Member of the Registre des Ostéopathes de France, and a Physical Therapist.

Barral is the Developer of the manual therapy called Visceral Manipulation (VM). Through his clinical work with thousands of patients, Barral created this modality based on organ-specific fascial mobilization. Through his work in a dissection lab, he was able to experiment VM techniques and see the internal effects of the manipulations. Jean-Pierre Barral has also developed additional modalities—Visceral Vascular Manipulation, Nerve Manipulation, and New Manual Articular Approach—in collaboration with Alain Croibier, D.O.

Jean-Pierre Barral has worked on the field for more than 40 years by doing research, working with patients and educating tens of thousands of therapists all over the world. He holds the title of Curriculum Developer for the Barral Institute, and has taught manual therapy courses since 1985.  


Enroll here by 14th August, 2018.

Cancellation Terms

Cancellation is free if done at least 3 months before the course to begin. Cancellation has to be made in writing (email or letter) to the practical arrangements’ coordinator. If cancellation arrives later, the course fee will be charged in full. The participant can be traded.


Practical Arrangements:                                  Information about the content of the course:
Marja Pietiläinen                                              Sandra Rinne
040 672 5583                                                  040 159 1759
marja.pietilainen metropolia fi               sandra.rinne metropolia fi


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