Advanced Clinical Applications (ACA)

ACA courses build on your VM1-VM4 knowledge to enhance your understanding of the organs and the relationship they play in human health and disease. Each course takes a deep dive into specific organs. This type of detailed understanding will serve to enhance your patient outcomes as well as expand your ability to visualize and palpate each organ.

The ACA courses are taught as a series of five classes, involving an online and hands-on lab component developed by Dr. Mariotti. Both components must be completed to receive  continuing education (CE units) through the Barral Institute.

What you will gain from taking ACA classes:
  • An understanding of organ evolution as a basis for current organ function
  • A detailed exploration of the historical perspectives regarding each organ
  • An understanding of embryology with the goal of deciphering organ relationships
  • A detailed exploration of organ anatomy and physiology (structure and function), the scientific basis of Visceral Manipulation techniques
  • Deeper understanding of organ connections via fascial, vascular, neural, hormonal, and chemical pathways.
  • Detailed understanding of common presentations of visceral pathology seen in clinical practice
  • Deeper understanding of organ/brain connections (taken up in the hands-on lab part of this class)
  • A pathology-specific protocol based on organ-organ and organ-brain interconnections to optimize patient outcomes (hands-on lab)
 

ACA Class Logistics ( Online + Hands-on Lab)

 

 

So...how to get started....

  • You do not need to be a paid subscriber to the Online VM Study Group. All you will need to do is register for the class through the Barral Institute.

Book ACA-CG1 Online Class

 

  • The next step... Register on the online study group (unless you're already registered). At this time you'll be given access to the Introductory Module, which contains an overview of the entire course. I'll also be providing you with a bit of home work to prepare you for what comes next.
  • Once the course is fully booked (or the registration period closes), I'll be hosting a live webinar to review the highlights of the stomach. I'll be discussing key points you'll be seeing in the videos as well as pointing out landmarks of interest  as you proceed.  This webinar will also serve as a Q&A session for me to help you resolve any obstacles and time permitting, we can even discuss some cases you may have questions about. 
  • After this first of 3 webinars...  You'll have full-free roam access to all the modules as well as a few months to watch all the videos of my detailed lectures and read through the flip books that catch your eye. You can go in any order you prefer, whatever draws your attention. 
  • Two months prior to the hands-on Lab component  we'll start our "Prep-phase" with another live webinar in order to discuss the liver along with a Q&A session.
  • After this second live webinar I'll guide you through each module in an orderly sequence. You'll have fill-in-the-blank worksheets to download which you'll use to actively work through the videos. You'll also need to pass a short quiz after each unit in order to move to the succeeding unit. Don't worry, I'll be looking over your shoulder. If you struggle with these I'll be there to help. 
  • One week prior to the hands-on class we'll have our final webinar to review the gallbladder as well as to discuss what is in store for you at the hands-on class.

No worries if you're not planning to attend the hands-on class right away. This incredible journey is going to take your manual therapy practice to a whole new level of precision and specificity.

 

Maybe, after moving through the entire course you've forgotten a few details...not to worry...I've got you covered! I'm giving you a full 3 months access to review all the information after the hands-on class. And then, if you want to continue even further...you can upgrade your "Curious" subscription to "Serious" or "Committed" at a 10% discount off the regular price to continue to have access to the material.

 

ACA Course Details

 
 
Hi...Dr. Mariotti here. I hope you enjoy this video that provides a general outline for this exciting series of advanced clinical applications classes.  In this video I discuss the general format of the class including the tools (pulse oximeter, blood pressure cuff) used in the class as a means of validating therapeutic results. I also discuss the way in which Jean-Pierre Barral integrates his work with the brain in a normal visceral manipulation session. The video is about 25 minutes long and well worth a viewing if you are considering registering for any one of these five ACA classes.
 
Although this video explains the content of the ACA class from the perspective of the pre-COVID-19 crisis (no virtual component) it remains relevant regarding the content of the current combination of virtual / hands-on lab material covered.

The focus for this class (CG-1)is on the abdominal organs including the stomach, liver and gallbladder. The participants will gain a deeper understanding of each organ including their membranes, ligaments, innervation, vascularization, spatial and functional interrelationships, and organ-brain connections.

Participants will practice techniques they have previously learned with a focus on common clinical issues. Participants will engage in detailed layered palpation labs focusing on enhancing their listening skills and increasing their awareness of the various listening possibilities presented by each clinical condition. Evaluation tools, treatment options and tools to enhance patient education will be presented. This class includes lecture, demonstration and practice for each technique presented.


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.
  • 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.
  • Learn about foods and diets to improve the health and function of the stomach, liver and gallbladder.

Learner Objectives:

  • Explain the historical and cultural beliefs around the stomach, liver and gallbladder.
  • Explain the evolution of the stomach, liver and gallbladder focusing on structural and functional differences across species.
  • Explain the embryology, anatomy and physiology of the stomach, liver and gallbladder with particular focus on neurovascular and mechanical details relevant to organ function / dysfunction.
  • Explain the organ-brain connections for the stomach, liver and gallbladder.
  • Demonstrate your understanding of visceral-neural-vascular connections to improve your application of Barral’s techniques.
  • Demonstrate listening techniques to increase treatment precision and optimize patient responses.
  • Explain the symbiotic and synergistic relationship of stomach acidity and the human microbiome for optimum immunity.
  • Explain how the stomach protects the intestines.
  • Explain the pressures and pH differentials between esophagus, stomach, duodenum, jejunoileum, and colon.
  • Explain the pathophysiology of hiatal hernia.
  • Explain the conventional and surgical treatments for hiatal hernia.
  • Explain the pathophysiology of Gastroesophageal reflux disease (GERD).
  • Explain the conventional and surgical treatments for Gastroesophageal reflux disease (GERD).
  • Explain the parts of the brain that dictate and coordinate stomach function.
  • Explain and demonstrate how performing Media/Lateral Gliding of the Stomach optimizes connection to the lesser omentum, liver and gallbladder contributions, and how this technique affects neurovascular structures of the stomach and surrounding organs (liver, gallbladder, spleen, and pancreas).
  • Explain how performing Media/Lateral Gliding of the Stomach can improve hiatal hernia and GERD.
  • Explain and demonstrate how working with the pharyngobasilar fascia improves esophagus / stomach relationships via fascial connections from the base of the cranium to the stomach.
  • Explain how working with the pharyngobasilar fascia can improve hiatal hernia and GERD.
  • Explain and demonstrate how working with the esophagus / aortic arch / stomach relationship, with a focus on the aortic arch as a key point of tension in its relationship with the tube of the esophagus, can optimize vertical tensions along the esophagus.
  • Explain how working with the esophagus / aortic arch / stomach relationship can improve hiatal hernia and GERD.
  • Explain and demonstrate how working with the phrenoesophageal ligaments optimizes esophagus / diaphragm / liver relationships.
  • Explain how a gastric ptosis destabilizes the hiatal zone and demonstrate how releasing this inferior tension can improve the stomach diaphragm relationship.
  • Describe the anatomy of the stomach and surrounding structures / tissues and explain how restrictions in these structures could cause common clinical conditions such as hiatal hernia, GERD and gastroparesis.
  • Explain the pathophysiology of gastroparesis.
  • Explain the conventional and surgical treatments for gastroparesis.
  • Explain and demonstrate how working with the Transverse / Vertical motion combined technique affects the lumen of the stomach.
  • Explain how the phrenic & vagus nerves function at the level of the lumen of stomach.
  • Explain and demonstrate how treating the lesser and greater curves of the stomach can decrease neurovascular tension (vagus and phrenic nerve; gastric artery and celiac plexus); improve stomach / brain communication and thus improve stomach function.
  • Explain and demonstrate how working with the pyloric sphincter affects the celiac plexus of nerves.
  • Demonstrate 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.
  • Explain one nutritional, diet, or lifestyle option to support the stomach.
  • Describe one “at home” technique to teach patients to support their stomach.
  • Explain the pathophysiology of fatty liver disease.
  • Explain the conventional and surgical treatments for fatty liver disease.
  • Explain the pathophysiology of functional liver issues such as hemochromatosis, metabolic and hormone function.
  • Explain the conventional and surgical treatments for functional liver issues such as hemochromatosis, metabolic and hormone function.
  • Explain the pathophysiology of structural liver issues such as fibrosis, cirrhosis and decreased liver viscosity.
  • Explain the conventional and surgical treatments for structural liver issues such as fibrosis, cirrhosis and decreased liver viscosity.
  • Describe the anatomy of the liver and surrounding structures and tissues.
  • Explain how restrictions in the liver and surrounding structures could cause common functional liver issues (fatty liver disease, hemochromatosis, metabolic and hormone function) and common structural liver issues (fibrosis, cirrhosis and decreased liver viscoelasticity).
  • Demonstrate techniques for optimizing mechanical, neurovascular and brain integration for patients with common functional liver issues such as fatty liver disease, hemochromatosis, metabolic and hormone function.
  • Demonstrate techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common structural liver issues such as fibrosis, cirrhosis and decreased liver viscoelasticity.
  • Explain the three phases of liver detoxification.
  • Explain the relationship between the liver and hormones.
  • Explain how the liver functions to stabilize blood pressure.
  • Explain how the brain modulates the function of the liver.
  • Explain how the liver modulates blood viscosity, coagulation factors and how this affects whole body tissue health.
  • Explain how tight junctions in the epithelium of the intrahepatic bile ducts protects the liver from toxins leaking from bile.
  • Demonstrate the viscoelasticity technique for the liver parenchyma and explain how this has a positive effect on fatty liver disease.
  • Demonstrate the liver lift technique and explain the effect on Glisson's capsule, peritoneum and hepatocyte cellular membranes and the positive affect on functional liver issues such as hemochromatosis, metabolic and hormone function, liver / pancreas, and liver / gallbladder relationships.
  • Demonstrate techniques for positively affecting the liver / diaphragm relationship, liver / rib relationship.
  • Demonstrate working with the lesser omentum of the stomach and explain how this technique improves neurovascular patency of structures posterior to the lesser omentum.
  • Demonstrate the liver viscoelasticity technique and explain how this affects the parenchyma of the liver.
  • Explain one nutritional, diet, or lifestyle option to support the liver.
  • Describe one “at home” technique to teach patients to support their liver.
  • Explain the pathophysiology of cholecystitis.
  • Explain the conventional and surgical treatments for cholecystitis.
  • Explain the pathophysiology of cholelithiasis.
  • Explain the conventional and surgical treatments for cholelithiasis.
  • Describe the anatomy of the gallbladder and surrounding structures / tissues and explain how restrictions in these structures could cause common clinical conditions such as cholecystitis (gallbladder inflammation) and cholelithiasis (gallstones).
  • Demonstrate techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common gallbladder issue such as cholecystitis (gallbladder inflammation) and cholelithiasis (gallstones).
  • Explain how the gallbladder absorbs water from bile and serves to deliver a concentrated source of bile that is effective and potent.
  • Explain how the gallbladder protects the liver hepatocytes from excessive pressures in the bile ducts.
  • Explain how the hepatocytes are structurally altered when the gallbladder is removed (fibrosis of liver parenchyma) due to increased pressures in the bile ducts.
  • Explain the gallbladder and abdominal pressure systems.
  • Explain how the gallbladder protects the sphincter of oddi, pancreas, and the liver.
  • Demonstrate the phrenic nerve technique and explain how this technique improves gallbladder / brain communication.
  • Explain how the pathology associated with the neck of the gallbladder increases neurodensity of the tissue and results in gallbladder dysfunction and pain.
  • Demonstrate and explain how the gallbladder / stomach (induction between gallbladder and stomach along the lesser omentum) can be helpful in treating cholecystitis.
  • Demonstrate and explain how gallbladder / duodenum (induction between gallbladder and D1/pylorus along hepatoduodenal ligament) can be helpful in treating cholecystitis.
  • Demonstrate and explain gallbladder techniques to improve ground substance of peritoneum covering the gallbladder and improve gallbladder mobility as a helpful treatment for cholelithiasis.
  • Explain the gallbladder / duodenum relationship.
  • Demonstrate the technique for improving CCK production that improves gallbladder function and serves as a viable treatment for cholelithiasis.
  • Explain the gallbladder / liver relationship.
  • Demonstrate how listening techniques applied to the liver can localize precise areas of dysfunction.
  • Explain how to improve liver viscoelasticity and bile viscosity while improving gallbladder mobility.
  • Explain one nutritional, diet, or lifestyle option to support the gallbladder.
  • Describe one “at home” technique to teach patients to support their gallbladder.
  • Demonstrate the integration of Barral’s visceral manipulation techniques with his cutting edge approach to enhancing organ-brain integration for optimum patient outcomes.
  • Explain the common surgical approaches for common conditions and the complications and expected tissue responses.
  • Explain what foods and/or diets improve the health and function of the stomach, liver and gallbladder.

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.

Participants will practice techniques they have previously learned in the VM curriculum focusing on the utilization of these techniques as they apply to common clinical issues.

Participants will engage in detailed layered palpation labs designed to assist the practitioner in fine tuning palpation and listening skills. These layered palpation labs have been demonstrated to increase practitioner awareness of the various listening possibilities presented by each clinical condition.

Evaluation skills, treatment options and guidelines to enhance patient education including diet/lifestyle and “self-treatment” will be presented.

This class includes lecture, demonstration and practice for each technique presented.


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.
  • 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.
  • Learn about foods and diets to improve the health and function of the duodenum, jejunoileum, colon, and rectum.

Learner Objectives:

  • Explain the historical and cultural beliefs around the duodenum, jejunoileum, colon, and rectum.
  • Explain the evolution of the duodenum, jejunoileum, colon, and rectum focusing on structural and functional differences across species.
  • Explain the embryology, anatomy and physiology of the duodenum, jejunoileum, colon, and rectum with particular focus on neurovascular and mechanical details relevant to organ function / dysfunction.
  • Explain the organ-brain connections for the duodenum, jejunoileum, colon, and rectum.
  • Demonstrate your understanding of visceral-neural-vascular connections to improve your application of Barral’s techniques.
  • Demonstrate listening techniques to increase treatment precision and optimize patient responses.
  • Explain the symbiotic and synergistic relationship of stomach acidity and the human microbiome for optimum immunity.
  • Explain the pathophysiology of duodenum dysfunction.
  • Explain the conventional treatment for duodenum dysfunction.
  • Explain how the duodenum normalizes pH and pressures and the structures it “protects”.
  • Explain how the duodenum maintains pressure differentials and optimum physiological functions between the stomach and jejunoileum and between the liver, bile ducts and jejunoileum.
  • Explain the role of motilin (“the housekeeper of the gut”) – produced in the crypts of the jejunoilium (mostly in duodenum and jejunum).
  • Explain the pathophysiology of small intestine bacterial overgrowth (SIBO).
  • Explain the conventional / interventional treatment for SIBO.
  • Explain the pathophysiology of Irritable Bowel Syndrome (IBS).
  • Explain how the jejunoileum prevents intestinal hyperpermiability (leaky gut) and autoimmunity.
  • Explain the parts of the brain that dictate and coordinate duodenum and jejunoileum function.
  • Demonstrate treating the D2 section of the duodenum with vertical mobilization and explain the effect on surrounding structures.
  • Demonstrate treating between the ligament of Trietz and its connection to the mesenteric root of jejunoileum.
  • Demonstrate the vertical mobility treatment of the lateral edge of D2 and explain how this technique optimizes intraduodenal pressure.
  • Demonstrate localization & mobilization of loop-to-loop & loop-to-organ / tissue restrictions and explain how this technique treats SIBO.
  • Demonstrate treating the jejunoileum at the level of the lumen of the jejunoileum (especially duodenum and jejunum) and explain how this is a treatment for SIBO.
  • Explain the pathophysiology of Crohn’s disease.
  • Explain the conventional and surgical treatments for Crohn’s disease.
  • Demonstrate utilizing motility evaluation in order to find compromised locations within jejunoileum and explain how this treatment improves Crohn’s disease.
  • Explain the pathophysiology of intestinal hyperpermiability (“leaky gut”).
  • Explain the conventional treatments for “leaky gut”.
  • Explain how working with the loops of the jejunoileum alters autoimmunity as a treatment for Crohn’s disease and “leaky gut”.
  • Explain the pathophysiology of bowel obstruction.
  • Explain the conventional and surgical treatments for bowel obstruction.
  • Explain the parts of the brain that dictate and coordinate colon function.
  • Explain how the function of the rectum is directly related to the pelvic floor, liver and intestines.
  • Explain the function of the tinea coli and sacculations.
  • Demonstrate longitudinal mobilization between cecum and hepatic flexure and sigmoid and splenic flexure to address tinea coli and explain how this technique improves peristalsis of the colon and decrease formation of strictures.
  • Explain how releasing tension along the medial edge of the descending and ascending colon can decrease occurrence and recurrence of strictures seen in Crohn’s disease.
  • Explain the significance of the Cannon Bohm area of the colon.
  • Demonstrate how to treat irritable bowel syndrome via the Cannon Bohm area.
  • Explain the pathophysiology of diverticulitis.
  • Explain the conventional and surgical treatments for diverticulitis.
  • Explain the pathophysiology of internal and external hemorrhoids.
  • Explain the conventional and surgical treatments for internal and external hemorrhoids.
  • Explain the pathophysiology of anal fissures.
  • Explain the conventional and surgical treatments for anal fissures.
  • Explain how improving liver viscoelasticity is a treatment for internal hemorrhoids, diverticulitis, and anal fissures.
  • Explain how mobility treatment of the jejunoileum is a treatment for external hemorrhoids.
  • Explain the function of the anal columns.
  • Demonstrate how to treat the transverse perineal muscle in order to decrease tension around the anal columns and the internal / external anal sphincters.
  • Demonstrate treatment of the annococcygeal ligament.
  • Explain the pathophysiology of constipation.
  • Explain the conventional and surgical treatments for chronic constipation.
  • Explain the pathophysiology of diarrhea.
  • Explain the conventional and surgical treatments for diarrhea.
  • Demonstrate treatment of the cecum to “wake up the colon”.
  • Demonstrate 5 ways to treat the colon in order to treat chronic constipation and diarrhea.
  • Explain how improving bile flow from the liver and gallbladder becomes a treatment for constipation.
  • Explain the pathophysiology of rectal prolapse.
  • Explain the conventional and surgical treatments for rectal prolapse.
  • Explain how improving viscoelasticity affects rectal prolapse.
  • Demonstrate treatment between the rectum and sigmoid to optimize intra-rectal pressure and alter rectal prolapse.
  • Demonstrate treatment of the transverse perineal muscle and annococcygeal ligament to treat rectal prolapse.
  • Demonstrate the integration of Barral’s visceral manipulation techniques with his cutting edge approach to enhancing organ-brain integration for optimum patient outcomes.
  • Explain the common surgical approaches for common conditions and the complications and expected tissue responses.
  • Explain what foods and/or diets improve the health and function of the duodenum, jejunoileum, colon, rectum.

The focus for this class (CG-3)is the abdominal organs including the pancreas, spleen, kidney. 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.

Participants will practice techniques they have previously learned in the VM curriculum focusing on the utilization of these techniques as they apply to common clinical issues.

Participants will engage in detailed layered palpation labs designed to enhance practitioner palpation and listening skills. These layered palpation labs have been demonstrated to increase practitioner awareness of the various listening possibilities presented by each clinical condition.

Evaluation tools, treatment options and tools to enhance patient education including diet/lifestyle and “self-treatment” will be presented.

This class includes lecture, demonstration and practice for each technique presented.


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.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patient’s suffering with common conditions of the pancreas such as acute and chronic pancreatitis and type II diabetes.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common spleen conditions such as splenomegaly, anemia, compromised immune function, and metabolic disorders.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common kidney issues such as chronic kidney disease, nephrotic syndrome, kidney ptosis, kidney stones, and hydronephrosis.
  • Learn about common surgical approaches for the above common conditions and the complications and expected tissue responses.
  • Learn about foods and diets to improve the health and function of the pancreas, spleen, and kidneys.

Learner Objectives:

  • Explain the historical and cultural beliefs around pancreas, spleen and kidney.
  • Explain the evolution of the pancreas, spleen and kidney focusing on structural and functional differences with other species.
  • Explain the embryology, anatomy and physiology of the pancreas, spleen and kidney, with particular focus on neurovascular and mechanical details relevant to organ function / dysfunction.
  • Explain the organ-brain connections for the pancreas, spleen and kidney.
  • Demonstrate your understanding of visceral-neural-vascular connections to improve your application of Barral’s techniques.
  • Demonstrate listening techniques to increase treatment precision and optimized patient responses.
  • Explain how the pancreas protects the entire digestive system.
  • Explain how the pancreas protects the neurovascular system.
  • Explain the relationship between the vagus nerve and pancreas function.
  • Explain the relationship between the kidneys and pancreas function.
  • Explain the role of motilin in endocrine pancreas function.
  • Describe what vertebral levels of the ANS innervate the pancreas.
  • Explain the pathophysiology of acute pancreatitis.
  • Explain the conventional and surgical treatment of acute pancreatitis.
  • Explain the parts of the brain that dictate and coordinate pancreas function.
  • Explain and demonstrate how treating liver viscoelasticity decreases the resistance in the pancreas.
  • Explain and demonstrate how releasing tension around fundus, neck and cystic duct of gallbladder decreases pressure against head of pancreas and improves bicarbonate secretion from the luminal cells of the bile ducts.
  • Demonstrate the D2 vertical stretch and explain how this can optimize the tone of the muscular tube of D2 and decrease intraduodenal pressure improving flow of pancreatic enzymes into the duodenum and the production of duodenal hormones and enzymes.
  • Explain the pathophysiology of chronic pancreatitis.
  • Explain the conventional and surgical treatment of chronic pancreatitis.
  • Explain how treating the liver and altering inflammation can improve outcomes in chronic pancreatitis.
  • Demonstrate and explain how treating the jejunoileum can improve outcomes in chronic pancreatitis.
  • Demonstrate and explain how normalizing sphincter mobility and motility can alter biofilms and what effect his has on chronic pancreatitis.
  • Explain the pathophysiology of type II diabetes.
  • Explain the conventional and surgical treatment of type II diabetes.
  • Explain how motilin stimulates the endocrine pancreas.
  • Demonstrate one technique for enhancing motilin production.
  • Demonstrate releasing tension in lesser omentum and explain how this improves neurovascular patency of pancreas.
  • Explain the pathophysiology of the spleen.
  • Explain how the spleen cleans and filters blood.
  • Explain how the spleen and liver function together to improve immune function.
  • Explain how the spleen stores monocytes for use during states of inflammation and / or tissue damage.
  • Explain how the spleen produces properdin, tuftsin and other proteins for enhanced immune function.
  • Explain the effect of compromised spleen function on anemia.
  • Explain how working with small intestines to improve mobility alters biofilms, decrease dysbiosis, which decrease microbial contributions to chronic splenic stress.
  • Demonstrate how working with double induction between spleen and liver due to fascial / neurovascular relationships improves immune function.
  • Demonstrate how improving mobility of the splenic flexure of colon and phrenicocolic ligament in order to provide more “space” to spleen.
  • Demonstrate viscoelasticity of spleen and explain how this affects the trabeculae of the spleen and cords of billroth and how this affects immune function.
  • Demonstrate localization & mobilization in lesser omentum in order to improve neurovascular flow of spleen
  • Demonstrate motility induction between liver and spleen to improve communication and function between liver and spleen.
  • Demonstrate gentle mobilization between spleen and stomach to address hilum of spleen and improve neurovascular patency of spleen.
  • Demonstrate the integration of Barral’s visceral manipulation techniques with his cutting edge approach to enhancing organ-brain integration for optimum patient outcomes.
  • Explain the common surgical approaches for common conditions and the complications and expected tissue responses.
  • Explain what foods and/or diets improve the health and function of the pancreas, spleen, and kidneys.

The focus for this class (GU)is the pelvic organs including the bladder, uterus and prostate. 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.

Participants will practice techniques they have previously learned in the VM curriculum focusing on the utilization of these techniques as they apply to common clinical issues.

Participants will engage in detailed layered palpation labs designed to enhance practitioner palpation and listening skills. These layered palpation labs have been demonstrated to increase practitioner awareness of the various listening possibilities presented by each clinical condition.

Evaluation tools, treatment options and tools to enhance patient education including diet/lifestyle and “self-treatment” will be presented.

This class includes lecture, demonstration and practice for each technique presented.


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.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common bladder conditions such as incontinence, interstitial cystitis, and urinary tract infections.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common uterus / ovary conditions such as dysfunctional uterine bleeding, dyspareunia, uterine fibroids, uterine prolapse, and ovarian cysts.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common male urogenital issues such as benign prostatic hyperplasia, prostatitis, erectile dysfunction, and prostate cancer.
  • Learn about common surgical approaches for the above common conditions and the complications and expected tissue responses.
  • Learn about foods and diets to improve the health and function of the pancreas, spleen, and kidneys.

Learner Objectives:

  • Explain the historical and cultural beliefs around the bladder, female and male genitalia.
  • Explain the evolution of the bladder, female and male genitalia focusing on structural and functional differences across species.
  • Explain the embryology, anatomy and physiology of the bladder, female and male genitalia with particular focus on neurovascular and mechanical details relevant to organ function / dysfunction.
  • Explain the organ-brain connections for the bladder, female and male genitalia.
  • Demonstrate your understanding of visceral-neural-vascular connections to improve your application of Barral’s techniques.
  • Demonstrate listening techniques to increase treatment precision and optimize patient responses.
  • Explain the relationship between the internal and external urethral sphincters.
  • Explain the pathophysiology of bladder dysfunction.
  • Explain the conventional treatment for bladder dysfunction (incontinence, UTI and interstitial cystitis).
  • Explain how the dilator urethra connects to the detrusor and eternal urethral sphincter
  • Explain the possible relationship between the sympathetic and parasympathetic innervation of the bladder and the vagus nerve.
  • Explain the role of umbrella cells in the bladder.
  • Define the various layers of the bladder muscle wall.
  • Explain the conventional / interventional treatment for urinary incontinence and interstitial cystitis.
  • Explain the pathophysiology of urinary incontinence, interstitial cystitis and urinary tract infections.
  • Explain how the ureter and urethra are connected to one another.
  • Explain the parts of the brain that dictate and coordinate bladder function.
  • Explain the function of the nervous system and its neurotransmitters for bladder function.
  • Demonstrate treating the Cannon Bhom area of the colon to link the pelvic parasympathetic nervous system and vagus nerve.
  • Describe how proanthocyanins work on the bladder wall.
  • Describe how Onuf’s nucleus operates in bladder function.
  • Demonstrate the mobility induction between uterus and obturator foramen.
  • Explain the pathophysiology of uterine fibroids.
  • Explain the conventional and surgical treatments for uterine fibroids.
  • Explain the pathophysiology of uterine prolapse.
  • Explain the conventional treatments for uterine prolapse.
  • Explain how estrogen affects bone density.
  • Explain the menstrual cycle.
  • Explain the function of the corpus luteum.
  • Explain the pathophysiology of ovarian cysts.
  • Explain the conventional and surgical treatments for ovarian cysts.
  • Explain the parts of the brain that dictate and coordinate hormone production in the uterus
  • Explain how aromatase functions in sex hormone production.
  • Explain the function of anti-mullerian hormone
  • Explain the significance of the Cannon Bohm area of the colon.
  • Demonstrate how to treat uterine dysfunction via the Cannon Bohm area.
  • Explain the pathophysiology of BPH.
  • Explain the conventional and surgical treatments for BPH.
  • Explain the pathophysiology of erectile dysfunction.
  • Explain the conventional and surgical treatments for erectile dysfunction.
  • Explain the pathophysiology of prostatitis.
  • Explain the conventional and surgical treatments for prostatitis.
  • Explain the Sertoli cells and their function.
  • Explain the Leydig cells and how they function in testosterone production.
  • Explain how estrogen functions in testosterone production.
  • Demonstrate how to treat the prostate via the central tendon.
  • Demonstrate treatment of the inferior edge of D3 and how this benefits the prostate gland.
  • Explain the pathophysiology of prostate cancer.
  • Explain the conventional and surgical treatments for prostate cancer.
  • Demonstrate treatment of the portal vein to improve venous drainage of the urogenital structures.
  • Explain how glyphosate adversely affects hormone production.
  • Explain the pathophysiology of rectal prolapse.
  • Explain how testosterone acts on the brain.
  • Explain the functions of oxytocin.
  • Explain the common surgical approaches for common conditions and the complications and expected tissue responses.

The focus for this class (TCP)is the thoracic organs including the Heart, lungs and thyroid. 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.

Participants will practice techniques they have previously learned in the VM curriculum focusing on the utilization of these techniques as they apply to common clinical issues.

Participants will engage in detailed layered palpation labs designed to enhance practitioner palpation and listening skills. These layered palpation labs have been demonstrated to increase practitioner awareness of the various listening possibilities presented by each clinical condition.

Evaluation tools, treatment options and tools to enhance patient education including diet/lifestyle and “self-treatment” will be presented.

This class includes lecture, demonstration and practice for each technique presented.


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 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.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common thyroid conditions such as hypothyroidism, hyperthyroidism, and autoimmune thyroiditis.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common cardiovascular conditions such as atherosclerosis, heart failure, arrhythmia, high blood pressure, and vascular disease.
  • Review specific techniques for optimizing mechanical, neurovascular and brain integration with patients suffering with common pulmonary issues such as chronic obstructive pulmonary disease (COPD), bronchitis, asthma, and pneumonia.
  • Learn how to integrate Barral’s visceral manipulation techniques with his cutting edge approach to enhancing organ-brain integration for optimum patient outcomes.
  • Learn about common surgical approaches for the above common conditions and the complications and expected tissue responses.

Learner Objectives:

  • Explain the historical and cultural beliefs around the heart, lungs and thyroid.
  • Explain the evolution of the heart, lungs and thyroid focusing on structural and functional differences across species.
  • Explain the embryology, anatomy and physiology of the heart, lungs and thyroid with particular focus on neurovascular and mechanical details relevant to organ function / dysfunction.
  • Explain the organ-brain connections for the heart, lungs and thyroid.
  • Demonstrate your understanding of visceral-neural-vascular connections to improve your application of Barral’s techniques.
  • Demonstrate listening techniques to increase treatment precision and optimize patient responses.
  • Thyroid:
    • Explain the pathophysiology of thyroid dysfunction.
    • Explain the conventional treatment for thyroid dysfunction.
    • Explain how the thyroid sequesters iodine in order to make thyroid hormone.
    • Explain how the function of the pendrin transporter in the thyroid follicular cells.
    • Explain the role of the sodium / iodine symporter.
    • Explain the pathophysiology of Hashimoto’s thyroiditis.
    • Explain the conventional / interventional treatment for Hashimoto’s thyroiditis.
    • Explain the pathophysiology of Grave’s Disease.
    • Explain the conventional / interventional treatment for Grave’s Disease.
    • Explain the pathophysiology of autoimmune dysfunction of the thyroid gland.
    • Explain the parts of the brain that coordinate thyroid function.
    • Explain how the thyroid serves as a neuroendocrine organ.
    • Define the various roles of the different thyroid hormones.
    • Explain the role of thyronamines.
    • Explain how a normal thyroid feels relative to an unhealthy thyroid gland.
    • Explain what thyroid blood tests should be a part of a normal thyroid evaluation.
    • Explain the function of thyroglobulin.
    • Explain the function of thyroid hormone at the level of the target organ/tissue.
    • Explain the function of reverse T3.
    • Explain what nutritional factors affect thyroid function.
    • Explain the difference between a toxic and non-toxic goiter.
    • Explain the pathophysiology of Plummer’s disease.
    • Explain the pathophysiology of Hashimoto’s thyroiditis.
    • Explain the pathophysiology of Grave’s disease.
    • Explain the pathophysiology of Euthyroid Sick Syndrome.
    • Demonstrate how to correctly treat between the thyroid gland and the ovary.
    • Demonstrate how to correctly treat the thyropericardial ligament.
    • Demonstrate how to correctly treat the subclavius muscle.
    • Explain what foods and/or diets improve the health and function of the thyroid gland.
  • Cardiovascular system:
    • Explain why the heart is not a “simple pump”.
    • Explain how “Euler’s approximation” and the “three body problem” is useful in manual therapy.
    • Explain how the muscles cells of the heart are not normal muscle cells.
    • Explain the location of the deep and superficial cardiac plexus.
    • Explain the function of the SA and AV nodes.
    • Explain the function of the purkinje fibers.
    • Explain the function of the sympathetic and parasympathetic nervous systems Explain the function of the SA and AV nodes.
    • Explain the function of the adrenal gland in blood pressure control.
    • Explain the various parts of the EKG reading.
    • Explain the function of fenestrated capillary.
    • Explain which coronary artery is the most dangerous to be obstructed.
    • Explain the pathophysiology of atherosclerosis.
    • Explain the pathophysiology of a mural thrombus.
    • Explain the pathophysiology of a myocardial infarction.
    • Explain the acute intervention of myocardial infarction.
    • Explain the role of Pulse Pressure in determining optimum cardiovascular function.
    • Explain jugular venous pressure.
    • Explain the function of the vagus nerve in blood pressure.
    • Explain the function of the liver in blood pressure management.
    • Explain how the lungs function in blood pressure management.
    • Explain how the pathophysiology of pericarditis.
    • Explain how the pathophysiology of cardiomyopathy.
    • Explain how the pathophysiology of heart failure.
    • Explain how the pathophysiology of peripheral vascular disease.
    • Demonstrate the correct way of working with the inferior vena cava.
    • Demonstrate the correct way of working with the portal vein.
    • Demonstrate the correct way of working with mobilization of the pericardium.
    • Demonstrate the correct way of working with C6 in relation to the pericardium.
    • Demonstrate the correct way of working with the superficial cardiac plexus.
    • Demonstrate the correct way of working with the pharyngobasilar fascia.
    • Explain what foods and/or diets improve the health and function of the heart.
  • Pulmonary System:
    • Explain the difference between ventilation and respiration.
    • Describe how the red blood cell carries oxygen.
    • Describe how epithelium functions in tracheal function.
    • Describe how the importance of mucous production in lung function.
    • Describe how the two layers of mucous in the trachea and bronchi.
    • Describe the function of surfactant.
    • Describe the function of accessory muscles of breathing.
    • Explain the primary driver of respiration.
    • Describe the relationship between blood pressure and the respiratory venous pump.
    • Explain the pathophysiology of asthma.
    • Describe the correct way to instruct an asthmatic on how to use their brochodilators.
    • Explain the pathophysiology of chronic obstructive pulmonary disease (COPD).
    • Describe the difference between a normal chest Xray and that of a patient with asthma or COPD.
    • Explain the pathophysiology of bronchitis.
    • Explain the pathophysiology of idiopathic pulmonary fibrosis.
    • Demonstrate the correct way of working with the suspensory ligaments of the lungs.
    • Demonstrate the correct way of working with the clavipectoral fascia.
    • Demonstrate the correct way of working with the sternoclavicular joint.
    • Demonstrate the correct way of working with the pulmonary hilum.
    • Explain what foods and/or diets improve the health and function of the lungs.