Visceral Manipulation


Visceral Manipulation (VM) was developed by world-renowned French Osteopath and Physiotherapist Jean-Pierre Barral.

VM assists functional and structural imbalances throughout the body including musculoskeletal, vascular, nervous, urogenital, respiratory, digestive and lymphatic dysfunction. It evaluates and treats the dynamics of motion and suspension in relation to organs, membranes, fascia and ligaments. VM increases proprioceptive communication within the body, thereby revitalizing a person and relieving symptoms of pain, dysfunction, and poor posture.

An integrative approach to evaluation and treatment of a patient requires assessment of the structural relationships between the viscera, and their fascial or ligamentous attachments to the musculoskeletal system. Strains in the connective tissue of the viscera can result from surgical scars, adhesions, illness, posture or injury. Tension patterns form through the fascial network deep within the body, creating a cascade of effects far from their sources for which the body will have to compensate. This creates fixed, abnormal points of tension that the body must move around, and this chronic irritation gives way to functional and structural problems.

There are definite links between somatic structures, such as the muscles and joints, the sympathetic nervous system, the visceral organs, the spinal cord and the brain. For example, the sinuvertebral nerves innervate the intervertebral disks and have direct connections with the sympathetic nervous system, which innervates the visceral organs. The sinuvertebral nerves and sympathetic nervous system are linked to the spinal cord, which has connections with the brain. In this way someone with chronic pain can have irritations and facilitated areas not only in the musculoskeletal system (including joints, muscles, fascia, and disks) but also the visceral organs and their connective tissues (including the liver, stomach, gallbladder, intestines and adrenal glands), the peripheral nervous system, the sympathetic nervous system and even the spinal cord and brain.

Barral’s clinical work with the viscera led to his development of a form of manual therapy that focuses on the internal organs, their environment and the potential influence on many structural and physiological dysfunctions. The term he coined for this therapy was Visceral Manipulation.

Visceral Manipulation relies on the palpation of normal and abnormal forces within the body. By using specific techniques, therapists can evaluate how abnormal forces interplay, overlap and affect the normal body forces at work. The goal is to help the body’s normal forces remove abnormal effects, whatever their sources. Those effects can be global, encompassing many areas of bodily function.


Outline of Certification Program

There are two levels in the Visceral Manipulation Certification Program:

  • Techniques Level – CVTP – Certified Visceral Techniques Practitioner. This covers VM1-VM4
  • Visceral Manipulation Level – CVMP – Certified Visceral Manipulation Practitioner. This covers VM5-VM6.
  • Ensures a deep understanding of anatomy, physiology and Visceral Manipulation Therapy techniques.
  • Helps preserve the right of qualified healthcare professionals to practice Visceral Manipulation.
  • Demonstrates your commitment to excellence and enhances your networking and referral status – establishes you as a dedicated professional with the highest standards of excellence.
  • Allows you to use the professional designation “CVTP” or “CVMP” in your title.

For more details on the whole certification program (as per the image above), kindly refer to Barral Institute’s website:


Module 1/Abdomen Highlights (4 days):

In VM1 you will study the models and theories of functional biomechanics as viewed from Barral’s innovative approach.

  • Learn manual skills to locate, evaluate, and normalize primary areas of dysfunction within the abdominal cavity.
  • Explore the dynamics of motion and suspension in relation to organs, membranes and ligaments.
  • Examine the relationship of organs and structural or neuro-musculoskeletal dysfunction.
  • Assess the quality of functional activity and somatic structures as they relate to an overall pattern.



Module 2/Abdomen 2 Highlights (Prerequisite – VM1) (4 days):

In VM2 you will expand on the functional anatomy, hand placements and techniques you learned in VM1 to give you a deeper understanding of the abdominal cavity and its relationship to the cranial and thoracic cavities.

  • Explore the deeper structures within the abdominal cavity, focusing on the kidneys, pancreas, spleen, greater omentum, peritoneum, and their connective or suspensory tissues.
  • Learn about the concept of restriction planes, mobility and motility.
  • Begin to incorporate multiple long-lever techniques into your VM work.
  • Participate in supervised, hands-on sessions that guide you through specific techniques for locating and evaluating each organ, along with the effects and contraindications.



Licensed medical and healthcare practitioner including chiropractors, osteopaths, massage therapist and sport therapist and students in healthcare program or graduates of healthcare program awaiting licensure/accreditation experienced with sensitive, light-touch palpation.



Internationally accredited. Local DHA/HAAD accreditations as approved.
Visceral Manipulation Module 1 Credit: 10.5 CME points.


Please click on the calendar below for registration or instant payment. There will be 10% discount for early payment 2 months prior to course date.

There is a 15% discount available in the shop if you wish to purchase Part 1 and Part 2 at the same time.



CourseDateLocationInstructorFee Options
Visceral Manipulation
Module 1 / Abdomen
1 March 2019
- 4 March 2019
Abu DhabiJoanne Enslin De Wet
3,500 AED
(+175 VAT)
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Visceral Manipulation
Module 2 / Abdomen
6 March 2019
- 9 March 2019
Abu DhabiJoanne Enslin De Wet
3,800 AED
(+190 VAT)
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