His Visceral Manipulation, Neural Manipulation and Vascular Manipulation courses are taught in North America and in more than 60 countries by himself and a team of certified instructors who complete a rigorous training program with Barral.

Jean-Pierre Barral, D.O, MRO(F) (France) is renowned for the research and educational curriculum offered through the Barral Institute.

His Visceral Manipulation, Neural Manipulation and Vascular Manipulation courses are taught in North America and in more than 60 countries by himself and a team of certified instructors who complete a rigorous training program with Barral.

He has held the positions of director (and faculty) of the Department of Osteopathic Manipulation at the University of Paris, School of Medicine, in Paris, France, and chairman of the Department of Visceral Manipulation on the Faculty of Medicine Paris du Nord.

Advanced Study in Neural Manipulation

The coursework in Neural Manipulation is extensive. It comprises of five course levels, each lasting three days:

  • Neuromeningeal Manipulation: An Integrative Approach to Trauma and Whiplash
  • Peripheral Nerve Manipulation of the Upper Extremity
  • Peripheral Nerve Manipulation of the Lower Extremity
  • Brain and Cranial Nerve Manipulation
  • Central and Peripheral Connections

Each course level highlights detailed anatomy and function of the nerves being studied as well as typical pain patterns that arise from the dysfunction of the nerves.

You will learn specific evaluation and treatment techniques to facilitate normal function of the nerves. You will learn how to release restriction of nerves and the tissue directly or indirectly affecting the mobility of these nerves. You will learn indications and contraindications for this profound work in Neural Manipulation.

You will explore how to practically integrate these newly acquired assessment and manipulation techniques into your treatment sessions.

Neuromeningeal Manipulation

NM1, Neuromeningeal Manipulation: An Integrative Approach to Trauma and Whiplash, organizes course material on the longitudinal neuromeningeal system, involving the evaluation and treatment of the spinal and cranial dura.

For example, you will learn about the myodural bridge between the dura and the rectus capitus posterior minor.

This is the only muscle that blends with our dura. It is often associated with whiplash soft tissue injuries.

You will learn how to assess this muscle specifically and use it as a witness, to determine whether the cranial or spinal dura are under the greatest tension as a result of the injury incurred.

You will also learn assessment techniques to determine restriction patterns of the cervicobrachial and lumbosacral regions.

Peripheral Nerve Manipulation

NM2, Peripheral Nerve Manipulation of the Upper Extremity and NM3, Peripheral Nerve Manipulation of the Lower Extremity Courses, explores the assessment and treatment of the peripheral nervous systems as it is anatomically organized into plexi and specific nerves.

You will learn that a restriction of a nerve on the right side of the body may originate as a compensation for neural tension in the brachial plexus or lumbar plexus on the same or opposite side.

You will learn the importance of the precision of your assessment of the presenting signs and symptoms and the specific treatment for the restricted tissue.

NM4, Brain and Cranial Nerve Manipulation

You will learn the differential evaluation skills to determine skull, suture and brain fixations.

You will explore how compressions of the brain cause dysfunction in the cranial nerves and discover how intercranial pressure affects the function of the entire body and cranial techniques to bring about normal functioning.

You will learn how to access several peripheral branches of cranial nerves manually and facilitate the mobility of these nerves and enhance their function along with the structures supplied by these nerves.

Of particular interest is the assessment and treatment of the trigeminal nerve and its three major branches.

Central and Peripheral Connections

NM5, Central and Peripheral Connections, is a course developed by osteopath Alain Croibier. Here we learn how to assess such structures as the filum terminal, the cauda equina, the vagus nerve, the pudendal nerve and the vestibulocochlear nerve.

We learn that we can have far-reaching effects with our treatments. For example, releasing a restriction in the lumbar plexus can reduce tension in the tentorium.

About the Author

Judy Russell, RPT, is a registered physical therapist. She graduated from University of Toronto in 1978 and currently practices in Vancouver, British Columbia, Canada. She wrote “Neural Manipulation: Hands-On Work to Promote Nerve Tissue Health” for the February 2018 issue of MASSAGE Magazine.

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