Structural-Visceral Integration; Thoracic Interrelationships-SVTI

Prerequisite: Professional healthcare practitioner, student in healthcare program or graduate of awaiting licensure/accreditation.

Structural-Visceral Integration; Thoracic Interrelationships (SVTI):


Structural-Visceral Integration: Thoracic Interrelationships (SVTI), examines the interrelationships between the thoracic organs (heart, lungs), membranes (pericardium, pleura), diaphragm, thoracic spine, ribcage, and upper extremity. Motion continuity throughout the upper extremity, the thoracic container, as well as the it’s visceral and membranous contents will be a strong class focus. The context is systems anatomy. The primary theme is reciprocal tension membrane. The goal is systems symbiosis.

Especially in the context of competent musculoskeletal and biopsychosocial care, visceral restrictions can be a key underlying issue, playing the part of the proverbial 'anatomical elephant in the room’, causing distortion and dysbalance to the body. 

Structural-Visceral Integration: Thoracic Interrelationships (SVTI) primarily balances membranous tension of the pleura and pericardium within the thoracic cavity.

Encouraging optimal mobility between the container and its contents, SVTI correlates basic joint biomechanics of the thoracic spine and ribcage with the underlying membranes and organs. In concert with keeping a global structural perspective, SVTI further contextualizes the thoracic and mediastinal cavities within the thoracolumbar fascia and upper extremities. Special attention is paid to the articular system's distal connections into the wrist, hand and fingers.

Pattern recognition of inhalation/exhalation breathing preferences will be explored with clinical applications in mind. Additional visceral components of interest include the esophagus, esophageal hiatus, trachea, heart, fibrous pericardium, sternopericardial ligaments, interclavicular ligament and phrenopericardial ligament. SVTI’s approach is volumetric, effecting aspects of the respiratory, cardiovascular and neuromusculoskeletal systems.

Appropriate for beginners and seasoned practitioners alike, this class offers a 'Combined Technique' approach to fascial manipulation. Primarily set up in Direct Technique, SVTI takes a respectful and moderate approach to force. Students will develop clinically effective assessment skills and fascial manipulation techniques through lecture, demonstration, supervision and practical hands-on exchanges.


Student Learning Objectives (SLO's) for SVTI include:

  • Students will correlate basic biomechanics of the thoracic spine and ribcage with the underlying lungs, pleura and pericardium.
  • Students will utilize the upper extremity as long lever when indicated.
  • Students will range of motion test and treat the hands and fingers when indicated.
  • Students will utilize Structural Integration perspectives on holistic anatomy, postural analysis, structural strategies, physical assessment and direct technique.
  • Students will utilize Visceral Manipulation perspectives on regional anatomy, palpation, 'The Primary Lesion’, ’The Lesional Chain’, physical assessment and indirect technique.
  • Students will consider others from local and global perspectives.
  • Students will gain a deeper insight into insidious, non-specific and non-obvious mechanisms potentially effecting the thorax and breathing.

Courses may be available for individual sponsors or organizations. Contact us for more details at 561.622.4334 ext 2.