Structural-Visceral Approaches for the Low-Back, Pelvis and Abdomen (SVLB)

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

Structural-Visceral Approaches for Low-Back, Pelvis and Abdomen (SVLB):



"Four out of five American adults will experience low-back pain during their lives"


NCCAM (September 2010 issue of the National Institute of Health's (NIH) newsletter Complementary and Alternative Medicine: Focus on Research and Care newsletter of the National Center for Complementary and Alternative Medicine (NCCAM), page 1.)


Structural-Visceral for the Low-Back, Pelvis & Abdomen (SVLB) primarily balances the organs and membranes of the pelvic and abdominal cavities with the low-back. In concert with keeping a global structural perspective, SVLB is further contextualized with the lumbodorsal fascia and lower extremities. Special attention is paid to the articular system’s distal connection into the feet and toes.


Generally following the trail of larger visceral ligaments associated with the gastrointestinal track, SVLB offers a complementary Structural-Visceral perspective to the low-back. SVLB correlates basic joint biomechanics of the lumbar spine, sacrum and sacroiliac joints with the peritoneum and organs of the gastrointestinal system. Visceral structures covered include the cecum, ascending colon, hepatic flexure, liver, gall bladder, stomach, spleen, splenic flexure, descending colon, sigmoid colon, urinary bladder, lesser and greater omentum, root of the mesentery and the fascia of Toldt.


Appropriate for beginners and seasoned practitioners alike, this class offers a 'Combined Technique' approach to fascial manipulation. Primarily set up in Direct Technique, SVLB 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 SVLB include:

  • Students will demonstrate competent range of motion testing for visceral and membranous components of the pelvis and abdomen.
  • Students will learn complementary skills in fascial manipulation to promote optimal mobility of the gastrointestinal system.
  • 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 demonstrate general competence in identifying and offsetting common Structural-Visceral strain patterns.
  • Students will utilize the lower extremities as long levers in conjunction with joint mobilization and fascial manipulation techniques.
  • Students will demonstrate general competence in strategic thinking and problem solving from both local and global perspectives.
  • Students will gain a deeper insight into insidious, non-specific and non-obvious mechanisms potentially contributing to low-back pain.

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