New Manual Articular Approach:
Lower Extremity


New Manual Articular Approach (NMAA), formerly Global Joint Treatment, is a manual therapy modality that applies a comprehensive approach to the treatment of joints.

"Articular" refers to the joints of the body, which are critical points of interconnectivity between all other structures within the body. Joints receive and emit messages with other parts of the body, and are also connected to our emotions. NMAA integrates all aspects of the joint including the nerve, artery, bone, capsule, and ligaments, as well as visceral and emotional connections. NMAA delves into the joints like never before. It examines the nerves of each joint, along with the arteries, meniscus, ligaments, capsule attachments and folds. It incorporates soft tissue mobilization of the associated bones, while looking at direct and indirect relationships between the bones of the body. The relationship between the viscera and the joints is not widely understood. NMAA shows how interconnected they are and that without addressing this visceral connection many joint issues may not fully resolve. The application of the gentle NMAA techniques improves the body's ability to heal and restore itself to optimal health.

A joint is so much more complex than a place where bones come together. It is comprised of multiple components – including bone, cartilage, muscles, tendons, nerves, and fluid – that when functioning properly, allow the joint to glide smoothly and pain-free. If one component becomes problematic, the entire joint begins to compensate and not function properly. This leads to dysfunction ranging from temporary pain to longer term damage. All parts and systems within the body are interconnected – joints included – and when there is dysfunction in one place, other areas can be negatively impacted. A skilled NMAA practitioner can properly assess the interactions of the joints with the body to help restore proper function.



  • Delve into the joints like never before. Examine the nerves of each joint, along with the arteries, meniscus, ligaments, capsule attachments and folds.
  • Work with soft tissue mobilization of the associated bones, while looking at direct and indirect relationships between the bones of the body.
  • Explore the relationship between the viscera and the joints.
  • Discover how the joints receive and emit messages with other parts of the body, as well as the emotional connections.
  • Learn how to evaluate and treat each major joint of the lower extremity for its primary dysfunction from the anatomical or physiological systems that contribute to it.
  • Explore such indications as clinical pain, sprains, arthrosis, and inflammation in a brand new way.



to be determined



Day 1
Registration 8.30-9.00 a.m., Day 1 ends around 6.00 p.m.
Day 2
9.00 a.m. - 6.00 p.m.
Day 3
9.00 a.m. - 1.00 p.m.



Terrapark (Conference Hall)
2040 Budaörs, Liget utca 3/2., Floor 3
Door bell: Konferenciaterem
County Pest, Hungary


Roberto Bonanzinga, D.O., BI-D (Italy) - osteopath, international instructor
The course is taught in English, translated into Hungarian.
The organizer reserves the right to change the date, location and staff of the course about which applicants will be informed via email.



630.00 EUR including 1 copy of NMAA-MALE Study Guide, but does not include travel, food and accommodation expenses. 
For repeaters tuitiion fee is 320.00 EUR

Tuition fee is to be paid at registration via bank wire or in cash after preliminary confirmation.

Prices may change from January 1, 2023


Cancellation deadline free of liquidated damages: the 42nd day prior the first day of the course. The amount of liquidated damages in case of a cancellation of 42-35 days prior the first day of the course is 50% of the Tuition Fee, and in case of a cancellation of 35-28 days prior the first day of the course it is 70% of the Tuition Fee. In case of a cancellation within 28 days prior the first day of the course, the amount of liquidated damages is the total Tuition Fee. 130.00 EUR that is One hundred thirty EUR Registration Fee is included in the Tuition Fee. In case of a cancellation this amount is not refunded.



This course is intended for licensed or certified healthcare professionals or students, including Massage Therapists, Physical Therapists, Occupational Therapists, Naturopaths, Athletic Trainers, Chiropractors, Osteopaths, Acupuncturists, Nurses and other allied healthcare professionals.


- Agreement to comply with our general principles and rules of procedures (Code of Ethics)
- Approval of the Head of the Course Organizer that is Upledger Institute Hungary Ltd.
- Submission of the application documents (Application Form and a recent photo) within the given application deadline
- Complete payment of the Tuition Fee within the given deadline.
This course does not have any formal course pre-requisites apart from the above listed pre-requisites, however having prior knowledge in the principles of listening will enhance your learning experience. Attending Visceral Manipulation: Abdomen 1 (VM1), Neural Manipulation: Neuromeningeal Manipulation; An Integrative Approach to Trauma (NM1) or Visceral Manipulation: Listening Techniques; An Integrative Approach to Evaluation (LT) will provide you with this information. Please call us for course availability and schedules.



New Manual Articular Approach: Lower Extremity by Jean-Pierre Barral & Allan Croibier
Visceral Manipulation I-II by Jean-Pierre Barral
Manual Therapy for the Peripheral Nerves by Jean-Pierre Barral
Manual Therapy for the Cranial Nerve by Jean-Pierre Barral
Visceral Vascular Manipulation by Jean-Pierre Barral
Understanding the Messages of Your Body by Jean-Pierre Barral
Understanding the Messages of Your Joint by Jean-Pierre Barral


Application form can be downloaded by clicking on the links at the bottom of the page. Please return the completed form with a recent photograph of you attached to the following name and address by post until .........

Upledger Institute Hungary Kft.
2051 Biatorbágy
Keserűkút u. 101/73, Hungary
Please, also send a copy of your completed form to the following email address:


We leave it up to each prospective student to assume responsibility for advance preparation; we cannot screen students for their level of readiness. You may, however, find yourself frustrated and left behind if you do not study before hand.  It is suggested that you read through the Visceral Manipulation II text book and look up the terms for the following lists of terms and structures provided.  It is also recommended that you begin your study well in advance of the scheduled workshops to allow for unforeseen interruptions and a comfortable learning pace.  We want this to be an interesting and intriguing educational experience for all of you.

Wearing loose, comfortable, layered clothing and indoor slippers during the course is recommended. Avoid wearing tight clothes. As several techniques require the touch of the bare skin, it is inevitable to wear such clothing which allows the skin to be accessed easily. 
During trades you may be in varied stages of undress, but during lecture time and in common areas of the meeting site outside of the classroom, please return to a fully clothed professional appearance.
Please bring your own bath towel or single bedsheet.
Due to potential chemical sensitivities of your classmates, please refrain from wearing perfumes or oils to class. Due to the nature of the work, short finger nails are required.
In case it is mandatory by the law, you are expected to provide your own face mask and, if needed, eye goggles/glasses. Eye protection might be mandatory during mouth work and other similar and appropriate lab times.

At the end of the training students will receive a certification issued by The Barral Institute. The issue of the certification is subject to the students’ presence during the whole period of the course, as well as, to their active participation and cooperation. The issued certificate does not qualify for individual medical activity!



"I was diagnosed with arthrosis in my hip and I had a lot of pain. The therapist I worked with explained that he would be evaluating me to find the areas of my body that were out of balance and that could be aggravating the arthrosis. After several sessions my pain was dramatically diminished. My arthrosis may not go away, but after the Manual Articular sessions, it makes sense that with my body in better balance, the degeneration may slow down. And I am extremely grateful to have so much less pain."

D.L., St. Petersburg, FL


"I repeatedly injured my shoulder when training for fitness competitions. My therapist explained about a new therapy she had been studying, Manual Articular Approach, and suggested she evaluate me based on those principles. She discussed about my shoulder’s connection to my organs, blood vessels, and a connective tissue called fascia, as well as the role of the bones, ligaments and muscles. After several treatments my shoulder felt so much looser; I didn’t realize how restricted it had been until I felt the big difference. I am confident this new therapy is getting to the cause of my recurring shoulder injury."

D.D., New York, NY

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