Dynamic Neuromuscular Stabilization ®
basic level
Are you looking for the system that use exercises to help your patient? Do you need system that provides exercises for orthopedic, neurological or athletes ? We have something for you!
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About course
Dynamic Neuromuscular Stabilization, or “DNS” as it is commonly referred to, is a manual and rehabilita- tive approach to optimize the movement system based upon the scientific principles of developmental kine- siology (DK). The developer of DNS is Professor Pavel Kolar, PT, PhD, a Czech physiotherapist who has been influenced by the “greats” of Prague School of Manual Medicine, including Karel Lewit, Vladimir Janda, Vaclav Vojta and Frantisek Vele. DNS is rapidly gain- ing attention and acceptance in the sports rehabilita- tion and performance arena for both the recovery from musculoskeletal overuse injuries and in injury prevention. The purpose of this clinical commentary is to discuss the background of Dynamic Neuromuscu- lar Stabilization (DNS) and demonstrate its application in rehabilitation, recovery from overuse injuries, and role in return to athletic performance.
The basis for the theories that are included in DK is that development of human motor function in early childhood is genetically pre-determined and follows a predictable pattern. These motor patterns or programs are formed as the central nervous system (CNS) matures, enabling the infant to control posture, achieve erect posture against gravity, and to move purpose- fully via muscular activity. DK emphasizes the exis- tence of central movement patterns that are inborn and “hard-wired”. For example, an infant does not need to be taught when and how to lift its head up, grasp a toy, roll over, creep, or crawl. All these movement pat- terns or muscular synergies occur automatically in a specific developmental sequence throughout the course of CNS maturation.
There is also a strong synchrony between CNS mat- uration and structural or anatomical development of bones, muscles, and other soft tissues. In short, mat- uration of the brain influences development of motor patterns, which in turn, influences structural development. This relationship is very apparent in the presence of a CNS lesion, where this develop- mental synchrony and muscle coordination are adversely affected. The disturbed muscle coordina- tion, soft tissue, and joint development subsequently alters joint position, morphological development, and ultimately, the entire posture.
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Modules
- Module A
- Module B
Module A
Course Goals and Description
Improve understanding of the basic principles of developmental kinesiology with an emphasis on development during the first year of life
Identify and describe key milestones in human development
Introduce the three level of sensorimotor control in functional assessment and treatment Demonstrate the relationship between development during the first year of life and pathology of the locomotor system in adulthood
Introduce new terminology pertinent to rehabilitation such as functional joint centration, punctum fixum, punctum mobile and the integrated stabilizing system of the spine
Define ideal postural stabilization from a developmental perspective: intra-abdominal pressure regulation, dual role of the diaphragm in stabilization and respiration, stabilization via co- contraction
Identify common stereotypes of faulty postural stabilization (“open scissors syndrome”, forward drown posture, backward drown posture, “hour glass syndrome”)
Explain and demonstrate biomechanics of undifferentiated, ipsilateral and contralateral postural- locomotion patterns; closed and opened kinematic chains, stepping forward and supporting function
Evaluate and correct poor respiratory patterns
Demonstrate the correlation between poor respiration patterns and functional pathology of the locomotor system
Assess the integrated stabilizing system of the spine both visually and utilizing dynamic functional tests
Integrate corrective exercises based on the DNS functional tests and developmental positions: exercise in undifferentiated static positions; position transfer during locomotor function; exercise progression using unstable surfaces; increased difficulty of the exercises utilizing resistance, dual tasking and other challenges
Clarify how DNS corrective exercises can integrate with other exercise strategies
Cover the basics of application of DNS concept in sport training
Provide basic clinical management explanation for clinicians to better integrate the DNS approach in their regular practice, including patient education
Optimally prepare students for the next level of training (Course “B”)
Module B
Course Goals and Description
Course Objectives
Demonstrate an understanding of developmental kinesiology and its relationship with pathology of the locomotor system: review theory covered in the A course and introduce more advanced theory, namely the verticalization process
Describe the basis for primitive reflexes and postural reactions and their roles in developmental kinesiology
Introduce basic information about reflex locomotion according to Vojta
Perform demonstration of assessments of babies: attendees will be able to recognize ideal and disturbed locomotor patterns and determine developmental age of the babies
Demonstrate and teach proper handling of infants
Demonstration application of DNS assessment and treatment in adult patients with pain and dysfunction within the locomotor system – stabilization assessment and treatment strategy
Postural analysis & testing of integrated spinal stabilization system – review of Course A tests and introduction to additional, advanced tests
Integration of corrective exercises based on newly taught DNS functional tests
Exercise in differentiated ipsilateral and contralateral static positions, position transfer during locomotor function, exercise progression using unstable surface, resistance against “planned movement”, dual tasking and other challenges both in ipsi and contralateral patterns, transition between ipsilateral and contralateral patterns, training of isolated segmental movement
Introduction to cortical functioning – body scheme, quality of relaxation, isolated segmental movements
Provide more complex clinical management explanation for clinicians to better integrate more advanced DNS protocols into clinical practice
Optimally prepare students for the next level of training (Course “C”)