Dynamic Neuromuscular Stabilization (DNS)

Deskription of DNS

DNS is a new and unique rehabilitation strategy based on the principles of developmental kinesiology and neurophysiological aspects of the maturing postural-locomotor system. Unlike anatomical norms, functional norms, such as posture, patterns of core stabilization or respiration are not uniformely defined. DNS derives ideal quality of these functional stereotypes from central programs maturing during early postural ontogenesis. Humans are immature at birth, both in function and morphology/structure. After birth, development continues both in function and structure. Function will be mirrored in structural development as the formative power of muscle pull change the morphology of the skeleton. The muscle function that is encoded by motor programs develops as the CNS matures. Disturbances of this equilibrium due to CNS lesions, pain, trauma, habitual patterns, or repetitive overuse often results in the etiology or perpetuation of musculoskeletal pain syndromes.

The basis for DNS stems from the early pioneers of the “Prague school”. The developmental aspects and ”Reflex locomotion stimulation” was pioneered by the Czech neurologist J.Vojta in the ´50´s, the work of the Professors: Janda, Vele and Karel Lewit is also part of the foundation. The driving force of the development of the Prague School of Rehabilitation at present is Assoc. Prof. Pavel Kolar, PaedDR.,Ph.D. Who is Director of the rehabilitation department at the largest hospital Motol in Prague. Here the DNS approach is used on patients with a wide variety of problems in the locomotor system. Ranging from sports injuries, chronic LBP with or without prolapse to spinal cord injuries and children with Cerebral Palsy or “just”asymmetrical motoric development (a cause of future pain syndromes in the locomotor system).

These faulty movement patterns will be easier to change in all age groups of your patient with the use of the DNS approach. Defining a functional normal movement pattern will enable you to navigate the growing number of exercises for rehabilitation presented to you everywhere.


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