Dynamic Neuromuscular Stabilization (DNS)

Founder of the Dynamic neuromuscular stabilization (DNS( is Prof. PeaDr. Pavel Kolář, Ph.D., who used his knowledge from the developmental kinesiology, described especially by Prof. Václav Vojta. Kinesiology was also the field in which Doc. MUDr. František Véle CSc. worked, he was involved in describing and classifying the principles of kinesiology in physiotherapy. Inspiration for Dr. Kolář was also Prof. MUDr. Karel Lewit who was also one of the founders of the so called Prague School.

PRINCIPLE OF THE DNS:

DNS concept is based on the developmental kinesiology. It is a deliberation of how to use the knowledge of the developmental kinesiology for diagnosis and therapy of functional disorders of the movement system. Dynamic neuromuscular stabilization is dealing with movement stereotypes, with the correct ones as well as the less improper ones which were created throughout our lives from the early childhood or by improper body movements during daily life activities, sport, or in later age. Therefore DNS is trying to “re-program” the wrong movement stereotype in our CNS (central nervous system - spinal cord and brain), and optimize our movement behavior through developmental kinesiology principles.

Developmental kinesiology is dependant of the genetically conditioned movement programmes in the central nervous system. These programmes are thanks to maturing CNS activating, and they control the posture and locomotion (performing the movement). When we talk about ability to keep posture (correct body posture) we mean the ability to activate the so called “deep stabilization system”.

If the muscles of the deep stabilization system are not functioning normally, it usually leads to spreading the tension even on the muscles that are primarily designed to for movement (locomotion). If CNS demands from these muscles also keeping the body posture, it usually leads to overload and its just a question of time when will the functional disorder occur in form of pain, blockage or muscle dysbalance … or it can lead to structural damage (tearing the muscle fibres, tendons…). These functional or structural damages have a retroactive effect on the postural function of the deep stabilization system, which forms a vicious cycle.

Deep stabilizing system has to optimally react to certain situations (kneeling, standing, walking, lifting some object/weight, …). Any burden immediately affects the body, and body reacts to this situation. The joints have to stay centrated and in a correct position. That means that the joint surface is burdened evenly and are thus protected from any premature wears. At the same time, muscles in the joint area are in optimal and “economical” tension. That means that there is not a single muscle group more active than the other, thus it doesn’t form any muscle imbalance. Each movement is performed with as little economical burden as possible. Incorporating the muscles and muscle groups has to be economically as effective as possible in the muscle coordination. In order for this movement to be performed elegantly and smoothly, the trunk and joints should be stabilized.

DNS is dealing with muscle dysfunctions of the musculoskeletal system, therefore it is not about searching for a solution of the disorder of insufficient or excessive strength in the muscles or the size and weight (as it is apparent by athletes), it is especially about correct functional activity of the muscle chains and the ability to economically time the activity of each muscle and motor unit. DNS therapy is as a matter of fact “repairing” the incorrect movement program, which is saved in the CNS.

Illustrative photos:

CLdns06 (1) CLdns03 (1) CLdns04 (1) CLdns05 (1) CLdns06 CLdns07 

You can get to know the methods of DNS also from our videos. In the first video is a technique ideal for stretching the shoulder to the sides, which is used for removing the pain from the area of the ribs or chest. Another method is activation of the diaphragm with breathing into your back. It is a technique, that is used for removing pain from thoracic spine and lower ribs. This methods is applied in treatment of the lumbar spine, acute blockages etc. In another two videos, we use big gym ball. These exercises are mainly ideal for strengthening the center of the body.

YTRelaxace horních vláken trepézu (1)YT Activating DiaphragmYT BOSU Exercise1YT Rotating to the side 



Author:
Mgr. Iva Bílková, FYZIOklinika physiotherapy Ltd., Prague, Czech Republic

Source: Certified training of DNS, informations acquired during studies on college by prof. Pavel Kolář

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