Dynamic Neuromuscular Stabilisation (DNS) is the name given to the field of posture and movement diagnosis and treatment from the famous Prague school of rehabilitation.
“The nervous system establishes programs that control human posture, movement and gait. This ‘motor control’ is largely established during the first critical years of life. Therefore, the “Prague School” emphasizes neurodevelopmental aspects of motor control in order to assess and restore dysfunction of the locomotor system and associated syndromes.
The “Prague School” of Rehabilitation and Manual Medicine was established by key neurologists/physiatrists, all of whom were giants in the 20th Century rehabilitation movement: Professors’ Vaclav Vojta, Karel Lewit, Vladimir Janda, and Frantisek Vele.
Based upon the groundbreaking neurodevelopmental and rehabilitation principles described by these mentors, Pavel Kolar has organized the next generation of clinical protocols that are designed to restore and stabilize locomotor function. This new rehabilitation approach is called Dynamic Neuromuscular Stabilization (DNS).”
This is a direct quote from the Prague School website (www.rehabps.com) where more information can be found about this groundbreaking rehabilitation method.
Active exercises are usually part of our recovery from injury and maintenance of functionality. Currumbin Beach Chiropractic employs DNS and other methods to provide patients with the tools to help themselves.
Further explanation of DNS from their own literature:
“Dynamic Neuromuscular Stabilization (DNS) according to Professor Kolar, is a functional diagnostic treatment approach based on the principles of developmental kinesiology. The DNS concept is based on the fact that correct body posture and correct movement flow are dictated by the body posture and movements of healthy children. During the first years of life, despite not being taught, healthy children automatically attain the ability to maintain body posture and movement in space. All children develop motor skills in the same way because the development of movement is genetically coded and depends on the function of a healthy nervous system. Since the patterns observed in all healthy children are genetically predetermined, the DNS concept assumes that these movements are optimal, meaning that healthy children demonstrate correct body posture as well as correct types of movement behavior. In adults, posture and movement quality are often disturbed as a result of abnormal loading of the movement system. This can be caused by undesirable movements, sports, sedentary work postures or as a result of orthopedic, neurological and other disorders.
The DNS concept compares a patient’s posture and their movement patterns to the developmental models of healthy infants. This comparison then identifies the discrepancies that need to be treated with therapy. DNS therapy approaches are based on the principles of exercises in developmental positions. Any developmental position can serve as an exercise position. The emphasis is placed on a precise position in every joint and on the coordination of trunk stabilizing musculature, which include abdominal, pelvic floor and back muscles. Learning correct breathing techniques during exercise is also a vital component of DNS therapy as it is important for the patient to become aware of and master the coordination of the correct breathing and efficient movement patterns. The goal of therapy is to balance the effect of the internal forces of the muscles that act on the spine and the joints. DNS therapy is mainly an educational process that teaches the patient how to optimally engage spinal and joint stabilizers in static positions, as well as, during movement. During therapy, the patient initially exercises under the guidance of a physical therapist who corrects their posture and movement. With time, the patient learns how to recognize and correct mistakes during exercising. The patient practices at home in precisely defined exercise positions and, as a result of these repeated and regular exercises, the patient masters the ideal movements. In an optimal situation, the patient then uses correct posture and coordinated movement during activities of daily living, at work and during sports.”
The DNS model fits with our clinic ethos of “teach a man to fish and you feed him for a lifetime” or helping patients to help themselves and “to see our patients as little as possible to get them as good as possible” .
For more information check out the DNS website: http://www.rehabps.com
Matt has completed his DNS practitioner certification https://www.rehabps.cz/rehab/certified_practitioners.php