DNS stands for Dynamic Neuromuscular Stabilization. DNS was developed by Professor Pavel Kolar of the Prague School of Rehabilitation at Charles University Motol Hospital in the Czech Republic. DNS is a system based on developmental kinesiology and human ontogenesis. Every human with a normally developing central nervous system activates the same sequence of movement, locomotor, patterns. These patterns are ideal with perfect joint centration (maximum bearing surface congruency) and co-activation of the agonist/antagonist musculature controlling the joint. These patterns are unlearned and are genetically programmed or pre-determined. DNS is concerned with activating these patterns to restore ideal biomechanics and human locomotion. A foundational concept in DNS is activation of the Intrinsic Spinal Stabilization System (ISSS) through the mechanism of Intra-Abdominal Pressure (IAP). When we have proper activation and descent of the diaphragm, concentric activity, we compress our viscera creating increased IAP pushing back against the trunk wall in all directions. Due to the increased IAP we have reactive eccentric activity of all of the components of the trunk and pelvic floor. This fixes/stabilizes the ISSS and makes the trunk an anchor for distal and proximal muscle pull from the extremities. This mechanism is pre-requisite for all other purposeful extremity movement to stabilize the trunk and prevent aberrant movement in the spine. This mechanism represents a global pattern of control that when working properly ensures the most efficient strategy for human locomotion
Spine (Phila Pa 1976). 1996 Nov 15;21(22):2640-50.
Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Hodges PW1, Richardson CA. This hallmark study shows the stabilization function of the trunk that is required preceding any purposeful movement of the extremities. The trunk functions as an anchor for muscle pull towards and away from the spine. This is governed by a global motor control pattern or strategy. When there is dysfunction in the motor control pattern (CNS) there is instability and aberrant movement in the spine. Dynamic Neuromuscular Stabilization (DNS) accesses and restores the ideal movement strategy/global motor control pattern. |
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