Dynamic Neuromuscular Stabilization
(DNS) is a
developmental
kinesiology
approach
Dynamic
Neuromuscular
Stabilization
Dynamic Neuromuscular Stabilization
(DNS) is a
developmental
kinesiology
approach,
based on the
theories 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
purposefully
via muscular
activity.
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.
A key premise of the DNS approach is that every joint
position
depends on
stabilizing
muscle
function and
coordination
of both the
local and
distant
muscles in
order to
ensure neutral
or centered
position of
joints in the
kinetic chain.
The quality of
this
coordination
is critical
for joint
function and
influences not
only local,
but also
regional and
global
anatomical and
biomechanical
parameters in
the kinetic
chain.
The ultimate
strategy is to
“train the
brain” to
maintain
central
control, joint
stability and
ideal quality
of movement
that is
achieved
through
guidance from
the clinician.
Eventually,
through
repetition of
the exercises,
the central
control
establishes an
automatic
model that
becomes a
fundamental
part of
everyday
movement and
skills.
Integration of
an ideal
pattern of
stabilization
in sport
activities
would not only
reduce the
risk of
injuries and
secondary pain
syndromes
resulting from
overloading,
but may also
improve sport
performance.
DNS can be
used for
everyone, from
the elite
athlete,
infants and
those with
intervertebral
disc problems.
Please note
that DNS is
rehabilitation
exercise
based, looking
at the ideal
posture from a
developmental
perspective
and muscle
cooperation
for ideal
joint loading
(ideal motor
stereotypes).
Suggested
reading:
Dynamic
neuromuscular
stabilization
and sports
rehabilitation.
Kolar P et al.
IJSPT. Feb
2013.
