Dynamic Neuromuscular Stabilisation (DNS) is the name given to the field of postural and functional rehabilitation originating from the Charles University in Prague (Czech Republic).
The DNS moto is ‘Motor Control for Life’.
“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.”
This is why many of the DNS assessments and exercises are reminiscent of infant milestones.
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 Voita, Karel Lewit, Vladmir 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 (DNS) that are designed to restore and stabilize locomotor function.
Active exercises are usually part of our recovery from injury and for maintenance of our movement patterns. DNS and other functional rehabilitation methods 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 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 by promoting self management and in the long run 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