In ideal alignment of a joint there is an efficient movement pattern.
A joint that is poorly centrated will have ineffective stabilizing muscles that can lead to instability or stiffness, increasing the risk for injuries. The goal with DNS training is to achieve joint centration- where a joint is in its correct biomechanical position during motion and load. Then, there’s something called joint centration The co-contraction of these muscles regulates IAP and is key for core stability. The correct use of the diaphragm stimulates the contraction of pelvic floor and abdominal wall muscles-“the cylinder”- which increases Intra-Abdominal Pressure (IAP). There is strong clinical evidence that back pain is more prevalent in those individuals with reduced ability to activate the diaphragm’s dual function of postural stability and breathing. The diaphragm is a respiratory–inhalation muscle, but it also performs a very important stabilization function. Therefore, the DNS approach begins with an assessment and correction of breathing. DNS treatment and training rely heavily on basic neurophysiological principals of the movement system.Ī common cause of poor stability is an incorrect breathing pattern.
Dynamic neuromuscular stabilization book pdf manual#
Some patients can correct the pattern themselves with just instructions, others might need manual treatments. The DNS strategy aims to restore our innate movement pattern through specific manual treatment and trainingĪn initial assessment identifies dysfunctional stabilization patterns. In adults, the first indication of dysfunctional movement patterns is often discomfort and pain. Consequently, compensation develops and the required muscle balance for correct stability is compromised. Ideally, these innate stabilization patterns should stay with us all our life, but for a variety of reasons-injuries, posture issues, incorrect training, stress, anxiety-they are disturbed. The vast majority of us reach developmental milestones like sitting, crawling, and walking in the same way, at about the same age, and with perfect stabilization patterns. During our first year of life, as the central nervous system matures, there is a gradual and automatic development of movement. We start out with perfect stabilization patternsĭNS is based on the fact that humans are genetically wired for correct muscle patterns for stability. Its applications are wide-from prevention and rehabilitation of chronic pain to the optimization of athletic performance. Dynamic Neuromuscular Stabilization (DNS), it’s an intimidating mouthful, but bear with me while I explain this exciting approach for the restoration of correct core stability.