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Wisconsin Chiropractic Association 3/22/2019
Alex Earl, DC
[email protected] • Active Health & Restoration,
Owner • Midwest Rehabilitation Institute,
President, Co-Founder • Chiropractic Rehab Diplomate,
faculty • Dynamic Neuromuscular
Stabilization Practitioner (DNSP)
• Clinical Instructor, Owen’s Recovery Sciences
*
I have a bias:
“If you only have a hammer in your toolbox, all you see is a nail.”
TRUE, however, having a tool in your toolbox doesn’t tell you WHEN and HOW to use them and toward what goal.
“Toolbox” approaches are practitioner-centered.
“To me, a toolbox or ‘eclectic’ concept is a disorganized approach centered around applying different tools or products without consistent reasoning process or thinking model behind them oftentimes starting with preferred methods first then working downward.” – Jason Silvernail
What is DNS?
“DNS is a new and unique rehabilitation strategy based on the principles of developmental kinesiology and the
neurophysiological aspects of maturing locomotor system.”
Pr. Pavel Kolar, PhD
Head of the Clinic of Rehabilitation and Sports Medicine
2nd Medical Faculty – Charles University
Private clinic – Prague, Czech Republic
Serves as medical specialist for the Czech Olympic team, Davis Cup team, ice hockey team and many other professional athletes in Europe.
Prof. Vaclav Vojta, MD Prof. Karel Lewitt, MD
Developmental Kinesiology
Developmental Kinesiology
DNS Principles
Regulation of IAP (Intra-abdominal pressure) in isolated movements & global movements.
Functional joint centration
Integration of multi-sensory influences on movement.
Levels of Motor Control
Quick recap….
1. Spinal & Brain Stem Level (0-6 weeks) Primitive reflexes present
2. Subcortical Level (~12 months) Initiation and implementation of ipsilateral and contralateral patterns.
3. Cortical Level
Sagittal Stabilization
- Proceeds ANY movement
- Initiated by diaphragm contraction
- Followed by eccentric abdominal activity and isometric pelvic floor activity.
*Important Functions of the diaphragm.
1. Respiration
2. Postural
3. Sphincter, will not be assessed today
Start with Breathing
DNS Assessment
DNS Assessments
“Any movement can become an assessment; any assessment can become an exercise.”
DNS in Sport
The best sport performance requites maximal loading.
Functional Capacity = The point at which a person is no longer able to maintain ideal locomotion strategies due to the magnitude of the ‘strain’ on the movement system.
Load Strain
Fatigue Strain
When the duration of the movement exceeds the athlete’s capacity to main proper movement strategies; not enough “endurance”.
Speed Strain
When the athlete’s joint motion speed exceeds the athlete’s capacity to maintain proper Movement strategies.
DNS Tests Seated Intra-abdominal Pressure Test
Seated Diaphragm Test
Seated Hip Flexion Test
Shoulder Flexion Test
Quadruped Rock Test
Low Quadruped (Child’s Pose)
Squat
Bear Position
DNS Active Exercise Triple Flexion (90/90) Sequence
Seated Shoulder Flexion Sequence
Trunk Extension Test 3 month prone
4.5 month prone
7.5 month prone
Squat Traditional
Rotational
Bear Position Sequences
Quick Thought
*Any exercise becomes a “DNS exercise” if the principles are maintained. No movement is off-limits = Only limited by your own creativity.
And even with family…
Thank you!
(331) 218-3288
www.rehabps.com For a DNS course near you.
