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    DNS - Sport III Part1

    Uploaded by

    jole000
    This document discusses Kolar's approach to Dynamic Neuromuscular Stabilization (DNS) for improving athletic performance and preventing injury. DNS focuses on developing functional joint centration through corrective exercises that train stabilizing muscles in kinematic chains. Key points of DNS include: - Developing ideal joint positioning through coordinated antagonistic muscle activity guided by normal central nervous system development. - Emphasizing global movement patterns like ipsilateral and contralateral patterns that were important in early human development and are still used in many sports. - Assessing posture and movement to identify impairments and target stabilizing muscles like the diaphragm, pelvic floor, and trunk muscles to improve performance and reduce injury risk.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DNS - Sport III Part1

    Uploaded by

    jole000
    903 views6 pages
    This document discusses Kolar's approach to Dynamic Neuromuscular Stabilization (DNS) for improving athletic performance and preventing injury. DNS focuses on developing functional joint centration through corrective exercises that train stabilizing muscles in kinematic chains. Key points of DNS include: - Developing ideal joint positioning through coordinated antagonistic muscle activity guided by normal central nervous system development. - Emphasizing global movement patterns like ipsilateral and contralateral patterns that were important in early human development and are still used in many sports. - Assessing posture and movement to identify impairments and target stabilizing muscles like the diaphragm, pelvic floor, and trunk muscles to improve performance and reduce injury risk.

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    DNS - Sport III Part1

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    This document discusses Kolar's approach to Dynamic Neuromuscular Stabilization (DNS) for improving athletic performance and preventing injury. DNS focuses on developing functional joint centration through corrective exercises that train stabilizing muscles in kinematic chains. Key points of DNS include: - Developing ideal joint positioning through coordinated antagonistic muscle activity guided by normal central nervous system development. - Emphasizing global movement patterns like ipsilateral and contralateral patterns that were important in early human development and are still used in many sports. - Assessing posture and movement to identify impairments and target stabilizing muscles like the diaphragm, pelvic floor, and trunk muscles to improve performance and reduce injury risk.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    903 views6 pages

    DNS - Sport III Part1

    Uploaded by

    jole000
    This document discusses Kolar's approach to Dynamic Neuromuscular Stabilization (DNS) for improving athletic performance and preventing injury. DNS focuses on developing functional joint centration through corrective exercises that train stabilizing muscles in kinematic chains. Key points of DNS include: - Developing ideal joint positioning through coordinated antagonistic muscle activity guided by normal central nervous system development. - Emphasizing global movement patterns like ipsilateral and contralateral patterns that were important in early human development and are still used in many sports. - Assessing posture and movement to identify impairments and target stabilizing muscles like the diaphragm, pelvic floor, and trunk muscles to improve performance and reduce injury risk.

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    You are on page 1of 6

    www.rehabps.

    com

    11.12.13

    DNS Functional tools

    Kolars Approach to Dynamic


    Neuromuscular Stabilization in sport
    and fitness
    DNS Exercise course PART III/1
    Rehabilitation Clinic
    University Hospital Motol
    Charles University
    Prague, Czech Republic

    Athletic performance
    ! Throwing, kicking,
    lifting, running,
    jumping!.
    ! Involves part of the
    global patterns
    ! Picture of perfect
    body segments
    aligment
    Functional joint
    centration

    Functional joint centration


    = Neutral joint position
    ! Able to generate maximal muscle
    power
    ! Improve sport performance
    ! Equal loading of the joints - decreases
    load on ligaments and tendons, prevent
    cartilage overuse and degeneration
    ! May prevent repetitive strain injury

    Dynamic Neuromuscular Stabilization

    ! Posture assesment comparison with


    ideal developmental posture
    ! Movement analysis in context with ideal
    developmental pattern
    ! Corrective training of the stabilizing and
    dynamic function of the muscles in the
    kinematic chain

    Development of
    Functional Joint
    Centration
    Position of joints is
    controlled by coordinated
    co-contraction of
    antagonists. Also linked
    up with muscles providing
    joint stabilization.
    Well balanced activity of
    antagonists ensures wellcentrated joints and this
    depends only on a
    normally developed CNS.

    Physiological development
    4,5 months: sagittal stabilization of
    spine, chest and pelvis completed
    Physiological
    CNS maturation
    !Ideal stabilization
    !Ideal
    biomechanical
    condition
    !Functional joint
    centration

    www.rehabps.com

    !"#$%&'&(%)*'+

    11.12.13

    Postural Tasks
    Loading, Exercise, Weightlifting..

    !*,"&'&(%)*'+

    Viscera are pressurized by diaphragm,


    pelvic floor and abdominal wall
    Intra-abdominal pressure increases
    Posture = Initial position (axis)
    diaphragm and pelvic floor Essential
    Quality of stabilization pattern

    Global motor
    patterns

    m. transversus abdominis
    !!! YES !!!
    !!! NO !!!

    Ipsilateral
    p.

    Throwing, kicking, lifting,


    running, jumping!.
    Involves always part of those
    global patterns

    Sagittal stabilization

    Kontalateral p.

    2nd phase of development un subcortical


    level: Between 5-12 months:
    Stepping forward and supporting function of
    the extremities

    Ipsilateral pattern

    Contralateral pattern

    Dynamic Neuromuscular Stabilization

    Ipsilateral pattern

    Contralateral pattern

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    www.rehabps.com

    11.12.13

    Ipsilateral patterns in Motor


    development
    ! Rolling from supine to prone
    ! Oblique sit

    ++++++++++++-+.&/,"$0+$,*1,$+,21/%/(+

    @*($&<.-A60$/<3&%-'/.$%6*?.0$?)/-'!"#$%%&"'()"
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    !
    !
    !
    !

    Ipsilateral patterns

    Throwing
    Ground Strokes
    Golf swing
    Kicking

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    /1,'.3%3').3%"=>?>"
    >'.3+6('),+,6"$#"1,"'()"&$##1.0,6")%;15"
    """

    Cocking ! acceleration

    Acceleration muscle activity

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    Dynamic Neuromuscular Stabilization

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    www.rehabps.com

    11.12.13

    Support function upper extremity


    ! Facial side support function
    ! Scapula is centrated around
    head of the humerus via distal
    muscle pull (long head of biceps,
    triceps, external rot.) and
    adheres toward the thorax via
    serratus ant and oblique muscle
    chains
    ! ADD of the scapula has distal
    pull and upright T spine allow
    segmental rotation via mm
    multifidis, rotatores
    ! Proper stabilization function and
    centrated segmental aligment
    allow greatest muscullar
    efficiency on the fasical side

    ! Medial edge of the


    scapulae should be
    parallel with spine
    ! Angles adhering
    towards rib cage
    ! Mid trapesius and
    rhomboidei uprighting
    T spine
    ! Via serratus anterior
    connected with
    abdominal wall
    oblique muscle chains

    Support function - lower extremity

    Supporting leg
    Tibialis ant. and triceps keep the ankle in 90- fix point
    Hamstrings and rectus abd. - dorsal tilt of pelvis

    ! Weight bearing on the left


    foot
    ! Knee extension via vasti and
    gastrocnemii
    ! ADD rotates pelvis around
    the hip
    ! Rectus femoris and
    hamstrings in cocontraction
    control ventrodorsal stability
    of the pelvis
    ! External rot. via excentric
    contraction controls
    lateral stability in hip
    !
    distal muscle pull

    External rotatores rotate the pelvis around the hip


    Add- antigravity function

    Stepping forward
    Stepping forward

    weightbearing

    Contralateral patterns in development


    !
    !
    !
    !

    Stabilization of the
    shoulder blade

    Crawling
    Tripod
    Standing up
    Walking

    5th MONTHS

    WB on medial elbow, < 90 shld flexion


    ! WB on pubic symphysis and L-S area
    - time where the pelvis reaches neutral
    position and there is a coordination
    between pelvic floor and diaphragm
    muscles to produce the intra-abdominal
    pressure for stability

    Dynamic Neuromuscular Stabilization

    www.rehabps.com

    Contralateral pattern

    11.12.13

    Trunk stabilization via oblique


    muscle chains

    Stepping forward

    Contralateral pattern in sport

    ! Running
    ! Skating
    ! Skiing
    ! Jumping from one leg long jump, high jump
    ! Cycling

    Global motor patterns


    ! Critical for physiological development of our
    structure
    ! Dynamic neuromuscular strategy that leads to
    optimal joint position that allows for the most
    effective mechanical advantage during full range
    of movement
    ! Allows for maximal muscle pull and protection of
    passive structures
    ! Well balanced activity of antagonists ensures
    well-centrated joints and this depends only on a
    normally developed CNS

    Dynamic Neuromuscular Stabilization

    Athletic Performance
    Automatic utilization of all the principles described
    !Automatic integration of postural locomotion function with
    afferent information
    !Oro-facial muscles also fulfill stabilization function
    !Integration of eyesight eyes are leading, move (proceed) in
    the direction of stepping forward = throwing hand
    !Reciprocal position/movement of the extremities.

    Muscle function????
    Excentric contraction
    Distal muscle pull
    Stabilization function

    Concentric contraction
    Proximal muscle pull
    Steping forward

    www.rehabps.com

    11.12.13

    How to asses the quality of the


    postural function

    Janda: Minimum muscle activity is necessary for


    primary stance: Evaluate muscle tone distribution

    ! Visual assesment of the posture


    muscle tone distribution
    ! DNS tests postural function of
    diaphragm and core
    ! Movement analysis compare with
    quality of global pattern (ipsilateral,
    contralateral..)
    ! Quality of cortical function ability of
    relaxation and making isolated movements

    Clinical Postural Impairments


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    C?-**&1*Y$

    8)0*($%&40*$
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    $P0.4-*$%&40*$$
    /'(01-&1.=$

    www.rehabps.com

    DNS principles for athletic


    population and training!

    Dynamic Neuromuscular Stabilization

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