Maryland Chiropractic Association · “DNS is a new and unique rehabilitation strategy based on...
Transcript of Maryland Chiropractic Association · “DNS is a new and unique rehabilitation strategy based on...
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Wisconsin Chiropractic Association 3/22/2019
Alex Earl, DC
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[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
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*
I have a bias:
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“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
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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.”
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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.
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Prof. Vaclav Vojta, MD Prof. Karel Lewitt, MD
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Developmental Kinesiology
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Developmental Kinesiology
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DNS Principles
Regulation of IAP (Intra-abdominal pressure) in isolated movements & global movements.
Functional joint centration
Integration of multi-sensory influences on movement.
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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
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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
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Start with Breathing
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DNS Assessment
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DNS Assessments
“Any movement can become an assessment; any assessment can become an exercise.”
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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.
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Load Strain
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Fatigue Strain
When the duration of the movement exceeds the athlete’s capacity to main proper movement strategies; not enough “endurance”.
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Speed Strain
When the athlete’s joint motion speed exceeds the athlete’s capacity to maintain proper Movement strategies.
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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
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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
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Quick Thought
*Any exercise becomes a “DNS exercise” if the principles are maintained. No movement is off-limits = Only limited by your own creativity.
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And even with family…
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Thank you!
(331) 218-3288
www.rehabps.com For a DNS course near you.