Dynamic Neuromuscular Stabilization (DNS)
Dynamic Neuromuscular Stabilization isn’t a technique or a procedure. Rather, it is a rehabilitation system which restores proper movement and joint stability.
“It is an overlooked and underappreciated concept in the rehabilitation community.”
The brain does not think in individual muscles, it thinks in movements. We call this a motor pattern or, easier described as a movement pattern. It’s how your body is able to stabilize your core as you reach to open a door but still allow you to breath at the same time. It is an overlooked and underappreciated concept in the rehabilitation community. While there are neuromuscular principals by which all of our movements must follow, we all develop our own unique movement patterns. If all goes well, our bodies learn to move from rolling over as an infant to sprinting without a hitch as an adult. Think of someone you know who is naturally athletic. Or, someone who is over 60 years old and can still get off the ground without using their hands (go ahead, try it…).
Problems occur however, when an incorrect or faulty movement pattern develops. This will cause an imbalance and increased muscle tension. This will cause increased loading of joints, ligaments, and tendons. The end result is pain, joint degeneration, and loss of function.
The Dynamic Neuromuscular Stabilization system identifies your movement flaw which is causing dysfunction and pain. From this, you will receive specific movement exercises to correct your problem. This is not just strengthening or stretching exercises… it’s getting your body to move like it should.
Causes of imbalance and faulty movement patterns:
- Poor posture – caused by sedentary work environment is a common cause.
- Injury – An injury can cause an imbalance like a fall or contact sports. Or, because of a long standing imbalance, you threw your back out while lifting a box off the floor.
- Surgery – A guaranteed cause of an imbalance from surgical changes and pain avoidance behavior.
- Deconditioning – This is a nice way of saying your body has gotten weak from inactivity.
An example of faulty movement patterns causing pain:
Hip pain – Patient suffers a grade 2 ankle sprain in college. She does not have it treated or it was poorly treated. This caused a loss in ankle dorsiflexion (bending your foot and ankle upward) and limits hip extension. Poor hip extension causes glute weakness and inhibition. A hip that does not go into extension regularly, will eventually lead to hip flexor and IT band tightness. This chronic hip flexor tension with glute weakness can cause tendonitis, bursitis, and pelvic instability. Research citation link here and here.