This course emphasizes neurodevelopmental aspects of motor control in order to assess and restore dysfunction of the locomotor system and associated syndromes.
Dynamic Neuromuscular Stabilization (DNS) is a rehabilitation strategy based upon the inter-relationship of developing child and neuro-physiological maturation of postural-locomotor system. Kolar’s approach to DNS explains the importance of muscular interactions and their proper recruitment for dynamic stability of spine and utilizes a series of systematic dynamic tests.
DNS diagnosis is based on comparing the patient’s stabilizing pattern with stabilization developmental pattern of a healthy baby. The treatment approach is based on reflex locomotion principles and ontogenetic postural locomotor patterns. The brain must be properly stimulated and conditioned to automatically activate optimal movement patterns that are necessary for co-activation of stabilizers.
The ultimate strategy is to teach the brain to maintain central control and stability of the movement restored during the therapy. This can be achieved by activation of the stabilizers when placing the patient in the primal developmental positions. The primary goal of this treatment approach is to optimize distribution of internal forces of the muscles acting on each segment of the spine and/or any other joint.
DNS can be used in infants to:
Stimulate the achievement of important development milestones at appropriate times
Stimulate symmetrical development
Improve the quality of movement
Educate the parents to properly handle infants
DNS can be used in neurological patients for:
Achieve independence in ADLs and improve QoL
General and Specific objectives
Demonstrate an understanding of developmental kinesiology and its relationship with pathology of the locomotor system: review theory covered in the A course and introduce more advanced theory, namely the verticalization process
Describe the basis for primitive reflexes and postural reactions and their roles in developmental kinesiology
Introduce basic information about reflex locomotion according to Vojta
Perform demonstration of assessments of babies: attendees will be able to recognize ideal and disturbed locomotor patterns and determine developmental age of the babies
Demonstrate and teach proper handling of infants
Demonstration application of DNS assessment and treatment in adult patients with pain and dysfunction within the locomotor system – stabilization assessment and treatment strategy
Postural analysis & testing of integrated spinal stabilization system – review of Course A tests and introduction to additional, advanced tests
Integration of corrective exercises based on newly taught DNS functional tests
Exercise in differentiated ipsilateral and contralateral static positions, position transfer during locomotor function, exercise progression using unstable surface, resistance against “planned movement”, dual tasking and other challenges both in ipsi and contralateral patterns, transition between ipsilateral and contralateral patterns, training of isolated segmental movement
Introduction to cortical functioning – body scheme, quality of relaxation, isolated segmental movements
Provide more complex clinical management explanation for clinicians to better integrate more advanced DNS protocols into clinical practice
Michal graduated from the Faculty of Physical Education and Sport, Charles University in Prague, achieving Master’s Degree in Physiotherapy in 1998. Specializing in rehabilitation of locomotor dysfunction and functional treatment of clients with vertigo and balance problems, but also treating patients with various neurological and orthopaedic diagnosis; Michal worked as physical therapist at the Department of Rehabilitation and Sports Medicine, University Hospital Motol in Prague for more than 10 years. Since November 2011, Michal works as Senior physiotherapist at Professor Kolar’s private Centre of Movement Medicine located in Prague. Michal Truc closely works under Professors Pavel Kolar’s supervision, becoming an expert in the Dynamic Neuromuscular Stabilization approach. He acts as certified instructor in Developmental Kinesiology and Dynamic Neuromuscular Stabilization since 2001. He has been teaching the DNS courses in Czech Republic, Slovakia and other European countries, Japan, China, Taiwan, North and South America. Since 2003, Michal has been appointed team clinician for Czech National Cross-Country Skiing Team and Czech National Hockey Team. Michal has been functionally evaluating and treating elite athletes on daily basis also traveling with the teams for International World Championships and Olympic Games. Michal is a Certified therapist in Reflex Locomotion (according to Vojta), Mobilization and Relaxation Techniques (according to Lewit), and Dynamic Neuromuscular Stabilization (according to Kolar). Michal has also been trained in treatment of Functional Disorders of Orofacial System by Dr. Clayton Skaggs (St. Louis, Missouri, USA), Trigger Point Treatment (according to Prof. Simons - DeKalb Medical Centre, Atlanta, USA), Quadruped Locomotion and Creeping (according to Klapp), Kinesiotaping, Non-invasive laser therapy and magnetic field therapy, Myoskeletal ultrasound examination.
During Sports Medicine & Athletic Rehabilitation there is a predictable & visible pattern of compensation that is addressed by Kinetic tape with Menthol & Negative ions on the Kinetic Chain performance.
This 4-day course is based on neurophysiology, neuroanatomy, muscle physiology, and kinesiology, emphasizing diagnostics for pediatric clients.
This course emphasizes neurodevelopmental aspects of motor control in order to assess and restore dysfunction of the locomotor system and associated syndromes