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Professor Pavel Kolar is a physiotherapist who serves as the Director of the Rehabilitation Department at the University Hospital Motol School of Medicine, Charles University in Prague, Czech Republic. He is the founder of Dynamic Neuromuscular Stabilization, a “cutting edge” approach in diagnosis and treatment of musculoskeletal and neurological disorders including cerebral palsy Professor Kolar has taught DNS in Europe, North America, Asia, Australia and New Zealand. He is also the appointed team clinician for the Czech sport teams. |
Workshop 4b
Session 3A/4A
14.30-18.00 |
Spinal Stability Workshop b. Neurodynamic Stability
Etiology of back pain should be investigated not only from an anatomical and biomechanical standpoint, evaluating influence of external forces acting on the spine, but should also include evaluation of the internal forces induced by the patient’s own musculature. Activation of the stabilizing muscles is automatic and subconscious, preceding every purposeful(or dynamic) movement. The integrated stabilizing system of the spine consists of well balanced activity between deep neck flexors and spinal extensors in the cervical and upper thoracic region. Stability of the lower thoracic and lumbar region is dependent on the proportional activity between the diaphragm, pelvic floor, all the sections of the abdominal wall and spinal extensors. Under pathological conditions, insufficient postural function of the diaphragm, abnormal recruitment and timing between diaphragmatic and abdominal muscles activity, abnormal initial chest position and hyperactivity of the superficial spinal extensors can be observed. Kolar’s approach to Dynamic Neuromuscular Stabilization (DNS) explains the importance of the above muscular interactions and their proper recruitment for dynamic stability of the spine and utilizes a series of systematic dynamic tests. DNS is a complex approach, encompassing principles of developmental kinesiology during the 1st year of human life, defining posture, breathing stereotype and functional joint centration from a “neurodevelopmental” paradigm. The treatment approach is based on reflex locomotion principles and ontogenetic postural locomotor patterns. 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.
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