Professional paper
https://doi.org/10.21751/FRM-39-4-2
DYNAMIC NEUROMUSCULAR STABILIZATION – BASIC PRINCIPLES, ASSESSMENT AND REHABILITATION OUTCOMES WITH PARTICULAR CONSIDERATION TO NON-SPECIFIC CHRONIC LOW BACK PAIN
Jelena Marunica Karšaj
Štefanija Opalin
Tomislav Nemčić
Simeon Grazio
Abstract
Introduction: Dynamic neuromuscular stabilization (DNS) is a unique concept that combines neurophysiological principles of the locomotor system and the correct breathing pattern. It is based on developmental kinesiology,
emphasizing the existence of predetermined ontogenetic motor patterns. The objective was to present the basic principles of DNS, the difference between correct and incorrect activation of the musculature during the administration of DNS assessment, and rehabilitation outcomes in chronic non-specific low back pain.
Methods: Google Scholar, PubMed, and Web of Science were searched. Original scientific papers, observational studies, systematic reviews, and book chapters were selected using the terms: dynamic neuromuscular stabilization,
developmental kinesiology, core stability, reflex locomotion in successive combination with non-specific chronic low back pain, pain intensity, and functional disability from 1975 to 2023. Overview: DNS is a diagnostic-therapeutic method that enables reconstruction of incorrect patterns due to impaired stabilization in adulthood by adopting positions and movements from the first year. DNS is based on the activation of the internal trunk stabilizers and a regular breathing pattern before performing movements. It involves precise coactivation of the spine’s intrinsic muscles, forming an Integrated Spinal Stabilization System (ISSS), which includes the neck flexors and extensors, the diaphragm, the transversus and rectus abdominis muscles, the multifidus, and the pelvic floor muscles. Ontogenetic motor patterns regulate the intraabdominal pressure, optimizing the abdominal wall tension, activating ISSS, and enhancing movement fluency. The research results on chronic non-specific low back pain after DNS showed a significant reduction in pain intensity and functional disability compared to conventional exercises. Conclusion: Its perspective and rehabilitation outcomes include restoration of ISSS, intraabdominal pressure regulation, and prevention of excessive joint load for optimal performance. Effectiveness-wise, the DNS concept is
indicated in rehabilitating the most common pain syndromes, such as chronic non-specific low back pain.
Keywords
dynamic neuromuscular stabilization, chronic non-specific low back pain
Hrčak ID:
342690
URI
Publication date:
21.12.2025.
Visits: 559 *