The Effects of Dynamic Neuromuscular stabilization Exercise on Forward Head Posture and spine Posture

Bae, Wonsik; Lee, Keon-Cheol; Lee, Dong-Yeop

doi:10.5958/0974-1283.2019.00253.6

Cited by 7 publications

(15 citation statements)

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“…DNS utilizes the subconscious stimulation of special zones (chest zones) to re exively mediate the diaphragm and other core stabilization muscles, which is extremely effective for individuals with reduced somatosensory or movement awareness (33). Despite the use of DNS in some disorders (34)(35)(36)(37), there is limited evidence of effectiveness of this method in PWMS. So, the current study's aim is to compare effect of DNS to CS exercises in balance, falling and spasticity in PWMS.…”

Section: Discussionmentioning

confidence: 99%

“…In DNS, the individual must maintain the intra-abdominal pressure and perform the locomotive movement voluntarily (31). According to the evidence, DNS is an effective protocol to signi cantly improve respiratory function (34), and reduce forward head posture (35). It was effective in standing, walking, and jumping in patients with spastic diplegic cerebellar palsy (36), and in addition, DNS can improve trunk function, balance, and fear of falling in individuals with hemiparetic stroke (37).…”

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confidence: 99%

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Effect of Dynamic Neuromuscular Stabilization On Balance And Trunk Function In People With Multiple Sclerosis: Protocol For A Randomized Control Trial

Marand¹,

Dehkordi²,

Roohi-Azizi³

et al. 2021

Preprint

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Background: Multiple sclerosis is a chronic and disabling neurological disease among young people. One of the major complaints in patients with multiple sclerosis (PWMS) is falling. There are a number of factors that cause falling, including: balance disorder and spasticity. Core stability (CS) exercises such as trunk muscle strengthening exercise can improve balance and mobility and reduce falling. Dynamic neuromuscular stabilization (DNS) exercise is a new functional rehabilitation strategy that optimizes motor function based on the principles of developmental kinesiology. This trial will evaluate the effectiveness of DNS in comparison to CS on balance, spasticity, and falling in PWMS.Methods: A total of 66 PWMS, between 30 and 50 years old and expanded disability status scale (EDSS) between 2 to 5, will be recruited from Tehran hospitals to participate in this 2-armed parallel study. Participants will be randomly divided into two groups to receive CS exercise or DNS exercise. All participants will receive exercise treatment for 15 sessions during a period of 5 weeks (3 sessions per week). Primary outcome measures will be trunk function and balance. Falling rate, fear of falling, patient mobility, as well as spasticity, will be measured as secondary outcomes. All outcome measures will be measured at baseline, the day after the completion of the 15th session, and after three months.Discussion: Dynamic neurostabilization exercises utilizes the subconscious stimulation of special zones to reflexively mediate the diaphragm and other core stabilization muscles, which is extremely effective for individuals with reduced somatosensory or movement awareness. Findings from the proposed study are expected to benefit the knowledge base of the physiotherapist, and it can be a good alternative for the rehabilitation program and even reduce medication use in patients with multiple sclerosis. These exercises are easy to understand and applicable for these patients and their partners as well.Trial registration: The trial was registered in Iran registry organization with code IRCT20140222016680N5 and was approved on April 7th, 2020. Address: IRCT administration team, Central Library Building, Iran University Campus, Hemmat Freeway, next to Milad tower, Tehran, Iran. postal code:14496-14535. http://www.irct.ir/search/result?query=IRCT20140222016680N5

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Effect of Dynamic Neuromuscular Stabilization On Balance And Trunk Function In People With Multiple Sclerosis: Protocol For A Randomized Control Trial

Marand¹,

Dehkordi²,

Roohi-Azizi³

et al. 2021

Preprint

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“…Of the six eligible papers, one used variations of an acute, single-bout stretching session following ischemic compression [54], one implemented a denneroll traction device combined with neuromuscular inhibition techniques [51], and the remaining four articles focused on stabilization and strengthening of involved musculature using neuromuscular integration techniques [50,52,53,55].…”

Section: Content Descriptionmentioning

confidence: 99%

“…In the selected papers, four articles reported on FHP [50][51][52][53] and used varying methods to do so, and all articles implemented their own unique form of neuromuscular integration for the rehabilitation of FHP. Kim et al [50] involves photographing a subject from the lateral view and marking cervical vertebrae seven (C7) and the tragus of the ear.…”

Section: Forward Head Posturementioning

confidence: 99%

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A Neuromuscular Integration Approach to the Rehabilitation of Forward Head and Rounded Shoulder Posture: Systematic Review of Literature

2021

J Phys Med Rehabil

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Objective:The aim of this study was to review the scientific literature on the efficacy of neuromuscular integration techniques for the rehabilitation of forward head posture (FHP) and rounded shoulder posture (RSP). Data Sources: Online databases CINAHL, PubMed, and SportDiscus were searched for the Boolean terms: "neuromusc* AND shoulder AND posture", "neuromusc* AND neck AND posture", "neuromusc* AND head AND posture". Study Selection: Reviewed studies were limited to human studies with an exercise intervention. Studies that contained participants with severe chronic conditions or acute musculoskeletal injuries were excluded. Data Extraction: One reviewer extracted data on study and patient characteristics and selected articles were evaluated by 2 raters for methodological quality. Data Synthesis: A total of 281 subjects participated in the six chosen studies that met the inclusion criteria. Exercise intervention protocols were then reviewed and recommendations were made accordingly for the FHP and RSP respectively. Conclusions: Evidence showed efficacy of neuromuscular techniques for FHP, but not for RSP. This review also highlighted the lack of research in this field and the ambiguity in practice for what constitutes a neuromuscular integration method.

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Comparison of yoga and dynamic neuromuscular stabilization exercise in chronic low back pain on magnetic resonance imaging of lumbar multifidus- protocol for a randomized controlled trial

Venkatesan

Soundararajan

Kishen

et al. 2022

Contemporary Clinical Trials Communications

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The Effects of Dynamic Neuromuscular stabilization Exercise on Forward Head Posture and spine Posture

Cited by 7 publications

References 0 publications

Effect of Dynamic Neuromuscular Stabilization On Balance And Trunk Function In People With Multiple Sclerosis: Protocol For A Randomized Control Trial

Effect of Dynamic Neuromuscular Stabilization On Balance And Trunk Function In People With Multiple Sclerosis: Protocol For A Randomized Control Trial

A Neuromuscular Integration Approach to the Rehabilitation of Forward Head and Rounded Shoulder Posture: Systematic Review of Literature

Comparison of yoga and dynamic neuromuscular stabilization exercise in chronic low back pain on magnetic resonance imaging of lumbar multifidus- protocol for a randomized controlled trial

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