Dinamik Nöromüsküler Stabilizasyon (DNS)

Öz

Bu çalışmanın amacı Dinamik Nöromüsküler Stabilizasyon (DNS) egzersiz sistemini açıklamak ve bu egzersiz sisteminin atletik performansa ve sağlık alanına farklı etkilerini incelemiş olan çalışmalar ışığında bir çıkarımda bulunmaktır. Çalışmada sistematik derleme yapmak adına literatür tarama yöntemi kullanılmıştır. Alanda yapılan çalışmaları incelemek için; Google Akademi, Scopus, Pub Med, Web of Science, ve Dergi Park veri tabanları kullanılmıştır. Yapılan literatür taraması sonucunda elde edilen verilere göre, DNS egzersiz yönteminin atletik performansa, Parkinson ve serebral palsi gibi çeşitli nöromüsküler rahatsızlıkların yanında postür bozuklukları ve kassal asimetriden kaynaklanan ağrılar üzerinde etkisinin olumlu yönde anlamlılığa sahip olduğu ortak sonucuna ulaşılmıştır. Bu derleme çalışmasının da gelecek çalışmalara katkı sağlayacağı düşünülmektedir.

Anahtar Kelimeler

• Dinamik nöromüsküler stabilizasyon
• core stabilizasyonu
• atletik performans
• DNS

Dynamic Neuromuscular Stabilization (DNS)

Öz

The aim of this study is to explain the dynamic neuromuscular stabilization exercise system and to make an inference in the light of studies that have examined the different effects of this exercise system on athletic performance and health. In the study, the literature review method was used to make a systematic review. To examine the studies carried out in the field, Google Academy, Scopus, PubMed, Web of Science, and Dergi Park databases were used. According to the data obtained as a result of the literature review, it has been concluded that the dynamic neuromuscular stabilization exercise method has a positive and significant effect on athletic performance, various neuromuscular disorders such as Parkinson’s and cerebral palsy, as well as posture disorders and pain caused by muscular asymmetry. It is thought that this review will contribute to future studies.

Anahtar Kelimeler

• Athletic performance
• core stabilization
• DNS
• dynamic neuromuscular stabilization

Kaynakça

1. Ackerman, K., & Meinhold, C. (2020). The effects of DNS on youth baseball athletes [Doktora tezi]. Azusa Pacific Universitesi, Amerika Birleşik Devletleri.
2. Alvares, K. (2019). The effects of diaphragmatic Breatinh with DNS exercises on patient with scoliosis [Doktora tezi]. Azusa Pacific Universitesi, Amerika Birleşik Devletleri.
3. Bauer, H., Appaji, G., & Mundt, D. (1992). Vojta neurophysiologic therapy. Indian Journal of Pediatrics, 59(1), 37–51.
4. Blazek, D., Stastny, P., Maszczyk, A., Krawczyk, M., Matykiewicz, P., & Petr, M. (2019). Systematic review of intra-abdominal and intrathoracic pressures initiated by the valsalva manoeuvre during high-intensity resistance exercises. Biology of Sport, 36(4), 373–386.
5. Bohme, B., & Futschik, M. (1995). Verbesserte Lungenfunktion Nach Vojta -Brus tzone n-Rei z Bei Bronchopulmonaler Dysplasie. Monatsschrift fu¨r Kinderheilkunde, 143, 1231–1234.
6. Bokarius, A. V., & Bokarius, V. (2008). Long-term efficacy of dynamic neuromuscular stabilization in treatment of chronic musculoskeletal pain. In Abstract of the 12th World Congress on Pain, Glasgow, Scotland.
7. CasasE., Justes, A., & Calvo, S. (2018). Exercises in motor development positions. What happens with the activity of antagonist muscle pairs? Pilot study. Human Kinetics.
8. Cha, J. J., Lee, J. J., Kim, D. H., & You, J. S. H. (2018). The validity and reliability of a DNS heel sliding test for core stability. Technology and Health Care, 1, 1–8.

9. Chaitow, L., Bradley, D., & Gilbert, C. H. (2014). Recognizing and treating breathing disorders. A multidisciplinary approach (pp. 93–97). Churchill Livingstone: Elsevier Health Sciences.
10. Daggfeldt, K., & Thorstensson, A. (1997). The role of intra-abdominal pressure in spinal unloading. Journal of Biomechanics, 30(11–12), 1149–1155.
11. Davidek, P., Andel, R., & Kobesova, A. (2018). Influence of Dynamic neuromuscular stabilization approach on maximum kayak paddling force. Journal of Human Kinetics, 61, 15–27.
12. Fleischmann, C. (2017). The Parkinson’s patient: Use of DNS for postüral alignment and fall risk reduction. Azusa pacific universitesi [Doktora tezi]. Amerika Birleşik Devletleri.
13. Frank, C., Kobesova, A., & Kolar, P. (2013). Dynamic neuromuscular stabilization & sports rehabilitation. International Journal of Sports Physical Therapy, 8(1), 62–73.
14. Himmelmann, K., Beckung, E., Hagberg, G., & Uvebrant, P. (2006). Gross and fine motor function and accompanying impairments in cerebral palsy. Developmental Medicine and Child Neurology, 48(6), 417–423.
15. Hodges, P. W. (2003). Core stability exercise in chronic low back pain. Orthopedic Clinics of North America, 34(2), 245–254.
16. Hodges, P. W., Cresswell, A. G., Daggfeldt, K., & Thorstensson, A. (2001). In vivo measurement of the effect of intra abdominal pressure on the human spine. Journal of Biomechanics, 34(3), 347–353.
17. Hodges, P. W., & Gandevia, S. C. (2000). Changes in intra abdominal pressure during postural and respiratory activation of the human diaphragm. Journal of Applied Physiology, 89(3), 967–976.
18. Hodges, P. W., & Richardson, C. A. (1997). Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Experimental Brain Research, 114(2), 362–370.
19. Hutson, M., & Ward, A. (2016). Oxford textbook of musculoskeletal medicine (2nd ed). İngiltere: Oxford Universtiy Press.
20. Jebovy, R., Balas, J., Vomackova, H., Szarzec, J., & Stastny, P. (2020). The Effects of traditional and stabilization- oriented exercises on deep stabilization system function in elite futsal players. MDPI Journal, 8(12), 153.
21. Kim, D. H., Lee, J. J., & You, S. J. H. (2018). Best core stabilization exercise to facilitate subcortical neuroplasticity: A functional MRI Neuroimaginin Study. Technology and Health Care, 26(3), 401–407.
22. Kobesova, A., & Kolar, P. (2014). Developmental kinesiology: Three levels of motor control in the assessment and treatment of the motor system. Journal of Bodywork and Movement Therapies, 18(1), 23–33.
23. Kolar, P. (2009). Rehabilitace v Klinické Praxi; 1. Vydání. Galen: Praha, Czech Republic.
24. Kolar, P., & Safarova, M. (2013). Dynamic neuromuscular stabilization. In Clinical Rehabilitation (pp. 262–265). Prague: Rehabilitation Prague School.
25. Lantinga, S. B. (2013). Born to run: A hidden tribe, superathletes, and the greatest race the world has never seen (book review). Pro Rege, 41(3), 31–33.
26. Laufens, G., Poltz, W., Prinz, E., Reimann, G., & Schmiegelt, F. (1999). Verbesserung der Lokomotion Durch Kombinierte Laufb and-/ Vojta -Phys iothe rapie bei Ausgewa¨hlten MS-Patienten. Physikalische Medizin, Rehab ilita tions mediz in, Kurortmedizin, 9(5), 187–189.
27. Liebenson, C. (2007). Rehabilitation of the spine: A practitioner’s manual (2nd ed). Philadelphia: Lippincott Williams & Wilkins. Mahdieh, L., Zolaktaf, V., &
28. Karimi, M. T. (2020). Effects of neuromuscular Stabilization training on functional movement. Human Movement Science, 70, 1–13.
29. Mohammad-Rahimi, N., Mahdavinezhad, R., Attarzadeh-Hosseini, S. R., & Negahban, H. (2020). Effect of dynamic neuromuscular stabilization breathing exercises on respiratory function of sedentary students with poor posture. Health Education and Health Promotion, 10(1), 19–24.
30. Niethard, F. U. (1987). Vorla¨ufige Behandlung Angeborener Hu¨ftluxation Durch Physikalische Therapie auf Basis der Neurophysiologie. Zeitschrift Fu¨r Orthopa¨die und Unfallchirurgie, 125, 28–34.
31. Norberg, J. D. (2015). Biomechanical analysis of Racewalking compared to normal walking & running gait [Theses and Dissertation- Kinesiology and health promotion]. Kentucky: University of Kentucky.
32. Pance, R., Yeole, U., Pawar, P., & Gavali, B. (2020). Effect of dynamic neuromuscular stabilization therapy vs parachute resistance training on performance level in race walkers: Comparative study. International Journal of Physiotheraphy, 7(3), 114–118.
33. Pang, M. Y., & Yang, J. F. (2001). Interlimb co-ordination in human infant stepping. Journal of Physiology, 533(2), 617–625.
34. Panjabi, M. M. (2003). Clinical spinal instability and low back pain. Journal of Electromyography and Kinesiology, 13(4), 371–379.
35. Resurreccion, F. (2020). The effect of DNS on young adult with bilateral thoracic outlet syndrome: Case study [Doktora tezi]. Azusa Pacific University, Amerika Birleşik Devletleri.
36. Ross, H. (2017). A comparison of dynamic neuromuscular stabilization and abdominal bracing on pain in adults with chronic low back pain: A case report [PhD thesis]. Azusa Pacific University.
37. Shin, J. W., Yoon, H. S., Park, J. H., Kim, H. Y., & You, J. H. (2019). Comparative immediate effects of isometric chin tuck anf dynamic neuromuscular stabilization on neck flexor muscle thickness and upright sitting height posture. Journal of Physiotherapy Korea, 26(4), 1–9.
38. Son, M. S., Jung, D. H., You, J. S. H., Yi, C. H., Jeon, H. S., & Cha, Y. J. (2017). Effects of dynamic neuromuscular stabilization on diaphragm movement, postural control, balance and gait performance in cerebral palsy. Neurorehabilitation, 41(4), 739–746.
39. SongQ., Ding, Z., Mao, D., Zhang, C., & Sun, W. (2013). Biomechanics and injury risk factors during race walking. InISBSConference Proceedings Archive, 1(1).
40. Suchomel, R.f.M. T. (2006). Stabilita v Pohybovem Systemu a Hluboky Stabilizaˇcni System. Rehabil. FY, 13, 112–124.
41. Unger, M., Jelsma, J., & Stark, C. (2013). Effect of a trunk targeted intervention using vibration on posture and gait in children with spastic type cerebral palsy: A randomized control trial. Developmental Neurorehabilitation, 16(2), 79–88.
42. Vojta, V., & Peters, A. (2007). Das Vojta-Prinzip Muskelspiele in Reflexfortbewegung und motorischer Ontogenese (3rd ed). Heidelberg: Springer Medizin Verlag. Yılmaz, E. A. (2021). Dengeli ve Dengesiz Yüzeylerde Yapılan Core stabilizasyon Egzersizlerinin 14–17 Yaş Taekwondocularda Statik- Dinamik Dengeye, Fonksiyonel Hareket Analiz Puanlamalarına ve Yopchagi Teknik Performansına Etkisi [Yuksek lisans tezi]. Ankara: Gazi Universitesi.