DNS

Question 1

Integrated stabilizing system of the spine (ISSS) includes

Answer 1

Short intersegmental spinal muscles (multifidi)
deep neck flexors
Diaphragm
Abdominal wall 
Pelvic floor

Question 2

Importance of DK in posture

Answer 2

• defines ideal from developmental perspectives
• defines muscle coordination that is idea of joint loading
• defines functional norms

Question 3

DNS - trunk stability

Answer 3

Diaphragm, pelvic floor, abdominal musculature
Contents of abdomen should more inf as ribs draw down—>
downward pressure should be met w/ upward pressure of pelvic floor
Whole using should be contained by recruitment of ab muscles

Question 4

Why is DK important?

Answer 4

Describes rln b/n development during first year and pathology of locomotor system in adult hood

Question 5

Integrated stabilizing system of spine

Answer 5

These muscles typically AUTOMATICALLY activate prior to purposeful movement to establish a stable base (feedforward). Act as a functional unit to stabilize during phasic movement

Question 6

trunk stability

Answer 6

• abdomen inferior as ribs draw down
• downward ab pressure met w/ upward pelvic floor
• whole unite contained by recruitment of ab musculature

Question 7

compromised stability

Answer 7

movement lacks efficiency -> overload, overuse, strain -> imbal in locomotor and decreased sability

Question 8

DNS specifically functional exercises

Answer 8

improve spinal stability by targeting ISSS
-brain must be stim and conditioned to automatically activate optimal movement patterns necessary to coactivate stabilizers

Question 9

extremity locomotion develops in two patterns

Answer 9

ipsilateral: moving and support same side
contralateral: moving and support opposite side

Question 10

DNS 3 mo

Answer 10

sagittal stabilization

Question 11

DNS 4.5 mo

Answer 11

contralateral pattern

support: elbow, ASIS, contralateral knee

Question 12

3 functions od diapgragm

Answer 12

respiratory
postural
coordinated respiration and function

Question 13

DNS 3/5 mo supine

Answer 13

supine w/ triple flexion
bring chest in causal position
goals: sym distribute of IAP, TL junction is support, balanced activity of ab wall, upright of whole spine

Question 14

critical component of DNS

Answer 14

active exercise

brain education

Question 15

active exercise

Answer 15

address CNS control to change motor patterns

patient participation and compliance necessary. must exercise on daily basis

Question 16

brain education

Answer 16

control movement pattern in a more efficient way

achieve ideal muscle balance and functional joint contraption, avoid overlaoding

Question 17

DNS tx strategy

Answer 17

easy position -> more usntable
focused on improve ISS activity 3-5wk
be patient
manual tx
correct inspiratory position of chest
correct breathing stereotype

Question 18

DNS and resistance training

Answer 18

no performed before correct stabilization (breathing) is achieved

Question 19

DNS active exercise and self treat

Answer 19

1. position (higher from ground = more challenge)
2. resistance (increase = more challenge)
3. instability (unstable = more challenge)