Dynamic Neuromuscular Stability and Joint Centration

This past weekend I had the privilege of getting to learn from some amazing people in the world of rehabilitation  This week I attended the DNS Seminar here in Phoenix at Athletes Performance and got the pleasure of meeting and learning from Dr. Craig Liebenson D.C., Pavel Kolar, Paed Dr, PhD, Alana Kobasova, MD, Phd and many others. I walked away with my brain feeling as if it had been cooked and overloaded with so much important information. Out of all the things we discussed, I did learn a couple very important things this weekend.

Number One………….Round can generates more power.

Dr. Kobasova spoke how as infants mature and develop increased stability they utilize stability through their midsection by increasing intra-abdominal pressure. She made this very clear by talking about the difference between Roger Federer and Raphael Nadal besides their world tennis rankings. If you look at pictures of each of them while in action, you can see that Roger is more round through the mid-section while Nadal has the typical six pack abdominals. While Nadal appears to be in better shape physically, he suffers from chronic low back pain while Federer continues to be number one in the world and has a less impressive midsection, or does he? What if the reason why he is so resilient to dysfunction and can generate such power is due to not having a ripped midsection like Nedal’s?

As Dr. Kolar and Kobasova stated,  concavities, hinges or creases in the midsection is a sign of dysfunction and an inability to recruit core stability properly. A ripped core typically means that  you most likely can’t establish a full diaphragmatic breath necessary for creating intra-abdominal pressure to stabilize the spine.

Number Two……. Centrate those Joints!!!!

Optimal stability through joint centration sounds logical enough, until you understand why it is so necessary and how the effects of joint centration cause irradiation of increased stability through the entire body. Joint centration is actually the position of the joint where there is maximal joint congruency as well as ideal balance from the muscles that act upon that joint. It is from this optimal position where the body can most efficiently handle the largest load and where actual good form comes from. Don’t believe me, check out the perfect form!!

With a loss of joint centration, we increase the stress on the surrounding tissues and body in general. This leads to an overall loss of global stability and the imprinting of sub-optimal motor patterns.

Using the simple but brilliant concepts of DNS ,we are basically instructed to return to the development patterns and milestones of a child to improve  overall function. This is because we all have this encoded into our DNA, it is the product of being born with an immature central nervous system, and the process we utilized to achieve verticalization.  Its not about Joseph Pilates idea of correct posture or Bruggers, it was the steps we had to go through to gain the ability to be upright. And as Gray Cook states, we all had the mobility but we had to earn the stability.

Sometimes, we can over think a lot of things in rehabilitation and strength training. Address the transverse abdominus, draw in the belly button, buy this ab machine, etc. But sometimes the answer is simple and has been there all along, we just have to dust off that software to get it going again, like riding a bike.

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