Posts Tagged Low back exercises

Dynamic Neuromuscular Stabilization Frequently Asked Questions

What is Dynamic Neuromuscular Stabilization Method?  Dynamic Neuromuscular Stabilization Method (DNS) according to Kolar is an innovative approach to manual medicine (chiropractic) and physiotherapy which involves every component of the locomotor system (muscles, joints, discs, nerves and soft tissues). DNS stimulates movement control centers in the brain through activation of ideal inborn movement patterns. This method helps to restore the structural and postural alignment of the bodys neuro-musculo-sleletal system by invoking the Global Motor Patterns (defined lower in this post).   Is Dynamic Neuromuscular Stabilization Method ( DNS) the only approach you use to treat in your practice? No.  Not at all.  In Fact We Primarily use Active Release Technique. But the real key to our success is our expertise and understanding of functional anatomy of neuromusculoskeletal conditions, which allows diagnosing functional disturbances and selecting a treatment procedure most suitable for each individual patient. Being trained in variety of advanced functional clinical diagnostic methods, Dr. Shepard  is able to decide which method or combination of methods fits each patient. In our experience, however we see faster and more sound results with DNS exercises in combination with Active Release Technique. We also use variety of classic physical therapy and chiropractic methods which survived the test of time. Being educated personally from Prague Rehabilitation School, Dr. Shepard also use number of unique Manual Medicine approaches derived from Europe and Australia.  Dr. Shepard is also one of the few DNS providers in US. We also treat conditions which usually respond poorly to Physical Therapy or Chiropractic. Because of the breakthrough scientific basis of DNS we often succeed where everything else fails. We believe that DNS is truly a 21st Century approach in conservative care.  Here is a list of therapeutic interventions we use in our practice: DNS , Active Release Technique, McKenzie Method, Classic Manual Therapy according to Lewit and Janda (Czech school of Manual Medicine), Vojta Therapy, Kinesiotaping, Myofascial release and Trigger point therapy. What are the Global Motor Patterns? Global Motor Patterns form the foundation of human movement. They represent the building blocks of our predetermined ability to become upright. They are activated during the postural development in the first months of a childs life, in a specific sequence from less complex to more complex. The Global Motor Patterns remains critical for the control of our posture and stability of the spine, which is the pivotal center of the entire locomotor system (movement system) for the entirety of our lives. More to come about the FAQ of DNS in the next blog post. If you have any further questions, please feel free to contact Dr. Shepard by using the information below. Matthew J. Shepard, DC Shepard Pain and Performance Care    

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Dead Bug

Patient is lying on their back with arms straight into the air towards the ceiling. Hips and knees are both bent to 90°. Core activation is established and coordinated with breathing. Patient then straightens one limb at a time and improves to contra-lateral limb reaches. Patient can also rotate to each side without spinal rotation to emphasize abdominal oblique chains.  

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Why we need to emphasize low back pain exercises not abdominals when training runners.

An emphasis is always placed on core exercises  (anterior abdominals) over any type of exercise when it comes to training runners. Unfortunately little attention is paid to the low back (specifically low back pain exercises) , glutes, or hip flexors. Without strong glutes and a low back that can support ones self properly. The hamstrings will not be able to generate enough force / power even though you might place particular attention to strengthen these three muscles. A key when training or working out in any sport is that any one muscle  is only as strong as the weakest link in the entire kinetic chain. The kinetic chain being a term used by most sports medicine and exercise science professionals to describe a sequence or a chain of events. In this case multiple muscles engaging to complete motion of the skeletal system. The curl-up done on an exercise ball dramatically increases the number of muscles that have to engage and stabilize you during the exercise. This exercise will activate your COMPLETE core -> back muscles (posterior abdominals) and all the abdominal muscles. The key point to performing low back pain exercises, such as this one is to only curl-up as far as the contraction / activation / tightening of your abdominal muscles and flex forward no further. Note no pressure should be placed on your neck by your arms. Perform 3 sets of 20 for a total core workout. If you wish to make things more difficult push out abs while trying to curl-up or let a little more air out of the ball to force more contraction of low back muscles, glutes, and other leg muscles for stabelizing  your body while performing the exercise. If you have any questions please email me at  

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