Pavel Kolar a pediatric P.T. who worked closely with Pr Vojta has developed a systematic approach incorporating the reflex locomotion techniques alongside testing of the deep spinal stabilization system and developmentally-based exercises.
Kolar is famous in sports medicine circles in Europe having treated many Olympic and professional sports athletes. He is the Director of the Rehabilitation Department, University Hospital Motol, School of Medicine, Charles University, Prague, Czech Republic. This is the largest hospital in Central Europe, with over 4,000 beds.
In 1998 my teacher Dr. Karel Lewit told me “developmental kinesiology is the basis for everything we do.”
My programs with Pavel are currently held at Mark Verstegan’s Athletes’ Performance in Arizona. Ken Crenshaw, ATC (head trainers, Arizona Diamondbacks Major League Baseball Team) collaberates with me as we introduced the the work to ATCs & S/C coaches in baseball & other professional sports (NBA, NHL, Cirque du Soleil, PGA, NFL). The Professional Baseball Athletic Trainer’s Society (PBATS) has featured this work as well as Dr. Karel Lewit & Pr. Vladimir Janda’s in their newsletter
Pavel is seen here w/ Koichi Sato ATC, S & C coach for the NBA Washington Wizards.
Other experts in the S & C field such as Mike Boyle and Eric Cressey have participated in Kolar’s programs.
Clare Frank, P.T., a long-time student of Pr Janda’s, is one of the original U.S. faculty for DNS. Jesper Andersen, DC from Denmark is the first non-Czech DNS faculty in Europe. Wayne Minter, DC & Inger Villadsen, DC are Australian faculty.
The DNS work has been taught all over the world. Including the National University of Health Sciences (NUHS) in Lombard, IL. The DNS website provides course information about upcoming events.
All courses are “hands-on” and maintain a low faculty:participant ratio.
Bauer H, Appaji g, Mundt D 1992 Vojta Neurophysiologic Therapy. Indian Journal of Pediatrics (59):37-51
Kolár, P. The sensomotor nature of postural functions, Its fundamental role in Rehabilitation, J. Orthopedic Medicine 21, 2, 1999 40-45
Kolár, P. Facilitation of agonist-antagonist co-activation by reflex stimulation methods. In Liebenson C (ed) Rehabilitation of the Spine: A Practitioner’s Manual (2nd ed). Lippincott, Philadephia, 2006.
Vojta V, Peters A 2007 Das Vojta-Prinzip Muskelspiele in Reflexfortbewegung und motorischer Ontogenese. 3rd edition. Springer Medizin Verlag, Heidelberg
DNS is founded on the principle that the stages of development of the infant from the fetal posture to being upright are stored involutionally in the CNS. We can use the positions & stimulation points of reflex locomotion (RL) to “hack” into the patient’s computer to rid it of viruses that have affected our locomotor system’s performance. Often overuse, injuries, postural habits, or stress alter our motor function. RL is a tool to “refresh” the computer screen or “reboot” the computer.
Upright posture is the goal of CNS control of posture from birth to 4 and 1/2 years of life. This is described here –DNS video from Liebenson’s Rehabilitation of the Spine (2nd ed) book/DVD. Also, shown are a # of the basic tests of the deep spinal stabilization system. There are three basic aspects to the work. Tests of the deep spinal stabilization system; reflex locomotion; & developmentally-based execises/mobilizations.
1. Tests of the deep spinal stabilization system
Pavel with Magdalena Lepsikova showing the IAP test.
Other tests include Diaphragm, hip flexion, neck/trunk flexion, arm overhead, quadruped, & upper thoracic extension.
The supine tests: Diaphragm, IAP, Neck/trunk flexion, & Arm Raise OH tests can be scored 0-4 as Gray Cook suggests. Here is a form DNS Tests-SD 2 you can use.
These functional tests are complementary to those taught by Pr Janda (upper & lower crossed syndromes) & Dr Lewit (faulty breathing, forward drawn posture).
2. Reflex Locomotion
Reflex locomotion techniques can be performed prone, supine, side lying, kneeling, etc. They involve specific points of support, reflex zones of stimulation, and resisted movements specific to the position of the baby at that stage of neurodevelopment.
Reflex locomotion stimulation can be lead to involuntary movements such as rolling over, creeping or crawling. But, the 1st goal is something far less sensational, but just as valuable – normalization of a faulty breathing pattern. Diaphragmatic breathing is easily facilitated even in chronic chest breathers who cannot breath from their abdomen on their own. This only takes seconds to facilitate and can make a lasting imprint on the patient’s nervous system.
3. Developmentally-based exercise/mobilizations:
Petra Valouchova and Craig Liebenson JBMT article showing developmentally inspired core exercise
Here is an overview article too.