Prague is the premier site for the study of Dynamic Neuromuscular Stabilization
Pavel Kolar Ph.D., Dr. Fowler’s mentor in Prague, has organized the next generation of clinical protocols designed to restore and stabilize locomotor function (movement). This new rehabilitation approach is called Dynamic Neuromuscular Stabilization (DNS).
DNS is a method of assessment, treatment, and exercise for activation of the Integrated Stabilizing System of the Spine. The spinal stabilizing system automatically activates prior to purposeful movement, to protect the spine and extremities. DNS is based on principles of developmental kinesiology (how our movement patterns develop as we mature from birth to an upright and stable posture). This ‘motor control’ is largely established during the first critical years of life. Precise patterns of movement are programmed in our brains and are the same for everyone; however the quality of movement varies in each of us.
Pain is the result of tissue failure, which occurs when stress exceeds tissue tolerance. This is the result of movement without proper stabilization. Injury can occur from a single macro-trauma stress, but more commonly occurs from cumulative micro-trauma stress.
DNS is a rehabilitation approach which stimulates movement control centers in our brain to allow our bodies to move properly. When we move properly (joints are centrated, muscles are coordinated, and stability is optimal), movement is healthy. When we don’t move properly, movement is harmful and will lead to injury and pain.
While Chiropractic has been proven through extensive research to be very successful in treating back, neck, and extremity pain, it can be an incomplete approach if there are faulty movements or instability programmed in the nervous system. One of the best systems found to address instability and complement Chiropractic, Medical, and Physical Therapy treatment is Dynamic Neuromuscular Stabilization (DNS).
Dr. Fowler began his study of DNS in 2003. He has attended dozens of 2 to 4-day DNS courses in the United States and Canada as well as six advanced weeklong DNS courses in Prague. The advanced courses in Prague are held in the Motol Hospital and Pavel Kolar’s physical medicine clinics. They are by invitation only to the most advanced DNS practitioners of Medicine, Chiropractic, Osteopathy, Physical Medicine, and Ph.D.’s.
The DNS courses in Prague have been both challenging and enlightening. They provide wonderful camaraderie with colleagues from many parts of the world representing all the musculoskeletal health professions. Studying with other professionals has allowed a better understanding and alliance with these professionals.
“When you study only with your profession, it can lead to a closed mind. Most prejudice comes from ignorance and understanding leads to better cooperation and patient care”.
Ray Fowler
Dr. Fowler became a Certified DNS Practitioner, receiving his Diplomate in April, 2010. Continuing his studies in DNS, he received additional degrees as a Certified Exercise Trainer and Certified Pediatric Practitioner in February and May of 2015 respectively.
Dr. Fowler’s clinical philosophy is:
“Through treatment, advice, and referral we will find a solution for your pain and help you learn how to care for yourself reducing your reliance on others for health”.