Role of Dynamic Neuromuscular Stabilization Exercises in Physical Rehabilitation - A Systematic Review

Abstract

Objective: This systematic review aimed to assess the effectiveness of Dynamic Neuromuscular Stabilization (DNS) exercises in the rehabilitation of musculoskeletal and neurological conditions. Methods: Literature searches were conducted in five databases (PubMed, Medline, Google Scholar, Science Direct and EBSCO) from inception to February, 2023, resulting in 16 relevant studies. The Joanna Briggs Institute Critical Appraisal tool was used for quantitative analysis. Results: The selected studies examined the impact of DNS exercises on various conditions, including low back pain, cerebral palsy, stroke, migraines, and posterior cortical atrophy. Consistently, DNS intervention led to significant improvements in core muscle activation, joint stability, functional movements, and pain reduction. Moreover, condition-specific outcomes improved in several studies, highlighting DNS's potential efficacy in addressing deficits associated with musculoskeletal and neurological conditions. Conclusion: This systematic review indicates that DNS exercises positively influence physical rehabilitation outcomes for individuals with musculoskeletal and neurological conditions. By promoting spinal stability, activating core muscles, reducing pain, and enhancing functional movements through the Integrated Spinal Stabilization System (ISSS), DNS demonstrates beneficial effects in rehabilitation.