Dynamic Neuromuscular Stabilization according to Kolar
DNS course focusing on functional assessment and treatment of pelvic floor
DNS Course for Women’s Health – 12 contact hours
Date: March 10-11, 2018
Instructor: Robert Lardner, PT
Location: Santa Cruz, CA, USA
Organizer: James Vegher, DPT, DNSCP – firstname.lastname@example.org
Precision Physical Therapy & Fitness cost: $700
(You must register with both Precision Physical Therapy & Fitness and the Prague School in order to attend this course)
Day 1: 9.00 – 17.00
Day 2: 9.00 – 16.00
COURSE OBJECTIVES: Functional DNS assessment and treatment of patients with:
• Non-specific abdominal pain
• Functional sterility
• Urine incontinence
Live patient assessment will be performed and demonstrated:
• DNS functional assessment of females with gynaecological problems, viscera-vertebral patterns
• Application of DNS based treatment techniques
• Visceral mobilization techniques
• Patient’s education, self-treatment techniques
Dysfunction of internal organs may lead to various clinical pictures in the locomotor system. In functional diagnosis of the motor system it is critical to consider the viscero-somatic relationships as a possible etiopathogenetic factor. It is essential to bear in mind that in patients with internal organ pathology, irritation and reflex changes (muscle TrPs, joint blockages, soft tissue dysfunction, altered motor stereotypes) in the locomotor system occur as a rule. Patients with diagnoses involving the internal organ system are thus important potential clients of the rehabilitation specialists. This course will focus on functional diagnosis and treatment of viscero-vertebral patterns in females with gynecological problems.
Gynecological diseases are closely linked to functional deficits of the movement system. Although this connection, or its etiopathogenetic meaning, has not been sufficiently validated, it needs to be taken into consideration that any gynecological disorder is registered by the CNS through receptors. Then, the CNS reactively, or adaptively develops protective changes in muscles (changes in muscle tone), including the smooth muscle. Clinically, it is important that movement system symptoms in some cases of gynecological dysfunctions (amenorrhea, dysmenorrhea and sometimes functional sterility) are quite alike and show similar characteristics. These are protective motor patterns. The possibility of gynecological causes needs to be considered in patients with back pain who demonstrate a chaining of functional deficits of the muscle system (pelvic nutation, pelvic floor spasm, unilateral gluteal muscle hypotonia, TrPs in the hip adductor region, etc.). However, a large number of functional spinal and pelvic dysfunctions exist that are mistakenly considered to be gynecological diseases. Gynecological dysfunctions that are being significantly influenced by movement system function include menstrual cycle deficits, dysmenorrhea, premenstrual syndrome, certain gynecological infections, functional sterility and deficits during menopause (climacterium). Another syndrome which can be positively affected by rehabilitation is stress incontinence. Training ideal coordination between muscles of the pelvic floor, diaphragm and abdominal muscles may significantly decrease undesirable spontaneous loss of urine.
A certificate of attendance will be awarded by Prague School to every attendee
About the instructor
Robert Lardner was born in Nigeria in 1961. His first career was as a professional ballet and modern dancer after studying at the Rambert Ballet Academy outside London, England. Going back to University he graduated from the Department of Physical Therapy, Lund’s University, Sweden in 1991. He has worked in several in- and out- patient rehabilitation facilities in Sweden prior to moving to the United States in 1992.
Having been a staff physical therapist at McNeal Hospital, Clearing Industrial Clinic, and a physical therapy supervisor at Mercy Hospital, he has also been in charge of physical therapy services at a number of private outpatient and sports clinics.
He has also studied with Professors of Janda, Lewit and Kolář from the Czech Republic who are pioneers of functional rehabilitation and manual medicine and who have strongly influence his philosophy and practice of physical therapy. He is a member of the International College of Applied Kinesiology (ICAK)
Currently, he is in private practice in Chicago and teaches various rehabilitation seminars throughout the United States and Europe.
About the author of the concept
Professor Kolar is a physiotherapist by training. His instructors, Professor Karel Lewit and the late Professors Vaclav Vojte and Vladimir Janda, profoundly influenced him in his approach. He is the Director of the Rehabilitation Department, University Hospital Motol, School of Medicine, Charles University, Prague, Czech Republic. Prof. Kolar acts as a Vice-Dean for Bachelor and Master level study at 2nd Medical faculty, Charles University in Prague and also as an adviser to the Director of the Hospital. As Director of the Rehabilitation Department, Professor Kolar oversees the following:
1. The Rehabilitation Unit for adult patients, both outpatients and in-patients.
2. The Rehabilitation Unit for children
3. The Pain Management Unit: outpatient and inpatient.
4. The Spinal Unit
5. The School of Physiotherapy
Professor Kolar is renowned for his work in rehabilitation, in addition to his treatment of celebrities in the world of sports, politics and entertainment. He has been appointed team clinician for the Czech Olympic teams, Davis Cup tennis teams and national ice hockey and soccer teams. He gained wide recognition for his treatment of former Czech President Vaclav Havel, which included traveling the President’s personal clinician when he went abroad. Because of the profound influence of DNS to rehabilitation in the Czech Republic, Professor Kolar was awarded the prestigious “Presidential Award for Professional Excellence” by Czech President Vaclav Klaus in 2007.
Professor Kolar is currently directing an extensive research project in his department concerning developmental kinesiology and its application in early diagnosis of central nervous system disorder in newborns and infants. Using developmental kinesiology in the treatment of newborns and infants with cerebral palsy. Professor Kolar is also currently involved in a second research project, studying postural activity of the diaphragm and conservative treatment of radicular pain syndromes. In 2009 Pavel Kolar successfully completed his Ph.D. His thesis was: “Dynamic MRI and spirometric analysis of diaphragmatic activity.
Professor Kolar is also a member of interdisciplinary team at the Orthopedic Unit at the hospital. This concerns evaluation of children suffering form cerebral palsy and poor posture resulting in orthopedic deformities and indications for surgical treatment. His work is highly appreciated by orthopedists, who consider his opinion to be very important for surgical indications.
Professor Kolar has taught his methods in Europe, North America, Asia and Australia. In 2009 Dr. Kolar accepted an appointment as Adjunct Senior Lecturer in the Faculty of Health Sciences, Murdoch University, Australia.