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Comparing the Effectiveness of Dynamic Neuromuscular Stabilization and Traditional Physical Therapy Practices.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Comparing the Effectiveness of Dynamic Neuromuscular Stabilization and Traditional Physical Therapy Practices./
Author:	Ehtemam, Ariana.
other author:	Wallace, Diana,
Description:	1 online resource (74 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-06, Section: B.
Contained By:	Dissertations Abstracts International84-06B.
Subject:	Physical therapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29994341click for full text (PQDT)
ISBN:	9798358480384

Comparing the Effectiveness of Dynamic Neuromuscular Stabilization and Traditional Physical Therapy Practices.
Ehtemam, Ariana.

Comparing the Effectiveness of Dynamic Neuromuscular Stabilization and Traditional Physical Therapy Practices. - 1 online resource (74 pages)

Source: Dissertations Abstracts International, Volume: 84-06, Section: B.

Thesis (D.P.T.)--Azusa Pacific University, 2022.

Includes bibliographical references

Background. Shoulder pain and loss of balance have both become prevalent complaints in our society and have the ability to impact an individual's activity level, work capability, and daily functional tasks. In physical therapy, traditional conservative interventions to improve upper extremity function include stretching and strengthening programs that address the shoulder joint and surrounding soft tissues. Balance impairments are addressed with a series of balance training and dual-task exercises. Dynamic Neuromuscular Stabilization (DNS) is a rehabilitation technique that utilizes core stability elicited through intra-abdominal pressure (IAP), the integrated spinal stabilisation system (ISSS), and principles of developmental kinesiology in efforts to promote a global motor response. The authors of this paper were curious to see if improving proximal stability through DNS could improve shoulder function. Therefore, the purpose of the systematic review (SR) conducted was to compare DNS to traditional shoulder strengthening on its ability to improve upper extremity function in adults. With the intervention of DNS in mind, the authors also sought to observe its effects on patients with balance complaints. A critically appraised topic (CAT) was performed with the purpose of comparing DNS versus traditional balance training and its capability to improve balance in adults with balance impairments. As DNS has been studied mostly in neurological and athletic rehabilitation programs to improve postural stability and movement efficiency, the SR and CAT conducted sought to assess the generalizability of these findings to the general adult population. Methods. Four independent raters conducted the SR across seven databases from January 2022 to March 2022. Articles for the SR were included if they met the necessary criteria of systematic reviews, case studies, controlled research trials, observational studies, cohort studies, and focused on human subjects 13+ years old with shoulder pain and/or dysfunction. Articles were excluded if they were published over 10 years ago, included subjects younger than 13 years old, were not research based, related to surgical interventions, or included subjects who reported concomitant cervical or thoracic pain. The same four independent reviewers conducted the CAT across four databases in March 2022. The inclusion criteria included research articles involving human subjects 13+. Articles were required to be in the English language and published between the years of 2017 and 2022. After articles for the SR and CAT were selected for review, they were appraised independently by each of the raters using the Oxford Centre for Evidence-Based Medicine, Physiotherapy Evidence Database, or National Institute of Health-National Heart, Lung, and Blood Institute appraisals to determine the level of evidence and quality rating. For each article, a 95% confidence interval (CI) and effect size (Cohen's d) were calculated and reported when sufficient data permitted. Results. In total, nine articles were reviewed for the SR, and four were reviewed for the CAT. For both the SR and CAT, the current research suggests that DNS is a promising intervention for improving both upper extremity function and balance in adults. Conclusions. Overall, the SR supports the use of DNS techniques for improving proximal arm stability in the adult population. Similarly, the use of DNS may serve to improve balance and postural control in the adult population. The limitations of both the SR and CAT included small sample sizes, various populations and pathologies, and inconsistent outcome measures between studies. The quality of evidence for the SR included seven articles with good quality and two with fair quality ratings. Lastly, the quality of evidence for the CAT included two articles with good quality and two for fair quality ratings.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798358480384Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Core stabilizationIndex Terms--Genre/Form:

542853
Electronic books.

Comparing the Effectiveness of Dynamic Neuromuscular Stabilization and Traditional Physical Therapy Practices.
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