DNS Clinical courses(Medical)_DNS Intermediate Course C_2027.4.9-11(台北)_(需須完成A+B課程)

2021-08-

【主辦/協辦單位】Organizer

主辦單位 : 宏甫顧問有限公司、台灣復健發展學會
協辦單位 : 宏甫物理治療所

【上課日期/地點】 Date/Venue

日期 Date :	2027.4.9-11
地點 Venue :	宏甫台北國際中心(台北市南京東路三段259號11樓)

【講師介紹】 Instructor

Julia Demekova , MPT

Julia Demekova MPT is a 2007 graduate of Palacky University in Olomouc in the Czech Republic. She has been practicing MPT in Lipova Spa for the past two years. During this period, she has co-taught courses on manual medicine - mobilizations and soft tissue techniques – in accordance with the techniques of Professor Karel Lewit.

Since 2009, Julia has practiced at the Clinic of Rehabilitation and Physical Medicine in the Faculty Hospital in Motol in Prague, under the supervision of Professor Pavel Kolar. From the commencement of her work at Motol, she assisted in instructing courses on Dynamic Neuromuscular Stabilization, in accordance with the methods of Professor Kolar. Two years later (in 2011), Julia become a certified instructor in DNS: the first and only instructor from Slovakia. In addition to this, during this time she studied the methods of Professor Karel Lewit.

Julia has wide experience with the treatment of neurological, musculoskeletal and orthopedic patients: she worked in a spinal cord injury unit since 2009 until 2015. She still treats both adults and children with a variety of diagnoses. Julia combines in her daily work her knowledge from a wide variety of different courses she has taken: Diagnostics and the Treatment of Functional Disturbances in the Musculoskeletal System (2007); S-E-T concept (2009); Sensory Stimulation (2010); Medical Taping Concept (2010); Quadrupedal Locomotion in the Prevention and the Treatment of Functional Disturbances of the Axial System (2011), Developmental Kinesiology in the Diagnosis and Treatment of Infants (2014) and Fascial Manipulations According to Stecco (2018).

As an educational assistant at the Second Medical Faculty, Charles University (located at the Faculty Hospital, Motol), Julia Demekova instructs students of rehabilitation. She also teaches students in Charles’ medical program.

Julia likes to practice sports medicine and has extensive experience with the assessment and treatment of the sports injuries of golfing professionals, runners, gymnasts and mountaineers. In her free time, she instructs a group on the conditional exercises for Jiu-jitsu. She has qualifications in TacFIT (Tactical Fitness - 2011); Julia is both a TRX and BOSU certified trainer (2012).

Julia has been an instructor in the DNS concept since 2011, and has taught clinical, sports medicine and pediatric courses in a variety of countries in North and South America (Chile, Brazil, Uruguay, Canada, Arizona, Ohio, New Jersey,…), Europe ( Spain, Portugal, Italy, Norway, Sweden, UK, Germany, Poland, Slovakia, Slovenia, Croatia) UAE, Turkey and Asia ( China, Taiwan, Malaysia, Hong Kong, Singapore,…).

Julia is originally from Slovakia and currently resides in Prague in the Czech Republic. In her spare time, she likes playing golf, cycling and practicing yoga. She loves traveling, meeting new people and trying local cuisines all over the world.

【課程簡介】 Introduction

「改造大腦」已是未來復健治療與運動訓練的新趨勢，透過重設與矯正(Reset and Correct)大腦功能，可以達到提升運動控制能力(Motor control)、平衡身體張力、促進生理系統功能，強化運動表現、預防運動傷害等多重目的。在所有「大腦改造技術」中，動態神經肌肉穩定術(Dynamic Neuromuscular Stabilization, DNS)無疑是最重要的技術。

DNS是由巴柏．柯勒博士(Pavel Kolar)以「發展肌動學(Developmental kinesiology)」為基礎所研發出來的「神經肌肉系統治療法」。為何DNS的理論來自幼兒發展過程？從神經生理的角度來看，控制人體姿勢、運動與步態的所有「程式」都是由神經系統所「編寫」。因此，「動作控制(Motor control)」程式是否正常，對人體功能與身體健康有莫大影響。DNS就是一種藉由擺位(Positioning)、刺激關鍵點(Stimulation of key zones)與阻力運動(Resistance exercise)，用以激發大腦「重設與矯正」人體控制程式的革命性療法。人體動作的控制程式大部份在出生後的第一年就發展完成，意即：就正常幼兒來說，出生第一年的神經系統，就像剛組裝完成的「全新電腦」，此時功能與效率最好、所有「應用程式」也處於最佳狀態。因此布拉格學院特別重視這些動作控制的神經發展過程，並據此發展出DNS，用以重設與矯正大腦功能(神經系統)，使其符合或恢復出生之初的理想狀態，此即DNS的由來。

柯勒博士分別擔任布拉格學院與布拉格「查理大學．第二醫學院．復健與體能訓練系」之院長與系主任。曾任教於查理大學的學者，都是二十世紀神經醫學與復健醫學巨擘，包括Vaclav Vojta、Karel Lewit、Vladimir Janda與 Frantisek Vele等人。儘管柯勒博士追隨Vojta多年並深受影響，但是DNS與Vojta療法卻有截然不同的發展，兩者最大差異在於：DNS將發展肌動學、反射性運動療法(Reflex locomotion)與Janda、Lewit等學者的理論予以整合並做最全面的開發！DNS不僅適用於兒童與成人，更能廣泛應用於神經系統疾、肌肉骨骼系統疾病，以及運動傷害的治療與預防。藉由改變大腦動作控制流程，DNS可以全面啟動「整合性穩定系統(Integrated stabilizing system)」，達到強化身體功能、促進神經發育、消除疼痛與預防傷害等目的。DNS與其它復健技術大不同在於：DNS不只是一種「治療方法」，更是一套「整體性治療策略(Overall strategy)！透過DNS訓練，可以讓治療人員在探討病源、評估病患，擬定復健與訓練計劃時，有全新的思維與做法。

★★★DNS Intermediate Course C 課程大綱★★★

►Course attendees will have a clear understanding of:

•Advanced assessment – the integrated stabilizing system, locomotor stereotypes, respiratory stereotype

•Kinesiology of muscle chains involved in stepping forward and supporting function

•Pelvic girdle and hip joint: phylogenetic and ontogenetic aspects, anatomical parameters from developmental perspective, the most common pathological conditions – femoroacetabular impingement syndrome, arthritis; DNS assessment and treatment procedures

•Shoulder girdle: phylogenetic and ontogenetic aspects, anatomical parameters from developmental perspective, DNS assessment and treatment in shoulder girdle disorders - hemiplegic shoulder, frozen shoulder, impingement syndrome, SLAP lesion

•Scoliosis: definition and classification, ontogenetic aspects leading to scoliotic development, risk factors, spine control in motor development, assessment of infants and adults with scoliosis and body asymmetry, bracing and DNS treatment positions and strategies

•Pelvic floor issues and women’s health: pelvic floor muscle function from developmental perspective; associated kinesiology between diaphragm and pelvic floor; typical postural disturbances, functional trigger point chains, joint dysfunction and hypersensitive zones in gynaecological diagnoses; DNS assessment and rehabilitation for stress incontinence, anorectal dysfunction, amenorrhea and dysmenorrhea, functional sterility, pelvic organ prolapse and pelvic pain syndromes, vertebral-visceral relationships; rehabilitation for pregnant females

•General DNS self-treatment advanced techniques

•Provide more complex clinical management explanation for clinicians to better integrate more advanced DNS protocols into regular practice.

•Establish individual goals (DNS understanding & skills) for students to be optimally prepared for the next level of training (Course “D” in Prague)

【課程大綱】 Outline

★Intermediate Course C 教學進度與內容★

►第一天

08:30~09:00 報到

09:00~10:30 DNS – review of the mostimportant DNS principles DNS – review of the most important DNS principles – Three levels of motor control; cortical function and body awareness training.

10:30~10:45 休息

10:45~12:30 Practical workshop Practical workshop: DNS ontogenetic flow – sequencing of developmental postures.

12:30~13:30 午餐&休息時間

13:30~15:30 Practical workshop Practical workshop: DNS ontogenetic flow – sequencing of developmental postures –analysis of postural-locomotion movement patterns, signs of functional decentration and the most frequent mistakes.

15:30~15:45 休息

15:45~17:00 Application of the DNS principles for Sport Application of the DNS principles for Sport performance and Fitness exercise.

►第二天

08:30~09:00 報到

09:00~10:30 Workshop for shoulder girdle painＩ: DNS concept for functional diagnosis and treatment of shoulder girdle pain.

10:30~10:45 休息

10:45~12:30 Workshop for shoulder girdle pain Ⅱ: DNS concept for functional diagnosis and treatment of shoulder girdle pain

12:30~13:30 午餐&休息時間

13:30~15:30 Workshop for scoliosis Ｉ: DNS management of patients with scoliosis; demonstration of assessment and DNS treatment of scoliotic patients. Patient’s education

15:30~15:45 休息

15:45~17:00 Workshop for scoliosis Ⅱ: Workshop: DNS management of patients with scoliosis

►第三天

08:30~09:00 報到

09:00~10:30 Workshop for girdle/ hip pain Ｉ: DNS assessment & treatment for patients with pelvic girdle/ hip pain

10:30~10:45 休息

10:45~12:30 Workshop for girdle/ hip pain Ⅱ :DNS assessment & treatment for patients with pelvic girdle/ hip pain

12:30~13:30 午餐&休息時間

13:30~15:30 Pelvic floor dysfunctionＩ: DNS approach to patients with pelvic floor dysfunction

15:30~15:45 休息

15:45~17:00 Pelvic floor dysfunction Ⅱ:DNS approach to patients with pelvic floor dysfunction

★★★2019年1月以及2021年3月Intermediate Course C實際上課的情形

DNS Clinical courses(Medical)_DNS Intermediate Course C_2027.4.9-11(台北)_(需須完成A+B課程)

【主辦/協辦單位】Organizer

【上課日期/地點】 Date/Venue

【講師介紹】 Instructor

As an educational assistant at the Second Medical Faculty, Charles University (located at the Faculty Hospital, Motol), Julia Demekova instructs students of rehabilitation. She also teaches students in Charles’ medical program.

Julia is originally from Slovakia and currently resides in Prague in the Czech Republic. In her spare time, she likes playing golf, cycling and practicing yoga. She loves traveling, meeting new people and trying local cuisines all over the world.

【課程簡介】 Introduction

【課程大綱】 Outline

【課程資訊】 Course information