Our clinical director, Dr. Lev Kalika, first brought Dynamic Neuromuscular Stabilization to the US in 2002. Used by elite athletes like Roger Federer, Novak Djokovic and Jaromír Jágr, DNS taps into innate motor patterns from early development, such as crawling and turning, to retrain the body to move naturally and safely after injury has introduced negative patterns that cause imbalance and pain.

Dynamic Neuromuscular Stabilization

Famous Prague school of rehabilitationOrigin: Famous Prague school of rehabilitation PRAGUE SCHOOL OF REHAB
Pavel Kolar photoCreator: Pavel Kolar PT. Paedr, PHD


Developmental kinesiology description DNS is based on developmental kinesiology. Developmental kinesiology is a science of maturation of the human movement system during the time of early development from birth until the child starts walking.

Physiological principles

The position acquired by the child during development is the process in which the human brain and musculoskeletal system starts to cooperate in order to overcome gravity and establish posture and locomotion (walking). Human movement is based on transferring body weight over for support. Proper support allows optimum dynamic stability. Optimum stability allows maximum mobility with no expense to support structures such as disks, ligaments, etc. No expense literally means that load and force distribution acting on the body from inside and outside are in balance.


DNS is a combination of manually assisted exercises and reflex stimulation. The patients movement patterns could include; dysfunction, misalignment, loss of control and postural deviations. Based on these and the overall movement of the patient, a therapist chooses a position from early development in which proper support though the hip, shoulders and spine could be established.

Manually assisted exercises Special manual joint centration by the therapist reinforces different movement strategy based on preprogrammed ideal movement patterns in brain. All joint mobilization and soft tissue manipulations are also performed in these positions with the only goal of preparing the body to be able to handle this position. The doctor or therapist follows developmental progression to different higher positions in which support and stability is more demanding.

Reflex locomotion aka Vojta therapy

Reflex locomotion analysis Reflex locomotion is used when a certain global or local movement patterns are unavailable to patients on regular cuing physical therapy exercises. The therapist can start this particular movement pattern by manual reflex stimulation of zones in developmental positions such as creeping or turning. The reflex stimulation is also an excellent method to use with acute conditions. Some of these conditions include sciatica, radiculopathy and herniated disc. There can also be situations where the patient has poor body awareness and cannot use his muscles properly upon the therapist’s command. Although DNS is an all inclusive methodology clinicians are required to be proficient at soft tissue manipulation and joint mobilization approaches.


The superiority of the DNS lies in its ability to invoke ideal or close to ideal movement patterns from the nervous system based upon genetical coding.
Dynamic Neuromuscular Stabilization posture 1 Dynamic Neuromuscular Stabilization posture 2 Dynamic Neuromuscular Stabilization posture 3 Dynamic Neuromuscular Stabilization posture 4
Dr. Kalika is DNS specialist with 14 years of experience

Dr.Kalika is one of the first practitioners of DNS in US with 14 years of experience and personal training from prof. Kolar.


Dynamic Neuromuscular Stabilization in NYC

Our clinical director, Dr. Lev Kalika, first brought Dynamic Neuromuscular Stabilization to the US in 2002. Used by elite athletes like Roger Federer, Novak Djokovic and Jaromír Jágr, DNS taps into innate motor patterns from early development, such as crawling and turning, to retrain the body to move naturally and safely after injury has introduced negative patterns that cause imbalance and pain.


We exhaust every avenue of treatment in order to help you to have the best quality of life. If you are suffering from chronic back pain or other orthopedic conditions that cause you discomfort or restrict movement in any way, dynamic neuromuscular stimulation is an effective treatment alternative with promising results. DNS therapy could help you in ways that traditional methods have not, providing you with an option other than habitual use of pain medication and conventional means that have failed. DNS treatment could be the answer you are looking for.

DNS, or dynamic neuromuscular Stabilization, involves a manual rehabilitative approach that is designed to stimulate movement control centers located in the brain. Through therapeutic techniques, neurons are activated in the same way that occurs naturally through planned an automatic movements. When there is a problem in the communication network of the central nervous system, DNS helps the brain and body to communicate more effectively. Structural and postural problems often cause or are the result of back conditions and other orthopedic conditions. The goal of DNS therapy is to restore proper functioning of the body, improving range of motion, flexibility, and stability along the way.

When you are an infant, global movement patterns are established, creating stability for your spine and establishing proper posture, both essential in allowing you to have a pain-free life with full mobility. However, when you have an orthopedic condition or are plagued by problems with your back, your global movement patterns have been compromised. It is often a vicious cycle; poor posture could result in the physical ailments that torment you. On the other hand, a physical condition could be at the root of the deficiencies in your global patterns. Regardless, DNS provides your body with a way to re-establish global movement patterns. In essence, your body will be retrained to do what it once did, or should have done, naturally. Spinal-joint manipulation, soft tissue release, and muscle relaxation can be achieved through the benefits of therapy.

When you become a DNS patient at New York Dynamic Neuromuscular Rehabilitation, your therapy will begin while you are settled in the proper movement position. Gentle pressure is then applied as you are placed in the competent hands of one of our experienced therapists. Your global movement patterns are stimulated as a result, causing a host of benefits. The spine becomes more stable, muscle imbalances are reduced, the pain of muscle spasms can finally be relieved, and proper patterns for posture are established once again. Over the treatment period, repeated DNS techniques will eventually make optimal posture and movements become natural once again. DNS methods are more effective in taking on a more comprehensive approach, avoiding forceful manipulations. DNS gently prepares the body for proper global movement patterns, relieving pain in the process.

While DNS methods of treatment are being implemented around the world, it is still a relatively new approach that is only available on a limited basis. DNS is a manual rehabilitative approach based on developmental movement principles (ontogenesis). It is designed to activate the body’s stabilizing system by stimulating movement control centers in the brain. The neuronal network activated during therapy is the same neuronal pool representing sub-cortical centers responsible for automatic movements of the human body such as; movement executed during human gait (walking) and other planned movements such as prehension etc…
This neuronal network is naturally programmed in an infant at birth by human genetic coding and it matures and develops during first year of life. Through the connection and growth of many different neurons a child will naturally develop movement stereotypes enabling him to move against gravity as the child learns to turn, crawl and finally walk. Thereafter motor maturation and an acquisition of an ability to walk this system (software like neuronal network) remains in place through adulthood to provide a foundation for most basic yet most complex movements such as gait. Posture follows movement like the a “shadow” as stated by Prechtl. This shadow is the system we are describing. This function was discovered by one of the worlds famous neurologists Professor Václav Vojta. The method helps to restore the structural and postural alignment of the body’s neuromuscular system by invoking a full body “global” motor pattern.
Global motor patterns form the foundation of human movement. They are activated in the specific sequence of increasing complexity during the postural development in the first months of a child’s life. The global motor pattern remains essential for control of posture and stability of the spine – the pivotal center of the entire locomotive system throughout the life of the individual.
Dynamic Neuromuscular Stabilization therapy reactivates patient’s dormant global motor pattern and, exploits the plasticity of the brain, establishing new physiological connections. The spinal-joint manipulation, muscle relaxation and the soft tissue release procedures are all conducted in the postural positions of ideal movements of an infant (crawling and turning). In these positions of support the maximum spinal stability and joint centration of the entire body are achieved.

During DNS therapy, gentle pressure is applied to the body while the patient is situated in a ideal movement position. This pressure stimulates a global motor reaction which minimizes muscle imbalances, relieves painful muscle spasms, improves spinal stability, and encourages postural awareness. Over time, through repetition of the DNS exercises, spinal stability becomes habitual and unconscious.
The results achieved by DNS are superior to conventional methods used by chiropractors and physiotherapists, who tend to address the problem “locally”. DNS therapy prepares the body for gentle, non-forceful manipulation producing faster and more stable improvement of function and, therefore, long-lasting pain relief.
Today DNS therapy according to Pavel Kolar is taught on every continent and has become the most popular method in physiotherapy and chiropractic medicine around the world. Unfortunately there are still very few practitioners since it’s implication requires many years of experience. Dr.Kalika is one of the first practitioners is North America and the only certified practitioner in NYC.

New York Dynamic Neuromuscular Rehabilitation is proud to offer the services of Dr. Kalika, a highly qualified practitioner who is an expert in DNS techniques. Learn how dynamic neuromuscular stabilization could be effective in improving your quality of life, reducing your pain, and putting you on the pathway to a greater range of motion. We are dedicated to helping each of our patients to walk out the door with a better outlook on life. When your body is trained to move the way it should again through the assistance of DNS techniques, move more freely once again, and leave pain behind. A brighter, healthier future is possible and the team at New York Dynamic Neuromuscular Rehabilitation is here to help you make that happen.

Dynamic Neuromuscular Stabilization in NYC Treatment Methods

DNS Therapy / oblique sit

130 West 42 Street, Suite 1055, New York, NY 10036
130 west 42 street, suite 1055 New York, NY 10036

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