DNS: Face-to-face and Telerehabilitation

Dynamic Neuromuscular Stabilization (DNS) is a manual and rehabilitative approach based on developmental kinesiology principles, aiming to optimize movement by integrating postural alignment, breathing patterns, and motor control. DNS emphasizes the coordination of body segments to maintain a neutral functional position, facilitate precise muscle contractions for both respiration and posture, and reflexively regulate the diaphragm and core stabilizers. It has been tested in various musculoskeletal and neurological conditions, improving breathing efficiency, posture, and core stability through targeted activation of deep stabilizing muscles.

Modern sedentary lifestyles, poor ergonomics, and emotional stress have been strongly associated with spinal misalignment and dysfunctional breathing. Literature highlights that even minor postural deviations significantly affect diaphragmatic mechanics and breathing function. Consequently, proper postural alignment and restoration of optimal diaphragmatic activity are essential for integrated stabilization and respiratory function. DNS-based training provides a clinically valuable tool to address these dysfunctions.

Although DNS has been studied in multiple clinical contexts, little is known about the potential differences between its face-to-face (yDNS) and telerehabilitation (tDNS) delivery methods. With the rise of remote rehabilitation practices during the COVID-19 pandemic, it remains unclear whether DNS, as a complex intervention, can be delivered effectively via telerehabilitation.

Objective:

This study aims to compare the effects of telerehabilitation-based DNS (tDNS) and face-to-face DNS (yDNS) on respiratory function, postural alignment, balance, and core stabilization in healthy young adults. The findings are expected to provide novel insights into the clinical applicability of DNS through both in-person and remote rehabilitation modalities.