DNS Yoga  and Visceral Mobilisation 
An integrated approach to rehabilitation 

21-24 Feb 2020,  with Martina Jezkova and Petr Bitnar

"Functional and biomechanical reciprocal relationships exist between internal organs and the locomotor system".

Overview

The internal organ system and the movement system are functionally connected and continuously influencing each other. Dysfunction in one may result in dysfunction of the other and vice versa. Reflex changes resulting from visceral dysfunction or structural pathology have consequences throughout the entire movement system. Visceral irritation causes a complex of reflex changes called visceral patterns, which are very distinctive for each organ. In clinical practice, one of the most critical aspects of these visceral patterns is the way they influence muscle function.

 

In this groundbreaking research based course, Petr and Martina have combined their unique therapeutic approaches and specialties to develop a multifaceted approach to the functional assessment and treatment of visceral dysfunction, and it's interaction with the musculoskeletal system. The curriculum includes manual therapy techniques, self-treatment protocols, and DNS/Yoga exercises, which can aid in the mobilisation and motilisation of all the major visceral organs. All techniques will be demonstrated and practiced during hands-on treatment and exercise sessions.

 

The course will focus on viscero-somatic patterns resulting from gastrointestinal tract (GIT) dysfunction[1]as well as swallowing problems, breathing disorders, non-specific abdominal or pelvic pain, pelvic floor dysfunction and functional sterility. Special attention will be given to the relationship between visceral function, and the muscle complex DNS defines as the Integrated Stabilizing System of the Spine (ISSS). Muscles constituting the ISSS are deep intrasegmental spinal muscles, pelvic floor, diaphragm, transversus abdominis, rectus and oblique abdominals, intercostal muscles, and deep neck flexors. Abnormal diaphragmatic function often presents in patients suffering from both GIT dysfunction and chronic back pain. Petr's research in this area, published in JBMT, is available here https://www.rehabps.cz/data/JBMT_Leg_raise.pdf 


Course Objectives

  • DNS approach to postural assessment and treatment in chronic dysfunction of ALL major internal organs, including common clinical diagnoses such as gastroesophageal reflux disease, swallowing problems, breathing disorders, stress incontinence, constipation, functional sterility, other abdominal and pelvic issues and relationship to common pain syndromes.

  • Manual assessment and mobilisation of all the major visceral organs in the body

  • Mobilisation and soft tissue techniques in chronic dysfunction of internal organs

  • Systematic trigger point therapy and global reciprocal muscle inhibition techniques

  • Specific traditional and modified Yoga asanas that can aid in the mobilisation and motilisation of the visceral organs. 

  • Explanation of anatomy of visceral ligaments, common adhesions and the therapeutical influence of Yoga positions performed in specific vectors of movement

  • Manual self-treatment tools that can be taught to patients to improve:  breathing pattern, visceral motility, visceral adhesions, and dysfunctional movement patterns.

  • Principles and practice of therapeutic Yoga from a DNS perspective, including:

  • - Developmental kinesiology relationships to yoga asanas.

  • - Watching for functional joint centration during static and dynamic loading.

  • - Utilising and correcting movement in closed and open kinetic chains.

  • - Identifying and correcting dysfunctional patterns through the coordinated co-contraction of antagonists.

  • - Applying DNS rehabilitation principles to specific groups of yoga asanas – e.g. standing and sitting poses, forward bends.

  • Learn Yoga asanas and DNS exercises that can be taught to patients to improve breathing pattern, visceral motility, visceral adhesions, and dysfunctional movement


[1]    GIT dysfunction forms a group of diseases without any clear structural pathology that may have a significant influence on a patient’s health; its consequences are complex and are also reflected in the function of the locomotor system. It is essential to bear in mind that in patients with internal organ pathology, irritation and reflex changes in the locomotor system occur as a rule, i.e., muscle TrPs, joint blockages, soft tissue dysfunction, and altered motor stereotypes. Patients with diagnoses involving the internal organ system are thus important potential clients of the rehabilitation specialists. 

Who can attend

Chiropractors, Osteopaths, Physiotherapists, Acupuncturists, Strength & Conditioning Specialists, coaches, Body Work therapists, Exercise Physiologists & Kinesiologists, Movement specialists(Yoga, Pilates, Gyrotonics instructors).

Instructors

PETR BITNAR, MPT, Ph.D.

If you have not had the opportunity to learn from Petr, now is the time! Besides his wonderful sense of humour, he is a world-leading authority on somato-visceral patterns and rehabilitation and has amazing palpation skills. 

Petr Bitnar completed his master's degree in Physiotherapy at 2nd Faculty of Medicine, Charles University, Prague in 2008. Since 2008 he has been working as lecturer specialist in physiotherapy and rehabilitation at the Rehabilitation Clinic, University Hospital Motol, Charles University in Prague. Petr's master degree thesis was: "Relationships between the gastrointestinal tract and musculoskeletal system." Viscero-vertebral relations continue to be his primary professional interest, forming a topic of his postgraduate Ph.D. program since 2009. 

Petr has completed numerous professional courses including courses in Pain Projection in the Musculoskeletal system, McKenzie Approach, Functional Assessment and Treatment according to Mojžíšová, Klapp Crawling approach to scoliotic patients, Mobilization and Relaxation techniques according to Lewit, Reflex Locomotion according to Vojta, Pelvic Stabilization, and manual Lympho-drainage. 

Petr has been certified Lympho-therapist since 2009. Petr has been an instructor in Dynamic Neuromuscular Stabilisation according to Kolar since 2009, focusing mainly on viscero-somatic relationships within the DNS principles. Petr has also presented his original research in "Diaphragm function in patients with Gastroesophageal reflux disease" on numerous scientific conferences, twice receiving an award for the best poster of the conference.  

MARTINA JEŽKOVÁ, MPT

Martina is renowned internationally for her teaching skills in movement rehabilitation approaches. She is also a certified Iyengar Yoga instructor and has spent many years integrating DNS principles into the use of Yoga in rehabilitation.

Martina Ježková completed her Physiotherapy Master's degree in 2001, at the Faculty of Physical Education and Sport, Charles University, Prague. She was a student of esteemed Professors Janda and Lewit, whom she later worked with at the Rehabilitation Clinic, University Hospital Motol, Prague.

She specialises in the functional assessment and treatment of both adult and paediatric patients. In her 18 years of clinical rehabilitation practice, Martina has worked with a broad scope of patients, including babies with cerebral palsy and children with central coordination disturbance, neurological disorder patients, gynaecology patients with functional sterility, unspecified infertility, Pelvic floor dysfunction, and other pelvic health issues. She also works with professional and amateur athletes and elderly patients to develop movement optimisation strategies.

Martina has completed numerous professional development and instructor level trainings, including: Development Kinesiology (DK) in Rehabilitation and Dynamic Neuromuscular Stabilisation principles (with Prof. Pavel Kolář), Manipulative Therapy in Rehabilitation and Post Isometric Relaxation (PIR), Soft tissue manipulation and manipulation of spine and extremity (with Prof. Lewit), Functional Sterility assessment and treatment according to Mojžíšová (manual therapy and exercise approach), Vojta Reflex Locomotion (treatment approach for adult, children, and newborn patients).

Martina was certified as a Vojta therapist in 2004 and attends regular refresher courses. She has also completed short courses in Brügger therapy, Klapp Crawling (based on DK), Kinesiotaping, Fascial manipulation techniques, Fascial Yoga and Yoga and MS. In January 2014 Martina completed her first Yoga Instructor certification with Purna Yoga, Byron Yoga Centre, Australia. Since 2014 she has continued to study and incorporate Yoga as part of her approach to movement rehabilitation. In 2018 became a fully certified Iyengar Yoga Instructor.

Martina is renowned internationally for her teaching skills in Movement Rehabilitation approaches. In 2002, she became an instructor in Rehabilitation at the 2nd Faculty of Medicine, Charles University, Prague, teaching both Physiotherapy and Medical students. Since 2004, she has served as a certified instructor in Musculoskeletal Techniques according to Lewit and since 2005, as an international certified instructor in Dynamic Neuromuscular Stabilisation, according to Kolář. Drawing from her clinical practice and other studies, Martina has developed specialized DNS courses in Women's Health and in the application of DNS principles to Yoga in Rehabilitation. She has also collaborated in the development of a DNS training course for Pilates practitioners .

Details

VENUE:

The course will be held as a "live in" training at the Govinda Valley Yoga Retreat, Otford, NSW, Australia -  from February 21-24, 2020. Otford is an hour South of Sydney International Airport, and easily accessible by train or car.  This is a wonderful opportunity to immerse yourself in the DNS work with two of the Prague Schools most talented and progressive instructors. All accommodation and food is included and Martina will also be teaching early morning DNS therapeutic yoga practice before breakfast each day. All yoga equipment is provided. 

The venue has a large, ground floor Yoga hall and rooms for guests. Upstairs is an additional small hall and a dining room with a wrap-around balcony, which caters delicious vegetarian/vegan food. Both halls have stunning, panoramic views of the Australian bush. Accommodation consists of 5 rooms with ensuite and 2 single beds, and 12 rooms with 3 or 4 single beds and shared facilities. In addition you can enjoy a variety of tranquil outdoor spaces, including sunny terraces, organic gardens and a beautiful amphitheatre, perfect for bonfires.  Camping rates are also available. There are also some fantastic beaches and scenic sites close by! 

EARLY BIRD PRICES: 

Please note: payment plans are available. Please contact Chris on 0412652409 to discuss.

The prices shown below are per person and inclusive of the full course fee (2 Prague school instructors), 3 or 4 nights accommodation, all meals and all early morning yoga classes. Prices are GST inclusive. All yoga props and mats are provided.

PLEASE NOTE: Prague school fee of EU80 per person is not included. Please use the link on the registration page to subscribe with the Prague School and pay the EU80 fee.

To secure the early bird price, a non- refundable deposit of $770 will reserve you a place in the course and your preferred accomodation option. The remainder of the course fee is due by the 30th November 2019, unless an alternate payment plan is made. Your registration will not be confirmed until the Prague School fee of EU80 has been paid.

There are only 5 ensuite rooms available (10 people) so these will be given out on a first come first served basis. The remaining shared facility accommodation (3 to 4 per room) will be separated into male and female rooms. Camping sites require you provide your own tent, bedding etc.  Campers have the use of shared bathroom facilities.

There are two arrival time options and prices vary accordingly.  Thursday evening 20th Feb arrival includes dinner at 6pm, Friday morning 21st Feb arrival includes breakfast at 8am. The course starts at 9am each day. Early morning Yoga class with Martina is at 7am every morning.

Thursday 20th evening arrival (inc. 4 nights accommodation 12 meals):  Camping or meals only - $1870.  Shared facilities - $2010. Twin with ensuite - $2300.

Friday 21st morning arrival  (inc. 3 nights accommodation 11 meals): Camping or meals only -$1830 per person. Shared facilities -$1960. Twin with ensuite - $ 2220. 

GETTING THERE: 

BY TRAIN: The CBD to Otford takes approximately 75 minutes and is a direct line. The airport to Otford takes approximately 65 minutes with one train change. For more information on train times please download the ‘TripView’ app Trip View or visit sydneytrains.info. sydney trains

BY CAR: Govinda Valley is approximately a 70-minute drive from Sydney CBD and 50 minute drive from Sydney airport. Please note: if using a GPS, type "Govinda Valley Retreat" into the app, not the Govinda Valley address (51 Lady Carrington Road, Otford). This will result in the most accurate directions. 


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