Effectiveness of dynamic neuromuscular stabilisation for improving trunk control in hemiplegic stroke: A scoping mini review

Abstract

Stroke is one of the leading causes of mortality and morbidity in the adult population, resulting in significant cognitive and sensorimotor impairments affecting one-half of the body in most patients. The limitations that are attributed to trunk impairment affect the postural and respiratory functions due to either spasticity or weakness of trunk muscles, including the diaphragm. Physiotherapy is effective in interdisciplinary stroke management, with approaches utilising the principles of plasticity. This review focused on briefing the pathomechanical aspects of trunk impairment in hemiplegic stroke. The proposed mechanisms of Dynamic Neuromuscular Stabilization (DNS) as a treatment for hemiplegic stroke were analysed, and the existing research evidence for the efficacy of DNS in improving trunk control among stroke participants was critically reviewed. The findings substantiate the need for high-quality trials, emphasising study design, subset size, reflective outcomes, and regulated follow-ups.