CLOSED CHAIN FUNCTION REHABILITATION

Closed Chain Function Rehabilitation

 

Opposed to open kinetic chain exercise where the distal part of the extremity is moving, closed kinetic chain exercise is when the distal part of the extremity is fixed in place.  For example, lower extremity closed chain exercise is a squat versus an open chain exercise like a seated knee extension. Most athletic movements involve closed chain movements in the lower body. Likewise, an example of an upper extremity closed chain exercise is a push-up versus a dumbbell bicep curl. Most athletic movements involve open chain movements in the upper body. However, many shoulder injuries begin with a shoulder girdle (the shoulder blade) that lacks stability.

Closed chain has gained popularity, with studies showing faster strength gains with this type of exercise. They also produce less shearing force on joints which is ideal for the healing patient. Increased compressive forces enhance the stability at the joint.

Closed kinetic chain exercises stimulate the proprioceptive system by proprioceptive feedback to initiate and control muscle activation patterns which we use in activities of daily living. Proprioception is the body’s ability to sense position, motion, and equilibrium. The proprioceptive system is often “sluggish” as a result of incorrect movement patterns. Over time, patients develop these incorrect movement patterns due to pain, swelling, and restricted range of motion.

 

What to expect?

Our team of therapists will observe your movement patterns throughout treatment. Next, they identify weaknesses and how you may compensate with other muscle groups. Accordingly, we teach you how to recruit the right muscles. This may involve correcting exercise technique, gait analysis and training, and neuromuscular re-education with the use of surface EMG technology.

If you feel you may benefit from closed chain kinetic exercises, feel free to set up a detailed evaluation with one of our trained therapists.

We would love to hear from you!

Schedule Appointment

(509) 325-9144

  • Love love love this place! Jessi is the therapist that I see and she is super sweet and very professional. Jessi explains what she is doing and how it will help. Darcy at the front desk is always cheerful and very helpful with scheduling and billing. If you are looking for a physical therapy office you should definitely call dynamic physical therapy and bracing!

    Wendi Soulia Avatar
    Wendi Soulia
    5/03/2019

    Andrea and Jesse were both totally invested in helping me be without pain and have working knees. The fitting for new shoe orthotics was quick and easy and reasonably priced. Jesse gave me exercises specifically suited to my body and issues I was experiencing. I feel like I’m fixed!!

    Julie McElroy Avatar
    Julie McElroy
    3/20/2020

    Since treatments I've had reduced pain and have been able to sleep through the night. Andrea and Becky provided treatments but the entire staff is professional and caring. I can move better and have put off surgery for the time being.

    Russelle Mazulo Avatar
    Russelle Mazulo
    5/28/2019
  • Amazing ! Andrea has managed my shoulder both post accident as well as post shoulder surgery. She is so talented and skilled. Her techniques are gentle yet very effective. I will never go anywhere else !

    Lynda Clark Avatar
    Lynda Clark
    2/26/2020

    I followed Jennifer and Darcy here. Best people ever. Met new good people once I got there. Thanks for great physical therapy and friendship!

    Leanne Pardee Avatar
    Leanne Pardee
    6/28/2017

    Caring and competent. They use facial constraints techniques. No other type of physical therapy is as effective.

    Michele Rohner Avatar
    Michele Rohner
    12/03/2019