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

  • The whole team here are so exceptional that words can barely describe. I have a condition that is rarely studied by doctors called Ehlers Danlos Syndrome. I have seeked treatment by Chiropractors, Acupuncturist, etc, etc. The Strain Counter Strain treatments are beyond amazing in relieving my pain! I don’t want to miss the opportunity to tell everyone that they have some of the most modern and technological exercise equipment ever seen! And holy moly they have bracing for everything. I got a SI joint brace...yeah I said SI joint brace...who has ever heard of one of those? Anyhoo go see them if you have any type of pain from athletic muscle strains to chronic pain from EDS, MS, ALS, etc. I swear their practice can give you some relief. Andrea has magic in her hands!!

    brian simmons Avatar
    brian simmons
    5/28/2019

    I highly recommend Dynamic Bracing and PT. They are very professional and always are accommodating at scheduling. PT has helped my situation.

    Barbara Soucy Avatar
    Barbara Soucy
    6/26/2019

    Before I met Andrea, I was receiving counterstrain therapy at a different location. When that therapist retired, she recommended me to Andrea, and I haven't looked back! Nobody else has been able to so effectively treat my wide range of issues (everything from hypermobility to severe neck issues caused by a car crash) with such a friendly caring attitude! You can tell she truly cares about the health and well-being of all of her patients, and I highly recommend her to anybody seeking physical therapy or even pain relief from any issue. You won't regret it!

    I have been going to her for over five years now. Her style is to use strain and counterstrain techniques combined with strengthening exercises to best stabilize and strengthen your body. She listens to each of your concerns and can treat both the entire body and/or just a specific area. It is fascinating to feel the instantaneous relief as she works on me, and I always walk out the door feeling 10 times better than I walked in.

    Shannon H Avatar
    Shannon H
    10/04/2019
  • Andrea is amazing! I have been working with her to treat my chronic migraines for six months now. She is one of the only people who have made a noticeable difference for me. And I’ve tried everything. She is so friendly and helpful. She goes out of her way to work with you and your issues. The whole DB Team is wonderful. I can’t recommend them enough.

    The Beef Avatar
    The Beef
    5/08/2019

    Love working with Andrea. She is extremely knowledgeable in what she does and takes time to really listen to what is causing pain. I have seen a huge improvement! Wonderful for prenatal and postpartum!

    Mackenzie Ivey Avatar
    Mackenzie Ivey
    5/28/2019

    Nice facility, great therapists. Really helped with my recuperation.

    Gail Wolf Avatar
    Gail Wolf
    5/28/2019