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 office staff are very welcoming and the 2 therapists I've seen are excellent. I really like the strain/counter strain modality they use. I've experience a lot of physical therapy and my results are much better with this technique. They also make use of the BEMER technology for increased circulation/blood flow to support treatment results.

    Elizabeth Pike Avatar
    Elizabeth Pike
    5/28/2019

    The therapists really care about their patients. They take the time to research and trouble shoot the issues and adjust treatment as needed. Their techniques are not what mainstream would describe as "physical therapy" but it's an amazing and precise science that really works!! Thanks to the whole team for treating my ailments over the years.

    Ami Veltrie Avatar
    Ami Veltrie
    5/28/2019

    Andrea is awesome! She addresses all of my concerns! She is very professional and caring!!! Office is a accommodating , staff very friendly and helpful! 😊

    lonianne1 . Avatar
    lonianne1 .
    6/28/2017
  • I found DB through Amazon.Top notch provider, in the true sense of the word.I ordered a hinged elbow brace and, being at the verge of two sizes, needed extra assistance for sizing.Doug called the manufacturer and got the exact answer.When the manuf sent the brace without hinges stops, Doug mailed them to me himself.Could not have asked for anything more.I live in PA, and the transactions across the country felt seamless, bcz their service was that exceptional.They're Santa's shop for braces!

    Lake in Ocean Avatar
    Lake in Ocean
    6/28/2015

    What a positive experience. I was blown away, with how willing to help me they were. I have an old brace, and wanted to tune it up. everyone in town, could care less, but they not only took it on, but made me feel respected. My new brace this year will come from them, no matter what.

    Chris White Avatar
    Chris White
    6/28/2014

    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