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 was AWESOME! The environment was very comfortable and relaxed. The PT's were thorough and easy to work with. This is the place to go!

    John Bogensberger Avatar
    John Bogensberger
    2/20/2020

    Got knee braces there in june 2017. They gave me good service.

    Rob Engley Avatar
    Rob Engley
    12/28/2018

    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
  • Andrea and the team at Dynamic Bracing are nothing short of incredible! Their holistic approach to patient care considers the whole person, not just isolated body parts. They are experts at using strain/counterstrain techniques to allow the body to heal and return to, or finally achieve, optimal functioning. Their model enables them to identify the source of the issue, versus treating random symptoms. I have tried chiropractic, massage therapy, and traditional physical therapy to heal my back and joints before I was introduced to the team at Dynamic Bracing. No other treatment has come close to giving me the instant relief that this has. If you are on the fence about going, I can assure you you won’t be disappointed. Their office is beautiful, clean, and tastefully decorated, (which I appreciate...it kind of has a spa feel to it). The only regret I have is that I didn’t know about them sooner!

    Heather Connor Avatar
    Heather Connor
    5/15/2019

    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

    The Best in Spokane. I would not go elsewhere. They have a beautiful new facility. Parking is easy and the staff is welcoming, knowledgeable and professional. I am so happy I was referred from a friend over a year ago. I am happy to highly recommend to anyone needing PT, or other services they offer. Thank you DB&PT!

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    Spohummingbrd59
    9/20/2019