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

  • Dynamic bracing offers not only physical theraphy, but also strain/counterstrain for chronic pain. I have tried lots of different things, but strain/counterstrain gives me the most relief from pain. Awesome, caring, skilled therapists

    Carol Marley Avatar
    Carol Marley
    5/28/2019

    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

    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
  • 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

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

    Gail Wolf Avatar
    Gail Wolf
    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