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.
