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

  • Since treatments I've had reduced pain and have been able to sleep through the night. Andrea and Becky provided treatments but the entire staff is professional and caring. I can move better and have put off surgery for the time being.

    Russelle Mazulo Avatar
    Russelle Mazulo
    5/28/2019

    Andrea and Arch are great to work with. They took the time to fully evaluate me and developed a course of therapy to achieve specific goals. So happy I chose them!

    Rob Brewer Avatar
    Rob Brewer
    6/28/2013

    Exceptional expertise...as well as service. Their team of physical therapists are trained in techniques that go well beyond what the average PT offers. Every member of my family swears by dynamic bracing. Anytime we have a surgery or pain, we go to them. They've helped us through several post-op recoveries, including shoulder surgeries, hip replacement surgery, ankle surgery, and other orthopedic issues, as well as chronic back pain being fully resolved.

    Annie Beringer Avatar
    Annie Beringer
    4/28/2019
  • 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.

    Just Me Avatar
    Just Me
    5/08/2019

    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