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

  • 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.

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    The Beef
    5/08/2019

    Caring and competent. They use facial constraints techniques. No other type of physical therapy is as effective.

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    Michele Rohner
    12/03/2019

    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

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    Carol Marley
    5/28/2019
  • Always courteous and friendly people. The staff has worked with me on various injuries - knee, hip, foot and low back. Because of their partnership, I remain very active and am getting stronger every day. A healing atmosphere with a fun vibe.

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    nicolette brant
    5/28/2019

    The PT experience is top notch! The office is so relaxing, soothing, and spa like- gorgeous!

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    Dawn Hill
    5/28/2019

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

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    Rob Engley
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