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 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

    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

    Love these guys! Staff is great!
    I'm on the road to recovery with their help and guidance.
    Thanks everyone!

    Lanny calkins jr Avatar
    Lanny calkins jr
    2/12/2020
  • 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

    I've known Adrea for over 30 years, and have had her as a therapist for several different issues ranging from lower back to post ACL surgery therapy. I've followed her from several different practices because she knows what she's doing. Their office appearantly has a great parctice of hiring quality people as well. I have reluctantly been seeing Jennifer for the past 2 weeks due to Adrea's full schedule, and I am absolutely delighted with even the early results to an IT Band and torn meniscus issue. It's the first time in months that I have been able to walk without the aid of a cane. I'm looking forward to seeing the results of the upcoming weeks.

    Stephen Schneiderman Avatar
    Stephen Schneiderman
    6/28/2017

    I found DB through Amazon.Top notch provider, in the true sense of the word.I ordered a hinged elbow brace and, being at the verge of two sizes, needed extra assistance for sizing.Doug called the manufacturer and got the exact answer.When the manuf sent the brace without hinges stops, Doug mailed them to me himself.Could not have asked for anything more.I live in PA, and the transactions across the country felt seamless, bcz their service was that exceptional.They're Santa's shop for braces!

    Lake in Ocean Avatar
    Lake in Ocean
    6/28/2015