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

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

    Dawn Hill Avatar
    Dawn Hill
    5/28/2019

    The Best in Spokane. I would not go elsewhere. They have a beautiful new facility. Parking is easy and the staff is welcoming, knowledgeable and professional. I am so happy I was referred from a friend over a year ago. I am happy to highly recommend to anyone needing PT, or other services they offer. Thank you DB&PT!

    Spohummingbrd59 Avatar
    Spohummingbrd59
    9/20/2019

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

    Rob Engley Avatar
    Rob Engley
    12/28/2018

    The office staff are very welcoming and the 2 therapists I've seen are excellent. I really like the strain/counter strain modality they use. I've experience a lot of physical therapy and my results are much better with this technique. They also make use of the BEMER technology for increased circulation/blood flow to support treatment results.

    Elizabeth Pike Avatar
    Elizabeth Pike
    5/28/2019

    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