Closed Chain Exercise: Difference between revisions

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== Introduction  ==
== Introduction  ==


Closed kinetic chain exercise or closes chain exercise (CKC) is an exercise or movement where the distal aspect of the extremity is fixed to an object that is stationary.<br>In the physiotherapy, closed kinetic chain exercises are used before open kinetic chain exercises. <br>Here are some characteristics of CKC and the differences with open kinetic chain exercises:&nbsp;<ref name="Ellenbecker">Ellenbecker TS, Davies GJ. Closed kinetic chain exercises. A comprehensive guide to multiple-joint exercises. J Chiropr Med 2002;1(4):200.</ref>
Closed kinetic chain exercise or closes chain exercise (CKC) is an exercise or movement where the distal aspect of the extremity is fixed to an object that is stationary.<br><br>Here are some characteristics of CKC and the differences with open kinetic chain exercises:&nbsp;<ref name="Ellenbecker">Ellenbecker TS, Davies GJ. Closed kinetic chain exercises. A comprehensive guide to multiple-joint exercises. J Chiropr Med 2002;1(4):200.</ref>  


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<br>Characteristic Closed kinetic chain exercises Open kinetic chain exercises<br>Stress pattern Linear Rotary<br>Number of joint axes Multiple One primary<br>Nature of joint segments Both segments move simultaneously One stationary, other mobile<br>Number of moving joints Multiple joint movements Isolated joint motion<br>Planes of movement Multiple (triplanar) One (single)<br>Muscular involvement Significant co-contraction Isolation of muscle group, minimal muscular co-contraction<br>Movement pattern Significant functionally oriented Often non-functional
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<br>In general, fitness experts, physical therapists, and athletic trainers agree that closed chain exercises are better for you:<br>1. Closed chain exercises better mimic activities of daily living, which means they improve your “functional” fitness. <br>2. Closed chain exercises work many muscle groups at once. That’s great for the reasons above, but also because you can get more benefit in less time.<br>3. Closed chain exercises are safer for your joints—especially the knee joint, which is very vulnerable to stress and injury. The force involved in closed chain exercises like lunges and squats is compressive, meaning it actually stabilizes the joint and helps strengthen it. In contrast, open chain exercises, like knee extensions or hamstring curls produce shear force, which stresses the knee joint (and the ACL) and is more likely to result in injury. [2]<br>


== Biomechanical and neurophysiologic factors  ==
== Biomechanical and neurophysiologic factors  ==

Revision as of 17:12, 10 May 2013

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Introduction[edit | edit source]

Closed kinetic chain exercise or closes chain exercise (CKC) is an exercise or movement where the distal aspect of the extremity is fixed to an object that is stationary.

Here are some characteristics of CKC and the differences with open kinetic chain exercises: [1]

Characterisctic
Closed kinetic chain exercices
Open kinetic chain exercises
Stress pattern
Linear
Rotary
Number of joint axes
Multiple
One primary
Nature of joint segments
Both segments move simultaneously
One stationary, other mobile
Number of moving joints
Multiple joint movements
Isolated joint motion
Planes of movement
Multiple (triplanar)
One (single)
Muscular involvement
Significant co-contraction
Isolation of muscle group, minimal muscular co-contraction
Movement pattern
Significant functionally oriented
Often non-functional


Biomechanical and neurophysiologic factors[edit | edit source]

Biomechanical:

CKC techniques emphasize the sequential movement and placement of functionally related joints and therefore require coordinated and sequential muscle activation patterns to control proper joint movement.


Neurophysiologic:

Closed kinetic chain exercises stimulate the proprioceptive system by proprioceptive feedback to initiate and control muscle activation patterns. [3]

Exercises
[edit | edit source]

1. Closed chain upperbody kinetic exercises

Push-ups and their derivatives, pull-ups or chin-ups, and dips. These concentrate on a co-contraction of the M. triceps, M. biceps, M. deltoids, M. pectoral may and min, and lower back for stabilization in various ratios depending upon angle and leverage.


2. Closed chain lowerbody kinetic exercises

Squats, deadlifts, lunges, power cleans, and leg presses. These concentrate on a co-contraction of the quadriceps, hamstrings, hip flexors, soleus, and gastrocnemius muscles. The joints of movement include the knee, hip, and ankle



Clinical Bottom Line[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

[1] Ellenbecker, T., Davies,G., closed kinetic chain exercise, 2001 (A1)
[2] Nichols, N., Fitness Defined: Open and Closed Chain Exercises, 2008 (A3)
[3] Akuthota, V., Herring, S., Nerve and vascular injuries in sports medicine, 2009 (A1)

[edit | edit source]

  1. Ellenbecker TS, Davies GJ. Closed kinetic chain exercises. A comprehensive guide to multiple-joint exercises. J Chiropr Med 2002;1(4):200.