Closed Chain Exercise
Original Editors - Vanderpooten Willem
Top Contributors -
Closed Kinetic Chain (CKC) exercises or closed chain exercises are exercises or movements where the distal aspect of the extremity is fixed to an object that is stationary.
With the distal part fixed, movement at any one joint in the kinetic chain requires motion as well at the other joints in the kinetic chain. Thus, both proximal and distal parts receive resistance training at the same time.
CKC exercises have gained popularity over Open Kinetic Chain (OKC) exercises because many clinicians believe that CKC exercises are more reliable and functional. In a 2014 study, Uçar et al. affirm that in the rehabilitation of ACL reconstruction, CKC exercises are more effective than OKC exercises at providing mobilization and enabling a quicker return to daily and sporting activities.
Here are some characteristics of CKC and the differences with OKC exercises:
| Characteristic|| Closed kinetic chain exercises|| 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 Neurophysiological Factors
- 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.
- Closed kinetic chain exercises stimulate the proprioceptive system by proprioceptive feedback to initiate and control muscle activation patterns.
Closed Chain Upper-Body Kinetic Exercises
Examples include push-ups and derivatives, pull-ups or chin-ups, and dips. These concentrate on a co-contraction of the triceps brachii, biceps brachii, deltoids, pectoralis major and minor, and lower back for stabilization in various ratios depending upon the angle and leverage.
Closed Chain Lower-Body Kinetic Exercises
Examples include 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
Many factors should be considered when deciding to use open kinetic chain versus closed kinetic chain exercises. The patient's condition and stage of rehabilitation will aid in the clinician's judgement of exercise prescription.
Recent Related Research (from Pubmed)
- Effect of Closed and Open Kinetic Chain Exercise on Hip and Knee Strength: Preliminary Findings: 3733 Board #172 June 4, 9: 30 AM - 11: 00 AM.
- Evaluation of open and closed kinetic chain exercises in rehabilitation following anterior cruciate ligament reconstruction.
- Comparison of the clinical effects of open and closed chain exercises after medial patellofemoral ligament reconstruction.
- The effects of closed kinetic chain exercises and open kinetic chain exercises using elastic bands on electromyographic activity in degenerative gonarthritis.
- Effects of open and closed kinetic chains of sling exercise therapy on the muscle activity of the vastus medialis oblique and vastus lateralis.
- Differences in Muscle Activities of the Infraspinatus and Posterior Deltoid during Shoulder External Rotation in Open Kinetic Chain and Closed Kinetic Chain Exercises.
- Effects of closed kinetic chain exercises on proprioception and functional scores of the knee after anterior cruciate ligament reconstruction.
- Closed kinetic chain exercises with or without additional hip strengthening exercises in management of patellofemoral pain syndrome: a randomized controlled trial.
- Changes of plantar pressure distributions following open and closed kinetic chain exercise in patients with stroke.
- ↑ Kwon YJ, Park SJ, Jefferson J, Kim K. The Effect of Open and Closed Kinetic Chain Exercises on Dynamic Balance Ability of Normal Healthy Adults. J Phys Ther Sci. 2013 Jun;25(6):671–4.
- ↑ Bynum EB, Barrack RL, Alexander AH. Open versus closed chain kinetic exercises after anterior cruciate ligament reconstruction. A prospective randomized study. Am J Sports Med. 1995 Aug;23(4):401–6.
- ↑ Uçar M, Koca I, Eroglu M, Eroglu S, Sarp U, Arik HO, et al. Evaluation of Open and Closed Kinetic Chain Exercises in Rehabilitation Following Anterior Cruciate Ligament Reconstruction. J Phys Ther Sci. 2014 Dec;26(12):1875–8.
- ↑ Ellenbecker TS, Davies GJ. Closed kinetic chain exercises. A comprehensive guide to multiple-joint exercises. J Chiropr Med 2002;1(4):200.
- ↑ 5.0 5.1 Akuthota V, Herring SA. Nerve and vascular injuries in sports medicine. Springer, 2009.