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: [1]  
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: [1]  
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== Biomechanical and neurophysiologic factors  ==
== Biomechanical and neurophysiologic factors  ==


Biomechanical:<br>
Biomechanical:<br>  


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.<br>  
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.<br>  


<br>


Neurophysiologic:<br>


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


== Exercises<br>  ==
== Exercises<br>  ==


1. Closed chain upperbody kinetic exercises
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.<br>  
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.<br>  


<br>2. Closed chain lowerbody kinetic exercises
<br>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
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  


<br><br>
<br><br>  


== Clinical Bottom Line  ==
== Clinical Bottom Line  ==
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== References ==
== References ==


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

Revision as of 16:32, 10 May 2013

Original Editors - Vanderpooten Willem

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

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.
In the physiotherapy, closed kinetic chain exercises are used before open kinetic chain exercises.
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


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


In general, fitness experts, physical therapists, and athletic trainers agree that closed chain exercises are better for you:
1. Closed chain exercises better mimic activities of daily living, which means they improve your “functional” fitness.
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.
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]

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)

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