The Significance of Closed Chain Kinetics in Upper Extremity Injuries from a Physician's Perspective

1996 ◽  
Vol 5 (1) ◽  
pp. 64-70 ◽  
Author(s):  
James R. Andrews ◽  
James M. Dennison ◽  
Kevin E. Wilk
Keyword(s):  
Upper Extremity ◽  
Kinetic Chain ◽  
Treatment Protocols ◽  
Closed Chain ◽  
Rehabilitation Protocols ◽  
Elbow Injuries ◽  
Closed Kinetic Chain ◽  
Extremity Injuries ◽  
Physician’S Perspective ◽  
Insight Into

Most physicians, trainers, and therapists are accustomed to thinking of open and closed kinetic chain terminology in terms of exercise and its application in rehabilitation protocols. This terminology can also be used to describe the mechanism by which injuries occur. Categorizing upper extremity injuries in this way not only provides vital insight into the mechanism of the injuries and helps identify possible injured structures but also allows the clinician to better develop treatment protocols. In this article, this categorization is applied to common shoulder and elbow injuries to provide insight into the nature of these injuries.

scholarly journals Reference values, intrarater reliability, and measurement error for the closed kinetic chain upper extremity stability test and upper quarter y balance test in young adults

2022 ◽  
Vol 28 ◽  
Author(s):  
Anna Luiza Teixeira ◽  
Anamaria Siriani de Oliveira ◽  
Nathália Alves Rodrigues ◽  
Guilherme Augusto Santos Bueno ◽  
Maria Eduarda Oliveira Novais ◽  
...  
Keyword(s):  
Young Adults ◽  
Measurement Error ◽  
Upper Extremity ◽  
Reference Values ◽  
Stability Test ◽  
Kinetic Chain ◽  
Intrarater Reliability ◽  
Balance Test ◽  
Closed Kinetic Chain

scholarly journals Biomechanical Analysis Of The Closed Kinetic Chain Upper Extremity Stability Test

2020 ◽  
Vol 52 (7S) ◽  
pp. 43-43
Author(s):  
Ethan S. Welch ◽  
Matthew D. Watson ◽  
George J. Davies ◽  
Bryan L. Riemann
Keyword(s):  
Upper Extremity ◽  
Biomechanical Analysis ◽  
Stability Test ◽  
Kinetic Chain ◽  
Closed Kinetic Chain

Biomechanical analysis of the closed kinetic chain upper extremity stability test in healthy young adults

2020 ◽  
Vol 45 ◽  
pp. 120-125
Author(s):  
Ethan S. Welch ◽  
Matthew D. Watson ◽  
George J. Davies ◽  
Bryan L. Riemann
Keyword(s):  
Young Adults ◽  
Upper Extremity ◽  
Biomechanical Analysis ◽  
Stability Test ◽  
Kinetic Chain ◽  
Closed Kinetic Chain

Effect of Closed Kinetic Chain Training on Neuromuscular Control in the Upper Extremity

1999 ◽  
Vol 8 (3) ◽  
pp. 184-194 ◽  
Author(s):  
Mary E. Ubinger ◽  
William E. Prentice ◽  
Kevin M. Guskiewicz
Keyword(s):  
Upper Extremity ◽  
Neuromuscular Control ◽  
Position Sense ◽  
Joint Position Sense ◽  
Kinetic Chain ◽  
Physically Active ◽  
Significant Difference ◽  
Open Kinetic Chain ◽  
Closed Kinetic Chain ◽  
Stimulation Of

When the upper extremity is injured, open kinetic chain (OKC) exercises are primarily used to increase strength and restore functional ability—the goals of rehabilitation. It is also imperative, however, that the receptors responsible for static and dynamic stabilization of the joint be trained. This can be done with closed kinetic chain (CKC) exercises. The purposes of this study were to investigate the effect of a 4-week CKC training program on the neuromuscular control of the upper extremity and to determine whether there was a significant difference between skill-dominant limb and nondominant limb stability indices. Thirty-two physically active participants (14 men, 18 women) were tested on the FASTEX 4 weeks apart. The training group's scores significantly improved, whereas the control group's scores remained the same. It was concluded that the CKC training significantly improved the training group's ability to remain stable. The results suggest that CKC training can increase the accuracy of joint position sense because of increased stimulation of the mechanoreceptors.

Scientific Rationale and Physiological Basis for the Use of Closed Kinetic Chain Exercise in the Lower Extremity

1996 ◽  
Vol 5 (1) ◽  
pp. 2-12 ◽  
Author(s):  
Lynn Snyder-Mackler
Keyword(s):  
Lower Extremity ◽  
Position Sense ◽  
Joint Position Sense ◽  
Kinetic Chain ◽  
Physiological Basis ◽  
Common Component ◽  
Anatomy And Physiology ◽  
Closed Chain ◽  
Closed Kinetic Chain

Closed kinetic chain exercise is a common component of lower extremity rehabilitation. It has virtually replaced open kinetic chain exercise in the treatment of some conditions. In this paper, anatomy and physiology as they relate to closed chain exercise are examined to elucidate its unique contributions to rehabilitation. Claims made about the specificity, functionality, and safety of closed kinetic chain exercise are discussed. Muscle action, the stretch–shortening cycle, joint position sense, and clinical cases are used to illustrate the distinct role of closed kinetic chain exercise in rehabilitation.

scholarly journals Closed Kinetic Chain Upper Extremity Stability test (CKCUES test): a reliability study in persons with and without shoulder impingement syndrome

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Helga Tatiana Tucci ◽  
Jaqueline Martins ◽  
Guilherme de Carvalho Sposito ◽  
Paula Maria Ferreira Camarini ◽  
Anamaria Siriani de Oliveira
Keyword(s):  
Upper Extremity ◽  
Impingement Syndrome ◽  
Stability Test ◽  
Shoulder Impingement Syndrome ◽  
Kinetic Chain ◽  
Reliability Study ◽  
Shoulder Impingement ◽  
Closed Kinetic Chain

Shoulder Strength and Upper Body Field Performance Tests in Young Female Handball and Volleyball Athletes: Are There Differences Between Sports?

2021 ◽  
pp. 1-8
Author(s):  
Michele Forgiarini Saccol ◽  
Gisele Garcia Zanca ◽  
Rafaela Oliveira Machado ◽  
Lilian Pinto Teixeira ◽  
Rose Löbell ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Effect Size ◽  
Field Performance ◽  
Young Female ◽  
Upper Body ◽  
Performance Tests ◽  
Kinetic Chain ◽  
Balance Test ◽  
Closed Kinetic Chain ◽  
Medicine Ball

Context: Volleyball and handball players have usually been studied collectively as “overhead athletes,” since throwing present similarities in the proximal to distal movement sequencing and upper limb joints ranges of motion. However, each sport presents specificities in the objectives when accelerating the ball and a variety of possible throwing techniques. Therefore, it is expected there may be differences in the shoulder and upper body physical performance between sports. Objective: The aim of this study was to determine if there are differences in shoulder muscle strength and upper body field performance tests between volleyball and handball athletes. Design: Cross-sectional. Methods: Ninety-nine volleyball and handball female athletes aged between 13 and 20 years were evaluated for isometric shoulder abductor and rotator strength (handheld dynamometer) and upper body field performance tests: Y Balance Test—Upper Quarter, modified Closed Kinetic Chain Upper-Extremity Stability Test, and unilateral and bilateral Seated Medicine Ball Throw. Results: Handball athletes presented greater shoulder internal rotation strength (between-group difference: 2.84; effect size 0.70), higher medial (between-group difference: 9.54; effect size 0.90), superolateral (between-group differences: 8.9; effect size 0.68), and composite scores (between-group difference 5.7; effect size 0.75) of the Y Balance Test—Upper Quarter and higher unilateral (between-group difference: 41.92; effect size 0.91) and bilateral (between-group difference: 46.11; effect size 0.83) Seated Medicine Ball Throw performance. Groups were not different for Closed Kinetic Chain Upper-Extremity Stability Test, external rotation, and abduction isometric strength. Conclusion: Our findings suggest that young female handball athletes present greater internal rotator strength and better performance in Y Balance Test—Upper Quarter and Seated Medicine Ball Throw compared to volleyball players. These differences may be related to the different demands required in the throwing movements performed in each sport and should be considered when assessing these populations.

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