The effects of closed kinetic chain exercise on pain and functional performance of patients with knee osteoarthritis

Background : The prevalence of osteoarthritis in Indonesia increases with age. The highest prevalence is at age <75 years. The incidence of osteoarthritis in Indonesia from 1990 to 2010 has increased. Per 100,000 men and women reach their peak at the 80 years old. Women reached a peak at 1,327.4 compared to men who were only 907.7. Osteoarthritis of the knee has problems such as pain, decreased ROM, edema, and decreased muscle strength, to overcome the problems in the case of knee osteoarthritis can be given physiotherapy treatment such as Graston Technique and Closed Kinetic Chain Exercise. Objective : The purpose of this study was to determine the effect of graston technique and closed kinetic chain exercise on knee dextra osteoarthritis to overcome body and function. Results : After being given physiotherapy management with a combination of graston technique and closed kinetic chain exercise in patients with knee osteoarthritis, there was a decrease in pain so that the increase in functional ability is known from the reduction of the diagram from the results of filling the WOMAC index form pre treatment with the score being post treatment in six meetings. Conclusion : The combination of graston technique and closed kinetic chain exercise has effect on reducing pain so that it can improve the functional abilities of patients with knee osteoarthritis.

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Using Closed Kinetic Chain Tests to Determine Functional Performance Levels

Strength and Conditioning ◽

10.1519/1073-6840(1997)019<0066:uckctt>2.3.co;2 ◽

1997 ◽

Vol 19 (5) ◽

pp. 66 ◽

Cited By ~ 3

Author(s):

Michael D. Ross

Keyword(s):

Functional Performance ◽

Kinetic Chain ◽

Performance Levels ◽

Closed Kinetic Chain

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Multisensory and closed kinetic chain exercises on the functional capacity and balance in elderly women: blinded randomized clinical trial

Fisioterapia em Movimento ◽

10.1590/1980-5918.030.s01.ao25 ◽

2017 ◽

Vol 30 (suppl 1) ◽

pp. 259-266

Author(s):

Luiz Gustavo Padovini Ferreira ◽

Caio Vitor dos Santos Genebra ◽

Nicoly Machado Maciel ◽

Eduardo Aguilar Arca ◽

Alexandre Fiorelli ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Functional Capacity ◽

Elderly Women ◽

Functional Performance ◽

The Elderly ◽

Berg Balance Scale ◽

Kinetic Chain ◽

Timed Up And Go ◽

Closed Kinetic Chain

Abstract Introduction: The aging process causes losses that lead to decreased balance, gait speed and functional capacity and, therefore, there is a need of specific protocols to work preventively these variables, which will contribute to the decrease in the frequency of falls in this population. Objective: Verify the effect of a program of multisensory and closed kinetic chain exercises on the functional capacity and balance in elderly women. Methods: Randomized clinical trial masked (blind). Subjects were 32 elderly women from the Centro de Convivência of the Bauru Department of Social Welfare (Secretaria de Bem-Estar Social de Bauru) distributed in two groups: control (CG = 15) and experimental (EG = 17). Interventions: The program of multisensory and closed kinetic chain exercises was applied during an hour, once a week, for 12 weeks. Main measures: Functional capacity was measured by Timed Up and Go (TUG) and the 10-meter walking test (TC10) and their balance by the Berg Balance Scale (BBS). Results: Regarding the comparison between the moments M1 and M2 of the EG after the intervention, there was a statistically significant increase in the functional capability (p = 0.00006), walking speed (p = 0.0008) and balance (p = 0.0006). Conclusion: The multisensory and closed kinetic chain-training program indicated a beneficial effect in the improvement of the elderly women balance and functional performance.

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Shoulder Range of Motion, Rotator Strength, and Upper-Extremity Functional Performance in Junior Tennis Players

Journal of Sport Rehabilitation ◽

10.1123/jsr.2021-0038 ◽

2021 ◽

pp. 1-9

Author(s):

Nazli Busra Cigercioglu ◽

Hande Guney-Deniz ◽

Ezgi Unuvar ◽

Filiz Colakoglu ◽

Gul Baltaci

Keyword(s):

Gender Differences ◽

Upper Extremity ◽

Functional Performance ◽

Kinetic Chain ◽

Tennis Players ◽

Shoulder Range Of Motion ◽

Junior Tennis ◽

Closed Kinetic Chain ◽

Shoulder Range ◽

Medicine Ball

Purpose: Repetitive and asymmetric movements in tennis can result in biomechanical adaptation in shoulder joint. The aim of this study was to investigate the differences in shoulder range of motion (ROM), strength, and functional performance tests between the dominant and nondominant shoulders, as well as to identify gender differences in junior tennis players. Methods: Forty-two junior tennis players (age mean: 11.3 [1.2] y, body mass index 18.3 [2.4] kg/m2) were included in the study. Shoulder internal rotation (IR), external rotation (ER) ROM, and total ROM, IR and ER isokinetic strength and closed kinetic chain upper-extremity stability, seated medicine ball throw used, grip hold tests were applied bilaterally. Paired sample t test and Student t test were used to compare the differences. Results: ER ROM was greater, while IR ROM and total ROM were lower on the dominant shoulder (all P values < .05). Nineteen players had glenohumeral IR deficit (IR ROM difference >13°). The players had a greater ER strength on the dominant side and similar IR strength between shoulders. There was significant difference in seated medicine ball throw results between the dominant and nondominant sides (P < .001). The mean distance for bilateral seated medicine ball throw was 377.02 (85.70) m, and closed kinetic chain upper-extremity stability results were calculated as a mean of 15.85 (1.72) touches. Differences between the genders: total ROM of the dominant shoulder was higher in female players (P = .045), the IR PT/BW at 60°/s angular speed was higher in male players’ dominant shoulder (P = .030), and closed kinetic chain upper-extremity stability performance was higher in male players (P = .019). Conclusions: Adolescent tennis players demonstrated differences in strength, ROM, and functional performance results between the dominant and nondominant shoulders. Gender differences were also seen in the aforementioned parameters in junior tennis players. Determining these differences may improve our understanding of sport-specific shoulder joint adaptations in tennis.

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