POINT/COUNTERPOINT: Open–Versus Closed–Kinetic Chain Exercise

1999 ◽  
Vol 21 (4) ◽  
pp. 39
Author(s):  
Brian W. Findley
2003 ◽  
Vol 11 (4) ◽  
pp. 181-187 ◽  
Author(s):  
F. Mayer ◽  
A. Schlumberger ◽  
R. van Cingel ◽  
Y. Henrotin ◽  
W. Laube ◽  
...  

2020 ◽  
Vol 23 (3) ◽  
pp. 167-173
Author(s):  
Nuray GİRGİN ◽  
Arzu ATICI ◽  
Pınar AKPINAR ◽  
İlknur AKTAŞ ◽  
Fatma YÜKSEK

1994 ◽  
Vol 3 (2) ◽  
pp. 154-167 ◽  
Author(s):  
Jose E. Rivera

Closed kinetic chain and functional rehabilitation have lately received increased attention in the rehabilitation community. The purpose of this paper is to review biomechanical considerations applicable to the lower extremity, in a way that clearly justifies the use of functionally sound rehabilitation exercises. The origin of the kinetic chain concept is reviewed, and the differences in biomechanical events in the foot, ankle, and knee under open versus closed chain conditions are described. An analysis of these biomechanical events supports the notion that function results from the integration of muscles and joints to achieve desired outcomes. This leads to the conclusion that rehabilitation exercises, in order to be functional, must demand integration of muscular activity, must be of a closed kinetic chain nature, and must challenge the utilization of normal proprioceptive mechanisms. Guidelines for the practical application of these principles are clearly outlined, and examples of functional activities are described. Readers are encouraged to explore creative and challenging approaches to help clients achieve their highest level of function.


1995 ◽  
Vol 4 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Susan B. Andersen ◽  
Donna M. Terwilliger ◽  
Craig R. Denegar

The purpose of this study was to determine if a difference exists in the reproducibility of knee joint flexion angles in an open versus a closed kinetic chain. Thirty generally healthy subjects (12 males, 18 females; mean age 23.8 years) participated. Subjects actively reproduced small, medium, and large knee flexion angles (with target angles of 15°, 45°, and 75°, respectively) in an open and a closed kinetic chain while being videotaped. Goniometric measurements were taken from the videotape of initial and reproduced joint angles. Data were analyzed using ANOVA with repeated measures on kinetic chain test position and joint angle. Subjects more accurately reproduced knee flexion angles in a closed kinetic chain position. The main effect for angle and the interaction of angle and test position were nonsignificant. The results indicate that knee joint position is more accurately reproduced in closed kinetic chain. Closed kinetic chain testing is also a more functional assessment of joint position sense, and thus closed kinetic chain assessment of lower extremity joint position sense is recommended.


2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Daniel Jewiss ◽  
Cecilia Ostman ◽  
Neil Smart

Background. There is no consensus on whether closed kinetic chain (CKC) or open kinetic chain (OKC) exercises should be the intervention of choice following an anterior cruciate ligament (ACL) injury or reconstruction. Methods. A systematic search identified randomized controlled trials of OKC versus CKC exercise training in people who had undergone ACL reconstructive surgery. All published studies in this systematic review were comparisons between OKC and CKC groups. Results. Seven studies were included. Lysholm knee scoring scale was not significantly different between OKC and CKC exercise patients: MD: −1.03%; CI: −13.02, 10.95; p value = 0.87 (Chi2  =  0.18, df = 1, and p value  =  0.67). Hughston clinic questionnaire scores were not significantly different between OKC and CKC exercise patients: MD: −1.29% (−12.02, 9.43); p value = 0.81 (Chi2  =  0.01, df = 1, and p value = 0.93). Conclusions. While OKC and CKC may be beneficial during ACL surgical rehabilitation, there is insufficient evidence to suggest that either one is superior to the other.


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