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open chain closed chain exercise

Stuart R Heron, Steve R Woby, Dave P Thompson
OBJECTIVES: To assess the efficacy of three different exercise programmes in treating rotator cuff tendinopathy/shoulder impingement syndrome. DESIGN: Parallel group randomised clinical trial. SETTING: Two out-patient NHS physiotherapy departments in Manchester, United Kingdom. PARTICIPANTS: 120 patients with shoulder pain of at least three months duration. Pain was reproduced on stressing the rotator cuff and participants had full passive range of movement at the shoulder...
September 21, 2016: Physiotherapy
Jeong-Il Kang, Young-Jun Moon, Hyun Choi, Dae-Keun Jeong, Hye-Min Kwon, Jun-Su Park
[Purpose] This study investigated the effect on activities, shoulder muscle fatigue, upper limb disability of two exercise types performed by patients in the post- immobilization period of rotator cuff repair. [Subjects and Methods] The intervention program was performed by 20 patients from 6 weeks after rotator cuff repair. Ten subjects each were randomly allocated to a group performing open kinetic chain exercise and a group preforming closed kinetic chain exercise. Muscle activity and median frequency were measured by using sEMG and the Upper Extremity Function Assessment before and after conducting the intervention and changes in the results were compared...
October 2016: Journal of Physical Therapy Science
Nicky van Melick, Robert E H van Cingel, Frans Brooijmans, Camille Neeter, Tony van Tienen, Wim Hullegie, Maria W G Nijhuis-van der Sanden
AIM: The Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction. DESIGN: Clinical practice guideline underpinned by systematic review and expert consensus. DATA SOURCES: A multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline...
December 2016: British Journal of Sports Medicine
Yin-Liang Lin, Andrew Karduna
Proprioception is essential for shoulder neuromuscular control and shoulder stability. Exercise of the rotator cuff and scapulothoracic muscles is an important part of shoulder rehabilitation. The purpose of this study was to investigate the effect of rotator cuff and scapulothoracic muscle exercises on shoulder joint position sense. Thirty-six healthy subjects were recruited and randomly assigned into either a control or training group. The subjects in the training group received closed-chain and open-chain exercises focusing on rotator cuff and scapulothoracic muscles for four weeks...
October 2016: Human Movement Science
Juan Antonio Luque-Seron, Ivan Medina-Porqueres
CONTEXT: Distinct exercises have been proposed for knee rehabilitation after anterior cruciate ligament (ACL) reconstruction. There is a need to understand ACL strain behavior during different rehabilitation exercises to protect the graft from excessive strain that could interfere with its healing process. OBJECTIVE: To critically review studies that directly measured normal ACL strain in vivo during different movements, conditions, or exercises to gain insight into which of them may produce more strain on the ligament or the ligament graft in the case of reconstructed knees...
September 2016: Sports Health
Karina S S Vasconcelos, João M D Dias, Marília C Araújo, Ana C Pinheiro, Bruno S Moreira, Rosângela C Dias
Background: Sarcopenic obesity is associated with disability in older people, especially in women. Resistance exercises are recommended for this population, but their efficacy is not clear. Objective: To evaluate the effects of a progressive resistance exercise program with high-speed component on the physical function of older women with sarcopenic obesity. Method: Twenty-eight women 65 to 80 years old, with a body mass index ≥30kg/m2 and handgrip strength ≤21kg were randomly allocated to two groups...
July 11, 2016: Brazilian Journal of Physical Therapy
Isabelle Senécal, Nadia Richer
OBJECTIVE: To describe the pain and functional improvements of a patient with posterior ankle impingement following a treatment plan incorporating soft tissue therapy, chiropractic adjustment and a progressive rehabilitation program. CLINICAL FEATURES: A 37-year- old male presented with posterolateral ankle pain exacerbated by plantar flexion two weeks after sustaining an inversion ankle sprain. Oedema was present and the patient was describing a sensation of instability while walking...
June 2016: Journal of the Canadian Chiropractic Association
Kelsi Wood, William Berg, Nick Salcedo, Kelsey Biller
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Elif Turgut, Øyvind Pedersen, Irem Duzgun, Gul Baltaci
The combination of open kinetic chain (OKC) and closed kinetic chain (CKC) exercises is commonly recommended in shoulder rehabilitation, aiming at improving strength and sport-specific performance. This study aimed to investigate the three-dimensional (3-D) scapular kinematics and bilateral symmetry of scapular motion during dynamic OKC and CKC movements in asymptomatic and symptomatic shoulders. Fifty subjects with unilateral shoulder pain (symptomatic subjects diagnosed with subacromial impingement syndrome, n=20) or without shoulder pain during active shoulder elevation (asymptomatic subjects, n=30) participated in the study...
September 6, 2016: Journal of Biomechanics
Laura H Moore, Michael J Tankovich, Bryan L Riemann, George J Davies
Plyometric research in the upper extremity is limited, with the effects of open-chain plyometric exercises being studied most. Kinematic and ground reaction force data concerning closed-chain upper extremity plyometrics has yet to be examined. Twenty-one recreationally active male subjects performed four variations of plyometric push-ups in a counterbalanced order. These included box drop push-ups from 3.8 cm, 7.6 cm, 11.4 cm heights, and clap push-ups. Kinematics of the trunk, dominant extremity and both hands were collected to examine peak flight, elbow flexion at ground contact, elbow displacement, and hand separation...
2012: International Journal of Exercise Science
Ki Soeng Jang, Sunghwun Kang, Sang Heon Woo, Ju Yong Bae, Ki Ok Shin
[Purpose] This study investigated the effects of combined open kinetic chain and closed kinetic chain training using pulley exercise machines on muscle strength, anaerobic power, and blood levels of angiogenesis factors. [Subjects and Methods] Twenty male university students were equally divided between control and pulley training groups. The pulley-training group underwent 8 weeks of combined training. Open kinetic chain training consisted of 2 sets of 10 repetitions at 60% of one repetition maximum; closed kinetic chain training consisted of 2 sets of 10 repetitions of resistance exercise using the subject's own body weight...
March 2016: Journal of Physical Therapy Science
Ileana Ramazzina, Francesco Pogliacomi, Silvia Bertuletti, Cosimo Costantino
BACKGROUND AND AIM OF THE WORK: The purpose of the study was to examine the long term effects of a selective muscle strengthening program in reducing pain and improving knee function and strength in athletes with Patellofemoral Pain Syndrome. METHODS: A total of one hundred and thirty four athletes were enrolled in the study. All patients were evaluated with Isokinetic Test, Cincinnati Knee Rating System and Visual Analogue Scale. The selective muscle strengthening consisted of 8 weeks of exercises performed 3 times in the first 4 weeks and twice in the last 4 weeks...
2016: Acta Bio-medica: Atenei Parmensis
Courtney K Brown, Danielle Southerst, Pierre Côté, Heather M Shearer, Kristi Randhawa, Jessica J Wong, Hainan Yu, Sharanya Varatharajan, Deborah Sutton, Paula J Stern, Kevin D'Angelo, Sarah Dion, Jocelyn Cox, Rachel Goldgrub, Maja Stupar, Linda J Carroll, Anne Taylor-Vaisey
OBJECTIVE: The purpose of this systematic review was to determine the effectiveness of exercise for the management of soft tissue injuries of the hip, thigh, and knee. METHODS: We conducted a systematic review and searched MEDLINE, EMBASE, PsycINFO, the Cochrane Central Register of Controlled Trials, and CINAHL Plus with Full Text from January 1, 1990, to April 8, 2015, for randomized controlled trials (RCTs), cohort studies, and case-control studies evaluating the effect of exercise on pain intensity, self-rated recovery, functional recovery, health-related quality of life, psychological outcomes, and adverse events...
February 2016: Journal of Manipulative and Physiological Therapeutics
Vicki L Gray, Tanya D Ivanova, S Jayne Garland
Little attention has been given to training speed of movement, even though functional activities require quick submaximal contractions. Closed kinetic chain (CKC) exercises are considered more functional; however, the best method for training speed is not known. A single bout of open kinetic chain (OKC) exercises emphasizing speed was performed to determine whether movement velocity and muscle activation would improve in a single session and whether the improvements transfer to a physiological balance task...
2016: Physiotherapy Theory and Practice
Dong-Rour Lee, Laurentius Jongsoon Kim
CONTEXT: Many studies have explored closed kinetic chain (CKC) shoulder exercises (SEs) with a sling because they are safer and more effective than open-chain exercises, especially in early stages of treatment. However, the application of CKC SE in youth baseball players has rarely been attempted, although teenage baseball players also experience shoulder pain. OBJECTIVE: To investigate the effects of CKC SE on the peak torque of shoulder internal rotation (IR) and external rotation (ER) in youth baseball players...
August 2016: Journal of Sport Rehabilitation
Gianluca Vernillo, Cesare Pisoni, Gabriele Thiebat
OBJECTIVE: To examine possible bilateral strength asymmetries between the front (FL) and the rear leg (RL) in elite snowboard athletes due to the imposed asymmetrical position on the board. DESIGN: Observational study. SETTING: Department of Biomedical Sciences for Health, University of Milan. PARTICIPANTS: Thirty-three elite male snowboarders: 12 alpine athletes (SBalp), 11 snowboardcross athletes (SBx), and 10 freestyle athletes (SBfs)...
January 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Darryl J Cochrane, Michael C Harnett
The hip extensors are an important muscle group for sporting and functional movements, but assessing this muscle group for musculoskeletal dysfunction and strength testing has been performed in adult males and females as a prone, open-chain exercise, which provides little posture specificity for locomotive activities. Given the importance of closed-kinetic chain exercises for strength and rehabilitation requirements, there is an obvious need to assess hip extension but little is known about executing a closed-kinetic chain hip extension exercise for adolescents...
July 2015: Physiotherapy Theory and Practice
Rianne A van der Heijden, Nienke E Lankhorst, Robbart van Linschoten, Sita M A Bierma-Zeinstra, Marienke van Middelkoop
BACKGROUND: Patellofemoral pain syndrome (PFPS) is a common knee problem, which particularly affects adolescents and young adults. PFPS, which is characterised by retropatellar (behind the kneecap) or peripatellar (around the kneecap) pain, is often referred to as anterior knee pain. The pain mostly occurs when load is put on the knee extensor mechanism when climbing stairs, squatting, running, cycling or sitting with flexed knees. Exercise therapy is often prescribed for this condition...
2015: Cochrane Database of Systematic Reviews
Navpreet Kaur, Kunal Bhanot, Lori Thein Brody, Jennifer Bridges, David C Berry, Joshua J Ode
BACKGROUND: Poor activation of the serratus anterior (SA) muscle may result in abnormal shoulder rhythm, and secondarily contribute to impingement and rotator cuff tears. Sequential activation of the trunk, pelvis, and lower extremity (LE) muscles is required to facilitate the transfer of appropriate forces from these body segments to the upper extremity. Myofascial connections that exist in the body, and LE and trunk muscles (TM) activity may influence scapular and upper limb activity...
December 2014: International Journal of Sports Physical Therapy
Mehmet Uçar, Irfan Koca, Mehmet Eroglu, Selma Eroglu, Umit Sarp, Hasan Onur Arik, Alparslan Yetisgin
[Purpose] To compare outcomes of anterior cruciate ligament (ACL) reconstruction after open kinetic chain (OKC) exercises and closed kinetic chain (CKC) exercises. [Subjects and Methods] The subjects comprised 11 female and 47 male patients who are randomly divided into two groups: which performed a CKC exercise program Group I and Group II which performed an OKC exercise program. Pain intensity was evaluated using visual analogue scale (VAS). Knee flexion was evaluated using a universal goniometer, and thigh circumference measurements were taken with a tape measure at baseline and at 3 months and 6 months after the treatment...
December 2014: Journal of Physical Therapy Science
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