Fact-checked by Grok 2 weeks ago

Closed kinetic chain exercises

Closed kinetic chain exercises are a type of physical therapy and strength training movement in which the distal portion of a limb is fixed against a stable, immovable surface, resulting in simultaneous activation of multiple joints and muscle groups along the kinetic chain to produce coordinated, functional motion.^[1] Unlike open kinetic chain exercises, where the distal end moves freely in space and often isolates single joints, closed chain exercises emphasize weight-bearing positions that enhance proprioceptive feedback and joint compression for greater stability.^[2] These exercises are characterized by their ability to simulate real-life activities, promoting co-contraction of agonist and antagonist muscles to reduce shear forces on joints while improving neuromuscular control and balance.^[1] In rehabilitation settings, particularly for lower extremity injuries like anterior cruciate ligament (ACL) reconstructions or knee osteoarthritis, closed kinetic chain exercises are preferred after initial healing phases because they distribute loads across multiple segments, minimizing stress on isolated joints compared to open chain alternatives.^[2] Research supports their efficacy; for instance, a randomized controlled trial involving 33 healthy adults demonstrated that six weeks of closed kinetic chain training significantly reduced center-of-pressure displacement during balance tasks (anterior-posterior displacement reduced from 748.2 mm to 641.6 mm, a 106.6 mm improvement, p<0.05), outperforming open chain exercises due to enhanced multi-joint involvement and proprioception.^[3] Key benefits include superior eccentric muscle control, increased functional performance in activities like walking or jumping, and better outcomes in dynamic balance restoration, making them integral to protocols for athletes, post-surgical recovery, and general fitness programs.^[1] Studies have shown improvements in jumping ability among female athletes after closed chain interventions and enhanced lower limb strength in stroke patients, highlighting their role in neurorehabilitation.^[1] Common examples for the lower body encompass squats, lunges, and leg presses, while upper body variants include push-ups, dips, and wall slides, all of which can be progressed from bodyweight to resisted forms to target specific rehabilitation goals.^[2]

Definition and Principles

Definition

Closed kinetic chain exercises are multi-joint movements in which the distal segment of a limb, such as the hand or foot, is fixed against a stationary surface, forming a closed loop that transmits forces proximally through the body's kinetic chain.^[1] This fixation stabilizes the distal end, engaging multiple joints simultaneously in a coordinated manner that enhances overall biomechanical efficiency.^[4] The concept of the kinetic chain originated in the mid-20th century, with Arthur Steindler first applying it to human biomechanics in 1955, defining a closed kinetic chain as a system where the distal segment encounters substantial external resistance, preventing its free movement and promoting proximal stability during joint actions.^[5] Although introduced earlier, closed kinetic chain exercises gained significant traction in rehabilitation and exercise physiology during the 1980s, particularly for their emphasis on functional, multi-joint patterns that replicate real-world activities and support joint integrity. This rise in popularity stemmed from biomechanical studies highlighting their role in safe load distribution across the lower and upper extremities. Basic examples include the squat, where the feet are planted on the floor, or a wall push, where the hands press against a fixed surface, illustrating the essential distal fixation without isolated joint motion.^[1] These exercises exemplify the closed kinetic chain's focus on integrated, weight-bearing actions that differ from free distal movement patterns.

Kinetic Chain Fundamentals

The kinetic chain is a biomechanical concept describing a sequence of interconnected body segments—comprising joints, muscles, and connective tissues—that work together to transmit forces and motion across the musculoskeletal system.^[6] This framework, originally adapted from engineering principles by Arthur Steindler in his 1955 work on kinesiology, views the human body as a series of linkages where the movement or loading of one segment influences adjacent ones, enabling coordinated action rather than isolated function.^[5] In human movement, the kinetic chain facilitates the proximal-to-distal transmission of force and energy, where motion initiates from segments closer to the body's core (such as the trunk or pelvis) and propagates outward to distal extremities, optimizing acceleration and efficiency.^[7] This directional sequencing, sometimes reversible in certain actions, relies on neuromuscular control to synchronize segment activation, as modeled in early anthropometric studies of body linkages.^[8] Open kinetic chain movements represent a basic variant where the distal end of the extremity remains free to move in space, typically emphasizing single-joint actions with minimal influence from proximal segments.^[5] For instance, exercises like knee extensions isolate the joint's motion against resistance, allowing targeted loading without coupling to other body parts.^[9] Within functional anatomy, kinetic chains underpin efficient energy transfer in everyday activities, such as walking, where sequential engagement of the lumbopelvic-hip complex through lower limb segments converts ground reaction forces into smooth propulsion with minimal energy loss.^[10] This interconnected system ensures that force generated proximally is distributed distally via myofascial and articular pathways, supporting balance and progression in locomotion.^[6]

Comparison with Open Kinetic Chain Exercises

Key Differences

Closed kinetic chain (CKC) exercises are characterized by distal segment fixation to a stable surface, such as the ground or a fixed apparatus, which contrasts with open kinetic chain (OKC) exercises where the distal segment moves freely through space. This fixation in CKC promotes weight-bearing activities that distribute forces across multiple joints, whereas OKC allows isolated limb movement without such constraint.^[11] A primary biomechanical distinction arises from these structural differences: CKC exercises generate predominantly compressive forces on joints due to the axial loading from body weight and ground reaction forces, enhancing joint congruency and stability, while OKC exercises often produce greater shear and distraction forces that can stress ligaments and soft tissues. For instance, during knee extension, OKC movements like those on a leg extension machine result in higher anterior-posterior shear forces (up to 1780 N), whereas CKC squats yield lower shear (significantly reduced at all flexion angles) but higher compressive loads that support joint integrity.^[12]^[13] Functionally, CKC exercises necessitate multi-joint coordination and promote co-contraction of agonist and antagonist muscles, such as simultaneous quadriceps and hamstring activation, to maintain stability against the fixed distal end. In contrast, OKC exercises typically isolate specific muscles, leading to more targeted but less integrated activation patterns that may not replicate functional movement demands. This co-contraction in CKC reduces net shear forces and enhances overall neuromuscular efficiency.^[14]^[11] Proprioceptive feedback also differs markedly, with CKC exercises providing enhanced joint position sense through sensory input from ground reaction forces and multi-segmental loading, which stimulates mechanoreceptors more effectively than the isolated, non-weight-bearing nature of OKC. Studies indicate that CKC training improves repositioning accuracy and neuromuscular control, contributing to better balance and injury prevention.^[15]

Selection Criteria

Selection of closed kinetic chain (CKC) exercises over open kinetic chain (OKC) ones depends on specific clinical and training contexts, particularly when prioritizing joint stability and controlled loading. For patients with ligamentous injuries, such as those recovering from anterior cruciate ligament (ACL) tears or reconstructions, CKC exercises are often preferred in the early stages to minimize shear forces and promote graft stability through increased tibiofemoral compression and co-contraction of surrounding muscles.^[16] This approach reduces anterior tibial translation, which is a key risk factor for graft strain, making CKC suitable for post-ACL rehabilitation where ligament integrity is paramount.^[14] In terms of training phases, CKC exercises are typically selected during early rehabilitation to facilitate proximal stability and functional movement patterns with lower joint stress, transitioning to OKC for targeted muscle isolation in later phases.^[17] For instance, in the acute recovery period following lower extremity surgery, CKC activities like partial squats help reestablish neuromuscular control without excessive shear, whereas OKC exercises, such as leg extensions, are introduced mid-rehabilitation for isolated quadriceps hypertrophy once stability is achieved.^[18] This phased selection aligns CKC with goals of functional strength development, leveraging their ability to distribute loads across multiple joints. Population-specific considerations further guide the choice of CKC exercises, as their inherent stability makes them safer for beginners or those with compromised joint integrity, though advanced athletes must monitor for overload risks under high body weight demands. Novice trainees benefit from CKC's fixed distal segment, which provides natural feedback and reduces injury potential during foundational strength building.^[18] In contrast, experienced athletes may face higher compressive forces in CKC movements like deep squats, necessitating progression to avoid joint overload, while still valuing CKC for sport-specific power transfer.^[14]

Biomechanical Properties

Joint Stability and Loading

Closed kinetic chain (CKC) exercises generate compressive loading at the joints due to the fixed distal segment, which directs forces axially and reduces shear stress, particularly at the knee. During activities such as squats, tibiofemoral compressive forces increase with flexion angle, often reaching several times body weight, while anterior shear forces remain significantly lower than in open kinetic chain equivalents, minimizing anterior tibial translation.^[19] Ground reaction forces from the fixed contact point distribute the load proximally along the kinetic chain, promoting joint congruency and efficient force transmission without excessive lateral or rotational stresses.^[20] This distal fixation in CKC enhances joint stability by necessitating balanced activation of surrounding musculature, including co-contraction of agonists and antagonists to maintain alignment. The fixed endpoint creates a stable base that increases intra-articular pressure, fostering joint approximation and reducing susceptibility to instability during multi-joint movements.^[21] Biomechanical models employing force vector analysis reveal unique axial loading patterns in CKC, where vectors align closely with joint centers to emphasize compression over shear. In these models, weight-bearing CKC results in predominantly axial loading that traverses the joints longitudinally, distinct from the more transverse vectors in non-fixed chains. This axial emphasis contributes to the biomechanical efficiency of CKC by optimizing load distribution and preserving joint integrity.^[20]

Muscle Activation Patterns

Closed kinetic chain (CKC) exercises promote increased co-activation of synergist and stabilizer muscles compared to open kinetic chain (OKC) alternatives, as the fixed distal segment requires coordinated multi-joint stabilization to manage compressive forces. For instance, during squat variations, quadriceps activation is dominant relative to hamstrings, with electromyographic (EMG) ratios often exceeding 5:1, enhancing joint protection and functional efficiency.^[22] This pattern extends to upper body movements, where shoulder stabilizers like the serratus anterior and trapezius co-activate at levels exceeding 50% of maximum voluntary isometric contraction (MVIC) to maintain scapular control.^[23] A key neuromuscular feature of CKC exercises is the proximal-to-distal recruitment sequence, where activation initiates in core and proximal muscles (e.g., erector spinae and gluteals) before propagating to distal segments, optimizing force transmission and postural engagement. Such patterns enhance overall body integration, contrasting with the more isolated distal emphasis in OKC exercises.^[17] EMG studies consistently demonstrate higher overall muscle activity in CKC exercises relative to isolated efforts, with multi-muscle recruitment often 20-50% greater in terms of integrated EMG signals. In lower body CKC, vastus lateralis activation can reach 90-130% MVIC during weight-bearing tasks, while upper body exercises like push-ups elicit pectoralis major activity near 100% MVIC alongside elevated core involvement.^[24] These findings underscore distinct activation profiles: lower body CKC emphasize quadriceps dominance with hamstring synergy for knee stability, whereas upper body patterns prioritize scapulothoracic muscles for proximal control, contributing to improved neuromuscular efficiency without excessive joint shear.^[25]

Upper Body Exercises

Push-Up Variations

Push-up variations are fundamental closed kinetic chain exercises that involve fixing the hands against a stable surface, such as the floor, to facilitate multi-joint movement and enhance upper body strength and stability. The standard push-up begins with the body in a plank position, hands placed directly under the shoulders and feet hip-width apart, followed by a controlled descent until the elbows reach approximately 90 degrees of flexion, then an explosive ascent to return to the starting position. This variation primarily targets the pectoralis major, anterior deltoids, triceps brachii, and serratus anterior, with electromyographic (EMG) activities varying, such as ~47% of maximum voluntary isometric contraction (MVIC) for pectoralis major and ~23% for triceps brachii, while also demanding core engagement for spinal stability.^[26] In the closed kinetic chain context, the fixed distal segment promotes joint compression and proprioceptive feedback, distributing load across the shoulder girdle and elbow.^[26] Common variations modify hand position, body angle, or movement speed to adjust intensity and muscle emphasis. Incline push-ups elevate the hands on a stable surface (e.g., a bench at 65 cm height), reducing muscle activations, with pectoralis major at ~21% MVIC and serratus anterior at ~24% MVIC, making it suitable for beginners or progression from more challenging forms.^[26] Conversely, decline push-ups raise the feet on an elevated surface, increasing upper limb loading and shifting emphasis to the upper pectoralis major and triceps, with higher peak forces and elbow joint moments compared to the standard version.^[27] Diamond push-ups, performed with hands forming a diamond shape under the chest (approximately 50% of shoulder width), significantly elevate triceps brachii activation to 116.5% relative voluntary contraction (RVC) versus the standard 100% RVC, while also increasing pectoralis minor activity to 131.7% RVC, thereby prioritizing triceps and inner chest development.^[28] Plyometric clap push-ups introduce an explosive element by incorporating a rapid eccentric-concentric transition, where the performer lowers into the standard position and then pushes upward forcefully enough to clap hands mid-air before landing back in push-up position. This variation enhances power output through the stretch-shortening cycle, targeting the pectoralis major, triceps brachii, and anterior deltoids, with kinematic analyses showing peak vertical ground reaction forces of about 0.78 body weight and elbow flexion displacements of -20.79 degrees upon landing.^[29] Proper technique across these variations emphasizes maintaining a straight body line from head to heels to prevent lumbar hyperextension, with scapular control involving protraction during descent and retraction during ascent to optimize serratus anterior engagement and shoulder stability.^[26] Progressions typically start with knee-supported versions, which reduce body weight loading, allowing novices to build strength before advancing to full-foot standard push-ups, incline adjustments, or plyometric integrations.^[27]

Dips and Pull-Up Alternatives

Parallel bar dips constitute a fundamental closed kinetic chain exercise for vertical pushing, characterized by a fixed hand position on parallel bars that supports the body's weight through a vertical load. The movement involves lowering the body by flexing the elbows and extending the shoulders, followed by reversal through elbow extension and shoulder flexion to return to the starting position, typically performed on bars at waist-to-shoulder height. This exercise emphasizes the triceps brachii, pectoralis major, and anterior deltoid, with peak triceps activation reaching approximately 1.04 mV during execution, alongside significantly higher pectoralis major and anterior deltoid engagement compared to bench dips. The vertical displacement averages 394 mm, reflecting substantial shoulder extension up to 88% of maximal range of motion, which contributes to enhanced joint loading and muscle co-activation for upper body stability.^[30] As alternatives to traditional pull-ups, inverted rows and assisted pull-ups provide accessible closed kinetic chain options for pulling motions, utilizing fixed bars or rings to activate the back and biceps while maintaining distal fixation. Inverted rows are executed by suspending the body under a bar or using adjustable ropes, pulling the chest toward the bar with feet supported on the ground, which targets the latissimus dorsi, rhomboids, and biceps brachii as a multi-joint horizontal pull analogous to bent-over rows. This setup promotes posterior chain strength and scapular stability, with training protocols showing improvements in upper body power. Assisted pull-ups, often using resistance bands looped around the knees or a dip machine for counter-resistance, reduce bodyweight load while preserving the fixed grip on an overhead bar, enabling controlled concentric and eccentric phases to build pulling capacity in beginners or rehabilitative contexts. Modifications to these exercises enhance accessibility and control, including banded assistance to offset partial bodyweight during dips or pull-ups, allowing progressive overload without full unassisted execution. Slow eccentrics, where the lowering phase is deliberately extended over 3-5 seconds, improve eccentric strength and muscle control in both dips and rows, minimizing momentum and enhancing time under tension for the targeted musculature. Common errors, such as excessive shoulder protraction—where the scapulae excessively forward-round during the descent—can compromise joint alignment and increase strain on the anterior shoulder structures; proper form requires maintaining scapular depression and retraction to ensure balanced loading and reduce injury risk. These adaptations support broader upper body stability benefits inherent to closed kinetic chain movements.^[30]

Lower Body Exercises

Squat Variations

The bodyweight squat is a foundational closed kinetic chain exercise where the feet remain fixed on the ground, facilitating simultaneous hip and knee flexion while primarily targeting the quadriceps, gluteus maximus, and hamstrings.^[19] During the descent, quadriceps activation increases with knee flexion depth, reaching up to 70% of maximum voluntary contraction (MVC) in the vastus medialis between 60-90 degrees, while hamstring involvement remains relatively low at around 10-12% MVC, promoting a focus on knee extensors.^[31] This exercise enhances lower body muscle co-activation for joint stability compared to open kinetic chain alternatives.^[32] Several variations of the squat adapt the bodyweight pattern to increase challenge, control depth, or emphasize specific mechanics within a closed kinetic chain framework. The goblet squat incorporates a held weight (such as a dumbbell or kettlebell) at chest level, which encourages an upright trunk posture and elevates quadriceps demand by increasing the knee flexion moment.^[19] Pistol squats introduce a unilateral challenge by lifting one leg forward, demanding greater balance and tibia inclination, which intensifies quadriceps activation on the supporting leg due to the single-limb load. Box squats, performed by descending to touch a raised surface behind the body, allow for controlled depth and a wider stance that can increase knee valgus moments by up to 23% while boosting gluteus maximus activity by 13-61%.^[19] Proper form is essential for safety and efficacy in all squat variations, emphasizing a neutral spine to minimize shear forces on the lumbar region and prevent compensatory flexion or extension.^[33] Knees should track in alignment over the toes to avoid valgus collapse, which can indicate underlying gluteal weakness and increase injury risk.^[34] For individuals with mobility limitations, such as restricted ankle dorsiflexion or hip flexibility, depth can be scaled by using a higher box or partial range of motion, ensuring the exercise remains accessible without compromising spinal integrity.^[33]

Lunge and Step-Up Movements

The forward lunge exemplifies a unilateral closed kinetic chain lower body exercise, characterized by the rear foot remaining fixed on the ground as the front foot steps forward, creating a stable base for multi-joint movement primarily in the sagittal plane. This setup promotes weight-bearing through both lower extremities, with the front knee flexing to approximately 90 degrees while maintaining alignment over the ankle, and the trunk held vertical to minimize shear forces. The exercise balances activation across the quadriceps (e.g., rectus femoris at around 22% maximum voluntary isometric contraction, or MVIC), gluteus maximus (approximately 13% MVIC), and stabilizers such as the gluteus medius (15% MVIC) and hamstrings (9% MVIC), enhancing hip and knee stability during the controlled descent and ascent phases.^[35]^[36] Step-ups represent another key unilateral closed kinetic chain movement, where one foot is placed on a fixed box or platform, and the body is driven upward through the heel to achieve full hip and knee extension, with the contralateral leg trailing for balance. This technique emphasizes proximal muscle engagement, producing high quadriceps activation (peaking at over 200% MVIC during mid-flexion) and gluteal involvement for hip extension, while stabilizers like the hamstrings (around 59% MVIC) contribute to unilateral control and prevent excessive forward lean. Performed to tibial height or slightly above, step-ups simulate functional activities such as stair climbing and foster balance through the fixed distal contact.^[37] Progressions in these exercises allow for graduated intensity while maintaining closed kinetic chain principles. Reverse lunges modify the forward pattern by initiating a backward step with the working leg, keeping the front foot fixed and lowering until the back knee nearly touches the ground, which sustains quadriceps and gluteal demands similar to the forward variation but with altered stride dynamics for varied stabilizer recruitment. Walking lunges extend this into a dynamic sequence of controlled alternating steps forward, preserving ground contact and multi-joint loading to build endurance and coordination. For step-ups, height adjustments—starting at 4 inches and progressing to 14 inches over weeks—increase the range of motion and loading, thereby elevating the challenge to hip extensors and stabilizers based on tolerance.^[38]^[39]

Applications and Benefits

Rehabilitation Uses

Closed kinetic chain (CKC) exercises play a central role in rehabilitation by promoting joint stability through weight-bearing positions that distribute loads across multiple joints, reducing isolated stress on healing tissues.^[17] In physical therapy protocols, these exercises facilitate controlled neuromuscular activation and proprioceptive feedback, enabling gradual restoration of function without excessive shear or strain.^[40] In post-anterior cruciate ligament (ACL) reconstruction, CKC exercises such as squats are employed to rebuild knee stability by minimizing anterior tibial shear forces compared to open kinetic chain alternatives.^[41] These movements enhance quadriceps strength and dynamic joint control, supporting safer early weight-bearing during recovery.^[40] For instance, partial squats help patients progress toward full functional capacity while maintaining ligament integrity.^[41] For shoulder rehabilitation, particularly in cases of impingement syndrome involving rotator cuff pathology, CKC exercises like wall pushes strengthen the rotator cuff muscles through integrated kinetic chain activation of the scapula, trunk, and lower extremities.^[42] These exercises improve scapulohumeral rhythm and joint centration, alleviating impingement by enhancing proximal stability before advancing to distal demands.^[42] Rehabilitation protocols for CKC exercises emphasize progressive loading from partial to full range of motion, prioritizing pain-free advancement to optimize tissue remodeling and prevent overload.^[17] This approach begins with stable, axially loaded positions—such as supported wall pushes or mini-squats—and advances to dynamic variations as strength and tolerance improve, ensuring proximal stability precedes distal loading.^[17]

Performance Enhancement

Closed kinetic chain (CKC) exercises, such as squats, contribute to functional strength development in sports by enhancing the neuromuscular coordination required for explosive movements. In jumping sports like basketball and volleyball, squat variations promote greater force production through the lower extremities, directly translating to improved vertical jump height compared to open kinetic chain alternatives. This is attributed to the multi-joint loading that mimics sport-specific demands, fostering adaptations in rate of force development essential for athletic performance.^[43]^[44] In training programs, CKC exercises are integrated into periodization schemes to optimize power development, often progressing from foundational strength phases to explosive variants like plyometric push-ups. This structured approach combines heavy CKC resistance work, such as weighted squats, with higher-velocity plyometric elements to enhance fast-twitch fiber recruitment and overall power output, aligning with the demands of sports requiring rapid force application. For upper body power, plyometric push-ups within a periodized block build explosive pressing strength, supporting advancements in athletic capabilities without isolated joint stress.^[45]^[46]

Research Evidence

Efficacy Studies

Research on the efficacy of closed kinetic chain (CKC) exercises has highlighted their advantages in enhancing balance, performance, and rehabilitation outcomes compared to open kinetic chain (OKC) exercises. A randomized controlled trial involving 33 healthy adults examined the effects of 6-week lower body training programs. Participants were divided into CKC and OKC groups, performing exercises three times per week. The CKC group, which included movements like squats and lunges, demonstrated significantly greater improvements in dynamic balance, as measured by center of pressure displacement, compared to the OKC group (p < 0.05).^[47] In upper body applications, a 12-week study on 14 NCAA Division I softball players compared CKC resistance training (e.g., ropes and slings) to OKC training (e.g., bench press). The CKC group exhibited a significant increase in throwing velocity of 2.0 mph (3.4%, p < 0.05), along with improvements in shoulder internal and external rotation strength and power. In contrast, the OKC group showed only a nonsignificant 0.3 mph (0.5%) gain, indicating CKC's superior transfer to sport-specific performance.^[48] Meta-analyses and systematic reviews in rehabilitation contexts provide evidence for CKC exercises improving proprioception and contributing to reduced re-injury rates, particularly in anterior cruciate ligament (ACL) recovery. A systematic review and meta-analysis of knee osteoarthritis rehabilitation found limited but positive descriptive evidence from three studies that CKC exercises enhanced proprioception, measured via joint position sense error, more than control interventions, though quantitative pooling was limited by data availability.^[49] In ACL rehabilitation, a randomized trial post-reconstruction showed that unstable surface CKC exercises improved knee proprioception (significant reduction in joint position error at 45° flexion, p < 0.05) more than stable CKC over 6 weeks, with similar improvements in functional scores (Lysholm) between groups.^[15] For re-injury, studies on accelerated ACL protocols emphasizing CKC exercises report reduced ipsilateral graft rupture risk when combined with objective return-to-sport criteria like strength symmetry, with no increase in failure rates compared to traditional methods.^[50]

Limitations and Future Directions

Poor technique during CKC exercises like the back squat, including inadequate lumbar stabilization, increases the risk of spinal overload and low back strain by amplifying shear forces on the lumbar tissues.^[51] CKC exercises are contraindicated in cases of acute inflammation, characterized by significant pain, effusion, or acute conditions, as these may exacerbate joint irritation and delay recovery. They should also be avoided or closely supervised in individuals with severe joint instability or substantial range of motion limitations, such as those with patellofemoral chondrosis or tendonitis, to prevent further compromise of joint integrity.^[52] Future research should prioritize long-term longitudinal studies evaluating hybrid programs that integrate open kinetic chain (OKC) and CKC exercises, as emerging evidence suggests combined approaches may optimize quadriceps recovery and functional outcomes post-injury, though extended follow-up beyond typical short-term trials is needed for generalizability.^[41]^[53] Additionally, investigations into technology-enhanced CKC protocols, such as those incorporating electromyographic biofeedback to improve muscle activation and proprioception, warrant expansion through larger-scale trials to assess sustained efficacy in diverse clinical populations like stroke survivors.^[54]^[55]

References

[1]
Closed Chain Exercise - Physiopedia
Closed chain exercises are exercises or movements where the distal aspect of the extremity is fixed to an object that is stationary.Introduction · Exercises · Multiple Joint Exercises · Research Resources
[2]
Open and Closed Kinetic Chain in Physical Therapy - Verywell Health
Closed-chain exercises mean your body is pushing against a fixed surface while open-chain exercises are freely moving.Key Takeaways · The Kinetic Chain: A Living... · Open Kinetic Chains
[3]
The Effect of Open and Closed Kinetic Chain Exercises on Dynamic ...
Closed kinetic chain exercise appears to be more effective at improving of dynamic balance ability than open kinetic chain exercise within a 6-week training ...
[4]
Kinetic Chains: A Review of the Concept and Its Clinical Applications
Aug 24, 2011 · More recently, Kibler [11] defined a closed-chain activity as a sequential combination of joint motions in which the distal segment of the ...
[5]
Kinematic and Kinetic Chains
### Summary of Kinetic Chain Content
[6]
Step by Step Guide to Understanding the Kinetic Chain Concept in ...
Mar 14, 2020 · The purpose of this review will be to provide both a historical and recent review of the role of the kinetic chain for the overhead athlete.Fig. 1 · Fig. 2 · Fig. 6Missing: origin | Show results with:origin
[7]
https://doi.org/10.1016/0021-9290(93)90084-r
[8]
https://pubmed.ncbi.nlm.nih.gov/14243640/
[9]
https://www.acefitness.org/fitness-certifications/ace-answers/exam-preparation-blog/2929/what-is-the-kinetic-chain/
[10]
https://doi.org/10.2165/00007256-200636030-00001
[11]
Open versus Closed Kinetic Chain Exercises following an Anterior ...
Open kinetic chain (OKC) exercises are lower limb activities performed where the distal segment of the limb is free to move. The opposite of OKC is closed ...
[12]
Comparison of tibiofemoral joint forces during open-kinetic-chain ...
The purpose of this study was to analyze forces at the tibiofemoral joint during open and closed-kinetic-chain exercises.
[13]
Biomechanics of the knee during closed kinetic chain and ... - PubMed
The purpose of this study was to quantify knee forces and muscle activity in CKCE (squat and leg press) and OKCE (knee extension).Missing: history 1980s
[14]
Open vs Closed Kinetic Chain Exercise in Rehabilitation
Sep 18, 2021 · To a large extent, the term closed kinetic chain exercise has come to mean “weightbearing exercise.” However, although all weight-bearing ...Missing: physiology | Show results with:physiology
[15]
Effects of Closed Kinetic Chain Exercises on Proprioception and ...
Nov 20, 2013 · [Purpose] The purpose of this study was to examine the effect of closed kinetic chain exercises performed by an unstable exercise group ...
[16]
Criteria-Based Decision Making for Introducing Open Kinetic Chain ...
Apr 12, 2025 · Open kinetic chain (OKC) exercises are generally safe and can significantly improve quadriceps strength without increasing the risk of graft ...
[17]
Kinetic Chain Rehabilitation: A Theoretical Framework - PMC - NIH
Mar 7, 2012 · Second, closed chain exercise is ideal for working “at” specific ranges of motion compared to working “through” a range of motion which helps ...
[18]
11: Open- versus Closed-Kinetic-Chain Exercise in Rehabilitation
Closed-kinetic-chain exercises are used more often in rehabilitation of injuries to the lower extremity, but they are also useful in rehabilitation protocols ...
[19]
https://pmc.ncbi.nlm.nih.gov/articles/PMC10987311/
[20]
https://commons.und.edu/pt-grad/267
[21]
[PDF] A Rehabilitation Outcomes Study - University of Wisconsin-La Crosse
Numerous studies (10,12,16,22) have shown CKC exercise to have greatly reduced shear forces and increased muscular co-contraction as opposed to OKC exercise. In ...
[22]
Quadriceps and Hamstrings Coactivation During Common ... - NIH
Objective. To quantify and compare quadriceps with hamstrings coactivation electromyographic (EMG) ratios during commonly used closed kinetic chain exercises.
[23]
Role of the kinetic chain in shoulder rehabilitation
Apr 22, 2020 · KC exercises produced greater EMG activation levels in 5 of 11 studies for the serratus anterior. Of the remaining studies, three reported the ...
[24]
Effects of Strengthening Exercises on Human Kinetic Chains Based ...
Jan 17, 2024 · Based on this study's findings, closed-chain exercises activate more groups of muscles in a kinetic chain than open-chain exercises.
[25]
Shoulder muscle activation patterns and levels differ between open ...
The purpose of this study was to compare muscle activation patterns during closed-chain shoulder abduction performed using a shoulder press machine with open- ...Original Research · Abstract · Introduction<|control11|><|separator|>
[26]
Shoulder electromyography activity during push-up variations - NIH
Push-ups (PU) are a common closed chain exercise used to enhance shoulder girdle stability, with variations that alter the difficulty or target specific muscles ...
[27]
Kinetic analysis of push-up exercises: a systematic review ... - PubMed
This study reviews the kinetics of different push-up types, including kinetic data, to optimize training and exercise load. 46 variants were assessed.
[28]
Effect of the push-up exercise at different palmar width on muscle ...
Feb 29, 2016 · CKCE is performed by applying resistance to the proximal and distal parts of limbs simultaneously while the distal is kept immobile6).
[29]
Kinematic Analysis of Four Plyometric Push-Up Variations - PMC - NIH
Plyometric exercise involves the use of fast eccentric loading to produce increased concentric force, also known as the stretch-shortening cycle (SSC) (12).
[30]
https://doi.org/10.3390/ijerph192013211
[31]
A Biomechanical Review of the Squat Exercise - NIH
Apr 1, 2024 · The purpose of this clinical commentary is to discuss how the biomechanical demands of the squat can be influenced by various modifiable parameters.Missing: chain pistol
[32]
EMG Analysis of Lower Extremity Muscles in Three Different Squat ...
It is still unknown how to perform a closed kinetic chain exercise that could increase the activity of the hamstring muscles, and result in an appropriate H/Q ...
[33]
Quadriceps Electromyographic Activity in Closed and Open Kinetic ...
Previous studies concluded that a closed kinetic-chain exercise promotes more balanced initial quadriceps activation than does exercise in an open kinetic chain ...Missing: variations | Show results with:variations
[34]
https://www.nsca.com/globalassets/education/ptq/ptq-5.2.pdf
[35]
https://pmc.ncbi.nlm.nih.gov/articles/PMC6063068/
[36]
ELECTROMYOGRAPHY OF THE HIP AND THIGH MUSCLES ... - NIH
The lunge is a closed kinetic chain functional multi-joint exercise that replicates movements found in sports and common daily activities. Clinicians use both ...
[37]
Effects of Step Length and Stride Variation During Forward Lunges ...
Jan 22, 2025 · Background: The forward lunge is a closed-chain weight-bearing multi-joint exercise simulating the activities of daily living, such as walking ...
[38]
Electromyographic Analysis of Single-Leg, Closed Chain Exercises
The high and sustained levels of quadriceps activation indicate that 1-legged squats and step-ups would be effective in muscle rehabilitation.
[39]
[PDF] Post-operative Rehabilitation Protocol
Closed Kinetic Chain Quadriceps strengthening activities as tolerated (wall sit, ... ups at increased height, partial lunges, deeper wall sits, lunge walks.
[40]
Effect of a Lateral Step-up Exercise Protocol on Quadriceps ... - jospt
Closed kinetic chain assessment for further re- search might include: 1 ) a maximal number of repetitions at a fixed step height in a fixed time interval, 2) a.
[41]
Rehabilitation After Anterior Cruciate Ligament Injury - NIH
Apr 6, 2022 · ... closed kinetic chain exercises, neuromuscular electrical stimulation ... post ACL reconstruction. Int J Sports Phys Ther. 2020;15:882 ...
[42]
The Effects of Open versus Closed Kinetic Chain Exercises on ... - NIH
These studies reveal favorable results for utilization of both open and closed kinetic chain exercises for intervention with ACL deficient or reconstructed ...
[43]
A Kinetic Chain Approach for Shoulder Rehabilitation - PMC
The paradigm of kinetic chain shoulder rehabilitation suggests that functional movement patterns and closed kinetic chain exercises should be incorporated ...
[44]
The Relationship Between Open and Closed Kinetic Chain Strength ...
We conclude that lower limb extensor CKC muscle strength is more highly related to jumping performance than knee extensor OKC strength.Missing: studies | Show results with:studies
[45]
(PDF) Comparison of open chain exercises versus closed chain ...
Dec 12, 2018 · Abstract. The purpose of the study is to compare the effect of open chain exercises versus closed chain exercise on vertical jump performance in ...
[46]
Closed-Kinetic Chain Upper-Body Training Improves Throwing...
Closed-Kinetic Chain Upper-Body Training Improves Throwing Performance ... Barbell/dumbbell seated or bent-over row/bilateral or unilateral inverted row.Introduction · Procedures · Discussion
[47]
CURRENT CONCEPTS IN PERIODIZATION OF STRENGTH AND ...
This approach to training for power has been suggested as optimal since it combines heavy resistance training with higher velocity work in order to develop ...
[48]
The Effect of External Loading on Force and Power Production ...
Aug 9, 2025 · Closed kinetic chain exercises (e.g., push-ups) and open kinetic chain medicine ball exercises (e.g., ball throws) are forms of upper body ...
[49]
The effect of open and closed kinetic chain exercises on ... - PubMed
[Conclusion] Closed kinetic chain exercise appears to be more effective at improving of dynamic balance ability than open kinetic chain exercise within a 6-week ...
[50]
Closed-kinetic chain upper-body training improves throwing ...
The CKCRT group significantly improved throwing velocity by 2.0 mph (3.4%, p < 0.05), and the OKCRT group improved 0.3 mph (0.5%, NS). A significant interaction ...
[51]
The Effectiveness of closed kinetic chain exercises in individuals ...
These exercises have been shown to enhance muscle strength, proprioception, and neuromuscular control in the lower extremities [16]. While CKCE offers potential ...
[52]
The Classic from Shelbourne and Nitz (1990) on Accelerated Rehabilitation after Anterior Cruciate Ligament Reconstruction
### Summary of Closed Kinetic Chain Exercises and Re-Injury Rates in ACL Rehabilitation
[53]
https://doi.org/10.1186/s40798-025-00843-8
[54]
The back squat: A proposed assessment of functional deficits ... - NIH
Failure to stiffen the lower back musculature, combined with poor lifting mechanics, increases the potential to overload spine and back tissues to the point of ...
[55]
https://pmc.ncbi.nlm.nih.gov/articles/PMC5574349/
[56]
The Effects of Upper Extremity Closed Kinetic Chain Exercise ...
ConclusionThis study showed that repetitive upper extremity closed kinetic chain exercise with biofeedback can be considered as a training method in clinical ...Missing: future directions hybrid OKC
[57]
Effects of kinetic chain exercise using EMG-biofeedback on balance ...
Aug 10, 2017 · This study showed that closed kinetic chain exercise using EMG-biofeedback is effective for improving balance ability and lower extremity muscle activation in ...