Closed Chain Exercises Handout

What is a closed kinetic chain exercise?

Closed kinetic chain (CKC) exercises, also known as closed chain exercises, involve movements in which the hands or feet remain in a fixed position while the body moves around them. These compound exercises simultaneously involve multiple muscle groups and joints, promoting strength, stability, and coordination. Common examples include squats, push-ups, and lunges.

Closed chain exercises are often used in rehabilitation and fitness programs to enhance functional movement patterns, reduce the risk of injury, and improve overall physical performance.

How do they differ from open kinetic chain exercises?

Open and closed kinetic chain exercises differ from open-chain exercises in several vital ways. In closed chain exercises, the distal end of the limb (hand or foot) is fixed, activating multiple muscle groups and joints. This type of exercise typically enhances joint stability and functional strength. For example, during a squat, the feet remain in contact with the ground, and multiple joints (hips, knees, and ankles) work together to perform the movement.

Conversely, open-chain exercises involve movements where the distal end of the limb is free to move. These exercises often isolate a single muscle group or joint, allowing for targeted muscle activation patterns strengthening. Examples of open kinetic chain movements include leg extensions and bicep curls, where the foot or hand moves freely while performing the exercise. Open-chain exercises benefit isolated muscle strengthening but may place more stress on individual joints than closed-chain exercises.

5 closed-chain exercises

Closed chain exercises effectively improve other joints' strength, stability, and coordination. Here are five exercises that physical therapists can teach their patients:

1. Squats

Squats target the quadriceps, hamstrings, glutes, and core. To perform a squat, stand with your feet shoulder-width apart, lower your body by bending your knees and hips while keeping your back straight, and return to the starting position. Perform 3 sets of 12-15 reps. Ensure your knees do not go past your toes to avoid joint strain.

2. Push-ups

Push-ups target the chest, shoulders, triceps, and core. Start in a plank position with hands under your shoulders, lower your body until your chest nearly touches the floor, then push back up to the starting position. Perform 3 sets of 10-12 reps. Keep your body in a straight line and avoid sagging hips.

3. Lunges

Lunges target the quadriceps, hamstrings, glutes, and core. Stand with feet hip-width apart, step forward with one leg, and lower your body until both knees are bent at 90 degrees, then push back to the starting position. Perform 3 sets of 12-15 reps per leg. Keep your torso upright and engage your core for balance.

4. Plank

Planks target the core, shoulders, and glutes. Start in a plank position with forearms on the ground and elbows under your shoulders. Hold the position, keeping your body in a straight line, for 30-60 seconds. Engage your core and glutes to maintain alignment.

5. Step-ups

Step-ups target the quadriceps, hamstrings, glutes, and calves. Stand in front of a step or bench, step up with one foot, then bring the other foot up to meet it, step back down with the same foot, followed by the other. Perform 3 sets of 12-15 reps per leg. Use a step height that is challenging but manageable.

These exercises are included in the Closed Chain Exercises Handout, providing clear instructions and tips to ensure proper form and effectiveness of closed chain movements.

How to use our Closed Chain Exercises Handout?

Our Closed Chain Exercises Handout is designed to help healthcare professionals guide their patients through effective full-chain exercises and routines. Follow these steps to utilize the handout efficiently:

Step 1: Download and review the handout

First, download the Closed Chain Exercises Handout in PDF format. Review the contents to familiarize yourself with the various exercises and information provided.

Step 2: Fill out patient information

Ensure that the patient completes the "Patient information" section, including their name, date of birth, and the assessment date. This helps tailor the exercises to their specific needs.

Step 3: Introduce the exercises

Explain the concept of closed chain exercises to the patient using the "Introduction to Closed Chain Exercises" section. Highlight the benefits of multiple joint exercises and how these exercises can improve their strength, stability, and overall fitness.

Step 4: Demonstrate and teach the exercises

Demonstrate each closed chain exercise from the "Exercises" section. Show the patient how to perform squats, lunges, push-ups, planks, and step-ups, ensuring they understand the proper form and technique. For remote consultations, patients can send video clips for feedback.

Step 5: Provide personalized recommendations

Fill out the "Healthcare provider's notes" section with any additional advice or modifications tailored to the patient’s condition. Ensure they understand the frequency and precautions for each exercise.

Step 6: Schedule follow-up appointments

Ensure that follow-up appointments are scheduled and noted in the "Follow-up" section. This helps track the patient's progress and make necessary adjustments to their exercise routine.

By following these steps, healthcare and sports physical therapy science professionals can effectively use the Closed Chain Exercises Handout to support their patients in achieving their fitness and rehabilitation goals.

Benefits of practicing and performing these exercises

Practicing and performing closed chain exercises offer numerous benefits for a wide range of individuals, from athletes to those undergoing rehabilitation:

• Enhanced joint stability: Engaging multiple muscle groups promotes balanced strength and reduces the risk of injuries.
• Improved balance and coordination: Essential for daily activities and athletic performance.
• Functional strength: Mimics real-life movements, making them highly effective for improving daily activities.
• Reduced joint strain: This is particularly beneficial for individuals recovering from injuries or surgeries, as these exercises place less strain on the joints.
• Specific conditions: Patients with arthritis, dynamic balance ability disorders, or muscle weakness can experience significant improvements in mobility and overall well-being.

How do professionals benefit from using this handout?

Using this handout benefits not only clients, but healthcare and fitness professionals, too. Here's how:

• Structured exercise programs: Facilitates the delivery of structured, evidence-based kinetic chain exercise programs tailored to each patient's needs.
• Consistency in exercise execution: Provides clear instructions and guidelines, enhancing the effectiveness of treatment plans.
• Streamlined documentation: Improves documentation and communication between practitioners and patients, promoting better adherence to prescribed exercises.
• Educational resource: Helps professionals explain the importance and proper techniques of Closed-Chain Exercises to patients.
• ‍Improved patient outcomes: Leads to increased satisfaction and a more efficient therapeutic process