Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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The Effects of Closed Kinetic Chain Exercise and Open Kinetic Chain Exercise on the Knee Position Sense in the Normal Adults

  • Received : 2010.08.18
  • Accepted : 2010.10.07
  • Published : 2010.10.31
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Abstract

The purpose of this study is to investigate the effects of closed and open kinetic chain exercise for increasing knee joint function on the knee position sense in the normal adults. Thirty normal adults(male 15, female 15; mean age: $22.13{\pm}2.58$ years) were participated in this study into two groups, each with 15 people. The group I was trained that closed kinetic chain exercise on the knee joint and the group II was trained that open kinetic chain exercise on the knee joint. Exercise programs performed for 4 weeks, 3 times a week were using Shuttle 2000-1 closed kinetic chain exercise and Knee Extensor open kinetic chain exercise(HUR, Filand). The results of this study were as follows: 1) There were statistically significant decreasing of measuring error degree in $0-20^{\circ}$ were found between before and after training in closed kinetic chain exercise(p<.05). 2) There were statistically significant decreasing of measuring error degree in $21-40^{\circ}$ were found between before and after training in closed kinetic chain exercise(p<.05). 3) There were statistically significant decreasing of measuring error degree in $41-60^{\circ}$ were found between before and after training in closed kinetic chain exercise(p<.05). 4) There were statistically significant decreasing of measuring error degree in $0-20^{\circ}$ were found between before and after training in open kinetic chain exercise(p<.05). 5) There were statistically significant decreasing of measuring error degree in $21-40^{\circ}$ were found between before and after training in open kinetic chain exercise(p<.05). 6) There were statistically significant decreasing of measuring error degree in $41-60^{\circ}$ were found between before and after training in open kinetic chain exercise(p<.05). In conclusion, these results suggest that closed and open kinetic chain exercise has increased in the knee joint proprioception between before and after training. Especially, closed kinetic chain exercise could be more useful intervention than open kinetic chain exercise for increasing proprioceptive sense.

Keywords

References

  1. Cohen H, Blatchly CA, Gombash LL. A study of the clinical test of sensory interaction and balance. Phys Ther 1993; 73(6): 346-354. https://doi.org/10.1093/ptj/73.6.346
  2. Kavounoudias A, Roll R, Roll JP. Foot sole and ankle inputs contribute jointly to human erect posture regulation. J Physiol 2001; 532(pt3): 869-878. https://doi.org/10.1111/j.1469-7793.2001.0869e.x
  3. Riemann BL, Lephart SM. The Sensorimotor System Part: The Role of Proprioception in Motor Control and Functional Joint Stability. J Athl Train 2002; 37(1): 80-84.
  4. Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol 1991; 46(3): 69-76. https://doi.org/10.1093/geronj/46.3.M69
  5. Marks R. Effect of exercise-induced fatigue on position sense of the knee. Aust J Physiother 1994; 40(3): 175-181. https://doi.org/10.1016/S0004-9514(14)60576-6
  6. Matthews PB. Where dose Sherrington's "muscular sense" originate? Muscles, joints, corollary discharges?. Ann Revi Neurosci 1982; 5: 189-218. https://doi.org/10.1146/annurev.ne.05.030182.001201
  7. Voight ML, Hardin JA, Blackburn TA, Tippett S, Canner GC. The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther 1996; 23: 348-352. https://doi.org/10.2519/jospt.1996.23.6.348
  8. Carpenter JE, Blasier RB, Pellizzon GG. The effects of muscle fatigue on shoulder joint position sense. J Sports Med 1998; 26: 262-265. https://doi.org/10.1177/03635465980260021701
  9. Kim HS, Bae SS, Lee HO, et al, Movement of Human. Hyunmoonsa 1992; 182-199.
  10. Docherty C, Moore J, Amold B. Effects of strength training on strength development and joint position sense in functionally unstable ankle. Journal of Athletic Training 1988; 33(4): 310-314.
  11. Kim DK, Ko EH, Lee KS, et al, The Influences of Visual Information and Different Elevations of Medially Wedged Insoles on Knee Joint Proprioception in Healthy Persons. Journal of the Korean Academy of University Trained Physical Therapists 2005; Vol. 12, No. 1: 22-27.
  12. Barrack, RL, Skinner HB, Buckley SL. Proprioception in the anterior cruciate deficient knee. Am J Sports Med 1989; 17: 1-6. https://doi.org/10.1177/036354658901700101
  13. Schutte MJ, Dabezies ML, Zimmy ML, et al. Neural anatomy of the anterior cruciate ligament. J Bone Join Sug 1987; 66(A): 1072-1076.
  14. Kim YJ. The Effects of Closed kinetic chain Exercises of Unstable Floor on the Stability of the Knee Joints of Patients with Anterior Cruciate Ligament Reconstruction. Graduate School of Daegu University; 2007.
  15. Jang JW, The Effects of Muscle Strength in Quadriceps According to Closed kinetic chain Exercises and Open kinetic chain Exercises, Graduate School of Korea University; 2003.
  16. Refael FE, Glenn SF, Nigel Z, Steven WB, Kevin EW, James RA. Biomechanics of the knee during closed kinetic exercise. Phys Ther 1998; 30(4): 556-569.
  17. Fitzgerald GK. Open versus closed kinetic chain exercise: Issues in rehabilitation after anterior cruciate ligament reconstructive surgery. Phys Ther 1997; 77(12): 1747-1754. https://doi.org/10.1093/ptj/77.12.1747
  18. Jo JJ. Electromyographic Analysis of isotonic closed and open kinetic chain exercises. Graduate School of Kyung-Hee University; 2001.
  19. Grimsby O. Scientific Therapeutic Exercise Progressions. The Ola Grimsby Institute; 1998
  20. Kurugant U, Parker P, Rickards J, Tingley M. Strength and muscle coactivation in older adults after lower limb strength training. International Journal of Industrial Ergonomics 2006; 36: 761-766. https://doi.org/10.1016/j.ergon.2006.05.006
  21. Park RJ, Hwang YA, Park SH. The Effect of Pro prioceptive Sensory analysis According to Knee Joint Angle under Fatigue Conditions. Journal of Special Education and Rehabilitation Science 2006; Vol.45, NO. 4: 169-190.
  22. Susan B. O'Sullivan, Thomas J. Schmitz. Pysical Rehabilitation Assessment and Treatment. Yeongmunsa; 2007.
  23. Skinner HB, Wyatt MP, Hodgdon JA, Conard DW, Barrack RL. Effect of fatigue on joint position sense of the knee. J Orthop Res 1986; 4(1): 112-118. https://doi.org/10.1002/jor.1100040115
  24. Lee CH, Choi JD, Lee KH, Lee DY, Choi JM. The Effect of Graded Exercise - Induced Fatigue on Position Sense of the Knee. Journal of the Korean Academy of University Trained Physical Therapists 1999; Vol. 6, No. 3; 89-93.
  25. Bounet V, Ghery Y. Muscular exercise improves knee position sense in humans. Neurosci Lett 2000; 4; 289(2): 143-146. https://doi.org/10.1016/S0304-3940(00)01297-0
  26. Wee SD, Park HY, Lee JH. Muscle Activity and Fatigue Response during Closed kinetic chain Exercises and Open kinetic chain Exercises. Journal of Korean Alliance for Health 2000; Vol. 39, No. 3: 493-502.
  27. Barrett DS. Proprioception and function after anterior cruciate reconstruction. J Bone Joint Surg 1991; 73-B: 833-837. https://doi.org/10.1302/0301-620X.73B5.1894677