The Kinetic Chain Challenge: Why “”Therapeutic”” Matters in Functional Recovery – Terry Trundle
This session begins with the importance of pre-functional co-contraction muscle re-education. Questions that will be addressed include: Does true closed kinetic chain exercise really exist, or is it just a clinical term? Why is the role of the hamstring and hip abductor strengthening the basic core for lower-extremity rehabilitation?
Application of short-arc motion exercises for both the upper and lower extremities will be reconsidered. The presentation of these concerns should lead us to this conclusion: clinicians should to put the word “therapeutic” back into exercise.
- Explain the importance of co-contraction muscle recruitment as a pre-functional exercise
- Review current research that states why hip and hamstrings strengthening is the true core of lower extremity stabilization
- Discuss why the word “therapeutic” should be reconsidered for the lower and upper kinetic chains
Explain the Importance of Co-contraction Muscle Recruitment as a Pre-functional Exercise
Three Components of Function: Mobility, Recruitment, and Stabilization
- Define clinical meaning of co-activation
- Early application of pre-functional recruitment
Review Current Research States Why Hip and Hamstrings Strengthening is the True Core of Lower Extremity Stabilization
- Techniques in open kinetic chain co-contraction
- True core exercises for the lower extremity
- Scapular muscle activation ratios
- Proprioception: the key to stabilization
Discuss Why the Word “Therapeutic” Should be Reconsidered for the Lower and Upper Kinetic Chains
- Protective exercise concepts for the upper extremity
- Application of short-arc exercises for the knee and shoulder
- EMG evidence of positional recruitment
- Incorporating evidence of the difference between scapular activation vs glenohumeral muscle activity
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