Article

Biomechanics of the knee during closed kinetic chain and open kinetic chain exercises

American Sports Medicine Institute, Birmingham, AL 35205, USA.
Medicine &amp Science in Sports &amp Exercise (Impact Factor: 4.46). 05/1998; 30(4):556-69. DOI: 10.1097/00005768-199804000-00014
Source: PubMed

ABSTRACT Although closed (CKCE) and open (OKCE) kinetic chain exercises are used in athletic training and clinical environments, few studies have compared knee joint biomechanics while these exercises are performed dynamically. The purpose of this study was to quantify knee forces and muscle activity in CKCE (squat and leg press) and OKCE (knee extension).
Ten male subjects performed three repetitions of each exercise at their 12-repetition maximum. Kinematic, kinetic, and electromyographic data were calculated using video cameras (60 Hz), force transducers (960 Hz), and EMG (960 Hz). Mathematical muscle modeling and optimization techniques were employed to estimate internal muscle forces.
Overall, the squat generated approximately twice as much hamstring activity as the leg press and knee extensions. Quadriceps muscle activity was greatest in CKCE when the knee was near full flexion and in OKCE when the knee was near full extension. OKCE produced more rectus femoris activity while CKCE produced more vasti muscle activity. Tibiofemoral compressive force was greatest in CKCE near full flexion and in OKCE near full extension. Peak tension in the posterior cruciate ligament was approximately twice as great in CKCE, and increased with knee flexion. Tension in the anterior cruciate ligament was present only in OKCE, and occurred near full extension. Patellofemoral compressive force was greatest in CKCE near full flexion and in the mid-range of the knee extending phase in OKCE.
An understanding of these results can help in choosing appropriate exercises for rehabilitation and training.

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    • "Contrary to the present findings, GM was not the last muscle to be recruited and the discrepancy may be explained by variations in methodology; the prone hip extension is classified as an open chain nonweight bearing exercise and DL, is an orthostatic, closed chain weight-bearing exercise. It is likely that open and closed chain exercises have different muscle strategies; for example, Escamilla et al. (1998) observed hamstring EMG activity was doubled during 12 RM barbell squat (closed chain exercise) compared with 12 RM seated knee extension (open chain exercise). Lehman et al. (2004) have expressed concerns with the use of the prone hip extension and have argued for additional functional exercises to be assessed. "
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    • "sEMG) during the extension and flexion actions of the leg muscles was recorded from the vastus lateralis (VL), vastus medialis (VM) and the short head of the bicep femoris (BF) of the right leg by a pair of bipolar surface electrodes (Blue Sensor N-00-S, Medicotest) with a distance between the electrode's centres of 22 mm. The agonists vastus lateralis (VL) and vastus medialis (VM) muscles were averaged because they have demonstrated similar patterns of activation during bilateral leg press exercise (Escamilla et al. 1998 "
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