The Kinetic Chain Challenge: Why “”Therapeutic”” Matters in Functional Recovery – Terry Trundle

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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.

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1. Explain the importance of co-contraction muscle recruitment as a pre-functional exercise
2. Review current research that states why hip and hamstrings strengthening is the true core of lower extremity stabilization
3. Discuss why the word “therapeutic” should be reconsidered for the lower and upper kinetic chains

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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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