grady j. hardeman, m.ed., lat, atc, cscs a.l. brown high school kannapolis, north carolina 28083...
TRANSCRIPT
GRADY J. HARDEMAN, M.ED., LAT, ATC, CSCSA.L. BROWN HIGH SCHOOL
KANNAPOLIS, NORTH CAROLINA 28083
Plyometric and Closed Kinetic Chain Exercises For The
Upper Extremity
Closed Kinetic Chain (CKC) Exercises
An exercise movement pattern where the distal aspect of the extremity is fixed to an object that is either stationary or moving.
DISCLAIMERClosed Kinetic Chain Exercises Should Be
Performed In Conjunction With Open Kinetic Chain Exercises
Rational For Using Plyometric and Closed Chain Exercises For Rehabilitation
1. Increase Muscle Co-Contraction
2. Incorporates Multi-joint Movements.
3. Aids in the restoration of “Neuromuscular
Control” that is lost due to injury.
4. Enhances mental preparation for return to
sport.
5. Makes the rehabilitation experience fun and
meaningful. (BE CREATIVE)
Important Questions to Consider
What are you trying to accomplish? Achieving total arm strength means training the
entire kinetic chain.What was the initial injury?
Avoid stressing the joint capsule when necessary. (Anterior/Posterior Instability)
Closed kinetic chain exercises are contraindicated when joint compression forces should be kept at a minimum. (Labral Pathology, Acromioplasty)
Are the selected exercises phase appropriate? Is it to early in the rehabilitation process to begin? Begin with four points of contact and progress to two
points of contact as athlete gains strength
Wall Push Up
Start Position Down Phase Extreme Position
Wall Push Up
Key Point Extreme Push Up
Increased scapular protraction after full elbow extension.
Progression Add Medicine Balls Add Resistance Add a Plyometric
Component
Push Up Variations
Up Phase Down Phase
Push Up
Key Point Focus on adding the
extreme protraction at the top of the push up. Activates Serratus
Anterior muscle.
Progression Begin with modified
push up. Advance to regular
push up. Add unstable surface.
Extreme Position
Press Up
Plyometric Push Up
Start Position Finish Position
Plyometric Push up
Key Point Advanced Exercise Must be able to complete Wall push ups, and Regular
Push ups prior to initiating this exercise
Equipment Needed Soft Medicine Ball
Progression May begin with just two points of contact. Progress to four points of contact.
Upper Body Step Up
Start Position
Middle Position
Finish Position
Upper Body Step up
Equipment 6”-8” Step or box Progress to an Unstable
Surface (Dyna Disc, Med Ball,
etc…)
Volume Perform sets of 8-12 reps.
Important Notes Monitor for pain and/or
fatigue. SET THE CORE!!!!!
Wheel Barrow Walk w/Agility Ladder
Agility Ladder
Equipment Agility Ladder Extra Set of hands
Variation Side to Side Front to Back Carioca Progress to Wheel
Barrow This is where the extra
set of hands comes in to play.
Wax On/Wax Off
Two Points of Contact Four Points of Contact
Wax On/Wax Off
Equipment Slide Board (Flat Smooth Surface) Clean Socks PhysioBall
Progression Begin with four points of contact. Progress to two points of contact. Keep one arm stationary and move the opposite arm
in clockwise and counter clockwise pattern. Move both extremities simultaneously. Add PhysioBall to increase proprioception component.
