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OKC characteristics:
Increased acceleration forces
Decreased resistance forces
Increased distraction and rotational forces
Increased deformation of joint and muscle mechanoreceptors
Greater shear forces
Great moment forces (1 joint in motion)
Isolation exercise use contraction of specific muscle or muscle
group that produces single plane or occasionally multiplanar
movement
Advantages and Disadvantages of OKC vs.
CKC Exercises
Biomechanical Perspective:
CKC : safer and produce stresses and forces that are
potentially less of a threat to healing structures
Co-contraction of agonist and antagonist must occur during
normal movements to provide joint stabilization
Decrease shear forces seen in OKC that may damage soft tissue
structures that are healing
Increase joint compressive forces will further enhance joint
stability
CKC more functional than OKC: most sport related activity and
activities of daily living involve CKC of lower extremity
Advantages and Disadvantages of OKC vs.
CKC Exercises
Biomechanical Perspective
OKC: isolated to single joint
Beneficial to improve strength and increase ROM at specific
joint
Correct strength deficits of specific muscles or joints and
beginning of rehabilitation when athlete not able to perform
CKC exercises
Loss of ROM, pain or swelling may not allow athlete to perform CKC
exercises
CKC to regain NM Control
CKC in UE:
Strengthening and neuromuscular control of shoulder girdle stabilizers
and core
Co-contraction and muscle recruitment in early stages of rehab to
prevent shutdown of rotator cuff
Scapular stabilizers and Rotator Cuff control movement about shoulder
Provide stabile base for more mobile and dynamic movements at distal end
Promote and enhance dynamic joint stability
Resistance axially or rotationally
Joint compression and approximation acts to enhance muscular co-
contraction about the joint producing dynamic stability
OKC vs. CKC in Upper Extremity
CKC and OKC should both be used in rehab to stabilize and build
muscular strength and endurance in upper extremity
OKC vs. CKC in Upper Extremity
Patient watches moving limb for visual feedback for directional and
positional control
Manual contact with appropriate pressure is essential
Firm and confident
Manner in which AT touches patient will facilitate movement
Rhythmic initiation
Repeated contraction
Slow reversal
Rhythmic stabilization
PNF patterns
Three components
Flexion-extension
Abduction-adduction
Internal rotation-external rotation
PNF Patterns
Rule of 30s