The purpose of this study was to analyze forces at the tibiofemoral
joint during open and closed-kinetic-chain exercises. Five healthy subjects
performed maximum isometric contractions at 30, 60, and 90 degrees of knee
flexion during open-kinetic-chain extension, open-kinetic-chain flexion,
and closed-kinetic-chain exercises. Electromyographic activity of the
quadriceps and hamstrings, as well as load and torque-cell data, were
recorded. Tibiofemoral shear and compression forces were calculated with
use of a two-dimensional biomechanical model. The results showed that,
during the open-kinetic-chain extension exercise, maximum posterior shear
forces (the resisting forces to anterior drawer) of 285 +/- 120 newtons
(mean and standard deviation) occurred at 30 degrees of knee flexion and
maximum anterior shear forces (the resisting forces to posterior drawer) of
1780 +/- 699 newtons occurred at 90 degrees of knee flexion. The
closed-kinetic-chain exercise produced significantly less posterior shear
force at all angles when compared with the open-kinetic-chain extension
exercise. In addition, the closed-kinetic-chain exercise produced
significantly less anterior shear force at all angles except 30 degrees
when compared with the open-kinetic-chain flexion exercise (p < 0.05).
Analysis of tibiofemoral compression forces and electromyographic
recruitment patterns revealed that the closed-kinetic-chain exercise
produced significantly greater compression forces and increased muscular
co-contraction at the same angles at which the open-kinetic-chain exercises
produced maximum shear forces and minimum muscular co-contraction.(ABSTRACT
TRUNCATED AT 250 WORDS)