Sayali S. Kulkarni, Sayali S. Gijare


Background:  The purpose of the study was to evaluate the effect of close kinematic chain exercises, open kinematic chain exercises, and compare the effect of close kinematic chain and open kinematic chain exercises on knee hyperextension in stroke survivors

Method: A total of 40 patients were equally divided into two groups using block randomization (Group A, Group B) Group A was given close kinematic chain exercises and Group B was given open kinematic chain exercises.

Result: Pre and post treatment protocol was analysed using paired t-test and unpaired t-test. Un-paired t-test showed that there was extremely significant difference seen in p value for extension (Goniometer) of 0.0001.

Conclusion: open kinematic chain exercises are significantly effective in reducing hyperextension of knee in stroke survivors

Keywords: Stroke, Knee hyperextension, close kinematic chain exercises, open kinematic chain exercises.


Stroke, Knee hyperextension, close kinematic chain exercises, open kinematic chain exercises.

Full Text:



Susan B.O’Sullivan, Thomas J.Schmitz et al : Physical Rehabilitation, Sixth edition.2014

Nora.I. osemene, RPH et.al: The neurological complication of ischemic stroke , 2013

Tapuwa.D. Musuka et al:diagnosis and management of acute ischemic stroke speed is critical ,2015

Jeyaraj Durai Pandian, Paulin Sudhan: Stroke Epidemiology and Stroke care Services in India. Journal of Stroke. 2013: 15(3) :128-134

M.S Ramaiah:Prevalence of knee hyperextension in individual with hemiplegia. 28 October 2011

.Allison cooper,Ghalib abdullah alghamdi : The relationship of lower limb muscle strength and knee joint hyperextension during the stance phase of gait in hemiparetic stroke patients. 16 october2011,Doi 10.1002 pri/ 528

WEN-HSIU YU, PT, et al : Effect of forced use of the lower extremity on gait performance and mobility of post-acute stroke patients, 421-425, 2015

J.F.M Fleuren et al. Muscle activation pattern of knee flexors and extensors during passive and active movements of the spastic lower limb in chronic stroke patients , 10 January 2008, 19 (5), e301-e310.[ 10.1016/j.jelekin.]

Carolyn Kisner et. Al: Therapeutic exercises, sixth edition, October 2, 2012 .

Kenia kiefer parreiras et al: Physical therapy of rehabilitation after traumatic brain injury , J neurol naurophysiotherapy 6; 311 30 August 2015

Bruce H. Dobkin, et al: New evidence for therapies in stroke rehabilitation, 2013.

Kyu-young Lee, Won-seob shin The effect of close kinetic and open kinetic chain exercises using knee reposition sense in chronic stroke patients. 3 June 2014 26(3): 182-190.

Zdenek Svovoda ,Miroslav Janura , Patrik Kutilek ,Relationships between movements of the lower limb joints and the pelvis in open and close kinetic chains during a gate cycle.02-jul-2016.

Vijaya k kumar< m> chakrpani< rakshith kedambadi, motor imagery trining on muscle strength and gait performance in ambulant stroke subjects-Randomized clinical trial.107860/JCDR/2016

Lucarli P et al . Alteration of load response mechanism of knee joint during hemiparetic gait following stroke, 2010 Apr; 53(3) : 189-99.

Bleyenheuft et al.treatment of genu recurvatum in hemiparetic adult patients, 2010 April, 53(3):189-99

Park Im, Lee Ys et al. A comparison of effect of over ground gait training and treadmill gait training according to stroke patient’s gait velocity ,J .Phys. Ther. Sci, 25: 379-382, 2013

Jutie D. Moreland, Charlie H. Goldsmith. Progressive resistance strengthening exercise after Stroke: A Single blind randomized clinical trial, Arch Phys Med. Rehab.Vol. 84, October 2003

Moghe devyani M, suraj B kanase , Effect of early intervention for trunk control in stroke patient 2017.

Wade DT, Wood VA, Hewer RL. Recovery after stroke: the first three months. J Neurol Neurosurg Psychiatry 1985;48:7-13.

Wade DT. Walking after stroke. Scand J Rehabil Med 1987;19:25-30

Nitz JC, Gage A. Post stroke recovery of balanced sitting and ambulation ability. Aus J Physiotherap. 1995;41:263–267

Winstein C, Gardner ER, McNeal DR, Barto PS, Nicholson DE. Standing balance training: effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil 1989;7

Hocherman S, Dickstein R, Pillar T. Platform training and postural stability in hemiplegia. Arch Phys Med Rehabil 1984;65: 588-92.

Rode G, Tiliket C, Charlopain P, Boisson D. Postural asymmetry reduction by vestibular caloric stimulation in left hemiparetic patients. Scand J Rehabil Med 1998;30:9-14


  • There are currently no refbacks.