The integrated dynamic exercise advancement system technique for progressing functional closed kinetic chain rehabilitation programs.

Graded exercise progressions are necessary during the rehabilitation process. We developed the Integrated Dynamic Exercise Advancement System (IDEAS) to fill this void. There appears to be a lack of progression/advancement systems for closed kinetic chain exercises, even though the IDEAS technique for advancing closed chain activities is comprised of two phases: preparing a safe environment and advancing the exercise. Phase one includes a conceptual checklist to assess the safety of the environment. Phase two is a six-step process that challenges each plane of motion by adding speed, workload, external stimuli, and terrain changes. The IDEAS technique is presented to safely prepare an environment and help clinicians to put thought into advancing an exercise program. The IDEAS technique is suggested for use in other arenas such as strength and conditioning.