Gaining Terminal Knee Extension

  • Gaining full active terminal knee extension is one of the most important things after any knee injury or surgery, especially after an ACLr. While there are many more โ€œfancyโ€ drills I incorporate from time to time, the single most important thing I emphasize to get full knee extension is to actually ensure the patient is actively pushing into end range with every rep.
  • Itโ€™s extremely common to stop just shy of end range extension at the top of reps. Naturally end range is the โ€œendโ€ because itโ€™s neurologically past whatever zone of ROM we are โ€œcomfortableโ€ with. That being said, instead of spending an hour hanging out into passive extension or doing a more fancy drill to work terminal knee extension, just push and remind your clients to fully extend. Drive through their heel. Fully squeeze their quad. And feel a stretch at the top of EVERY REP. Think of the volume of reps in 1 sessionโ€ฆthatโ€™s potentially hundreds of opportunities to drive home terminal knee extension. Donโ€™t waste your reps!!
  • I really like adding a single leg balance component to my closed chain exercises to encourage terminal knee extension. The 3 videos are just examples. Just remember, every squat, step, or lunge has a period of knee extension ROM in it, take advantage of it and push into the end range.

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