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Video: NHS inform, on YouTube

knee focus

Quad Sets

Reactivates quadriceps after immobility.

Key cue: Press the back of your knee into the floor and tighten your thigh. Hold, then relax.

Area
knee
Level
beginner
Volume
3 × 10
Goal
recovery

How to do it

  1. 1Sit or lie back with your leg straight out in front of you and your toes pointing up.
  2. 2Tighten the muscle on the front of your thigh, drawing your kneecap up towards your hip and pressing the back of your knee down into the floor or bed.
  3. 3Hold for 5 seconds while you breathe normally. You should feel, and often see, the thigh muscle bunch up.
  4. 4Relax fully, then repeat 10 times.

Easier and harder versions

Easier
Tighten gently for 2 to 3 seconds, only as hard as feels comfortable.
Harder
Hold for 10 seconds, or once the thigh is tight lift your heel a few centimetres off the floor (the start of a Straight Leg Raise).

Helps with

Commonly used for:

Post-immobilisation quad weaknessEarly knee rehabKnee osteoarthritis flare

Part of these condition plans

Where it fits in the step-by-step plans on our condition pages.

Benefits

  • Reactivates quads post-injury
  • Improves knee stability
  • Safe early-rehab option

Muscles worked

Front
Back

Activation. Wakes up your quadriceps and VMO.

QuadricepsVMO

Form tips

  • Rest a hand on your thigh to feel the muscle tighten.
  • Keep your toes pointing at the ceiling and let the thigh go fully floppy between holds.

Common mistakes

  • Holding your breath.
  • Lifting your heel off the floor instead of pressing your knee down.

When to avoid or modify

  • Sharp pain behind or around the kneecap: stop
  • Recent knee surgery, unless your surgeon or physiotherapist has said to start
  • A hot, red, swollen knee or a painful swollen calf: stop and get medical advice the same day. With sudden breathlessness or chest pain, get urgent medical help

If in doubt, check with a qualified physiotherapist before continuing.

The ladder

  1. Quad SetsThis one1/8
  2. Straight Leg RaiseToo easy? Move up to this2/8
  3. Terminal Knee Extension3/8
  4. Wall Sit4/8
  5. Step-Ups5/8
  6. Deep Bodyweight Squat6/8
  7. Reverse Lunge7/8
  8. Single-Leg Sit to Stand8/8

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