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Video: MGHOrthopaedics, on YouTube

knee focus

Step-Ups

Builds functional single-leg strength.

Key cue: Push through the whole foot on the step and keep your knee in line with your toes.

Area
knee
Level
intermediate
Volume
3 × 10/side
Goal
fitness

How to do it

  1. 1Stand facing a sturdy step or the bottom stair, and hold a rail or wall for balance if you need to.
  2. 2Place your whole foot on the step, with your knee in line with your second toe.
  3. 3Press through that heel to stand up tall, bringing the other foot up to meet it.
  4. 4Step back down slowly, taking about 3 seconds, and keep your hips level.
  5. 5Do 10 steps with the same leg leading, then swap.

Easier and harder versions

Easier
Use a lower step, such as the bottom stair, and hold a rail or wall.
Harder
Use a slightly higher step, take 5 seconds to lower down, or hold a light weight in one hand with the other free for a rail.

Helps with

Commonly used for:

Stair confidenceSingle-leg strengthLate-stage knee and hip rehab

Part of these condition plans

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

Benefits

  • Improves stair-climbing strength
  • Balances left/right legs
  • Carries over to daily life

Muscles worked

Front
Back

Strengthening. Strengthens your quadriceps, glutes, hamstrings and calves.

QuadricepsGlutesHamstringsCalves

Form tips

  • Keep your knee over your second toe: don't let it fall inwards.
  • A lower step is easier and a higher step is harder. Start low.

Common mistakes

  • Pushing off the back foot instead of driving through the leading leg.
  • Letting your knee wobble inwards or leaning your body forward.

When to avoid or modify

  • Knee pain as you load it: use a lower step, or stop
  • Balance problems: hold a rail and have someone nearby
  • Recent lower-limb surgery, unless your surgeon or physiotherapist has cleared it

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

The ladder

  1. Quad Sets1/8
  2. Straight Leg Raise2/8
  3. Terminal Knee Extension3/8
  4. Wall SitToo hard? Step back to this4/8
  5. Step-UpsThis one5/8
  6. Deep Bodyweight SquatToo easy? Move up to this6/8
  7. Reverse Lunge7/8
  8. Single-Leg Sit to Stand8/8

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