Knee over toe, loaded

Poliquin step-up

Medium4 minA step

Step up onto a low platform with the heel of the working foot down and the knee travelling forward over the toes. The complement to the step-down: it builds the same forward range in the lifting direction.

The dose

2 sets of 8 slow reps per side

How to do it

  1. 01Stand facing a low step, low enough that your heel stays down throughout.
  2. 02Place one whole foot on the step, letting the knee travel forward over the toes.
  3. 03Press through that whole foot to rise, keeping the other leg passive rather than pushing off.
  4. 04Lower slowly to the floor; eight reps, then switch sides.

Mistakes that waste your reps

  • Pushing off the trailing foot, which lets the working leg avoid the work.
  • Choosing a step so high the heel lifts or the torso pitches forward.
  • Dropping back down instead of lowering under control.

Where this comes from

evidence · emergingATG · Ben Patrick

Discomfort that eases as you move is normal; pain that sharpens is a stop sign. If this area is injured or persistently painful, a clinician outranks this page.

Written by Kyle Jenkin · updated August 31, 2026 · how we grade evidence

Pairs well with

Quad + tendon, zero impact

Backward walking

Walk backward, flat ground or a treadmill, and let the knees bend under you. Step one of the knees-over-toes system, and the one with the best trial evidence: retro walking programs reliably reduce knee pain in studies. A sled makes it harder; a hallway makes it free.

→ 5 to 10 minutes, most days

Easy8 minevidence · strongretro-walking RCTs · knee pain

Knee over toe, loaded

Patrick step-down

Stand on a step, reach the free heel slowly toward the floor in front, and press back up through the standing leg. Slow single-leg step-downs are a staple of patellofemoral rehab, and the knees-over-toes entry point for building the knee's forward range.

→ 2 sets of 8 slow reps per side

Medium5 minevidence · strongpatellofemoral rehab trials

One move is a start. A thread is better.

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