Posture & Corrective Exercise — all lessons

Knee

Exercise strategies for knee pain and robustness — patellofemoral pain guidelines, quadriceps and hip strength, and load management.

Intermediate Evidence: Strong evidence 3 min read Reviewed 2026-10-31 Status: draft

Learning objectives

  • Describe key anatomy and function of the knee relevant to training
  • Select strength and mobility exercises for the knee
  • Apply load management and progression
  • Recognise when to refer

Before this lesson

Why this matters

Knee pain, especially patellofemoral pain, is common in runners and adolescents. Exercise is the first-line treatment.

Key concepts

  • For patellofemoral pain, combined hip and knee exercise is recommended; foot orthoses and taping may help short-term [collins2018].
  • The knee’s mechanics are influenced by hip and ankle function [neumann2017].
  • Activity can continue with a pain-monitoring approach [silbernagel2007].

Exercise menu

GoalExamples
QuadricepsWall-sits, leg press, split squats, step-downs
HipSide-lying abduction, hip thrusts, banded walks
Load managementReduce running volume or hills temporarily
ControlStep-downs with knee tracking cue
ProgressionSingle-leg squats, hops, return to running

Common mistakes and misconceptions

Case study

A recreational lifter reports knee discomfort during training. After screening for red flags, the trainer temporarily modifies the aggravating exercise, adds the strength and mobility work above 2–3 times weekly, and progresses load each week. Symptoms settle over 6–8 weeks while training continues.

Further learning: video lessons

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Knowledge check

Knowledge check · 0/5

1. Collins et al. (2018) recommend for patellofemoral pain…

Answer B. Consensus statement.

2. A quadriceps exercise suitable for an irritable knee is…

Answer B. Lower irritability.

3. A load-management option for a runner with knee pain is…

Answer B. Modify load.

4. A knee that locks or gives way should be…

Answer B. Possible structural injury.

5. Hip strengthening helps knee pain by…

Answer B. Proximal contribution.

Short-answer & application questions

  1. Design a 4-week knee strength and mobility block.
  2. Write three client-friendly explanations for this region.
  3. List referral signs for this region.

Key takeaways

  • Most knee complaints in active people respond to progressive strength and range work.
  • Findings matter when they relate to symptoms, function or goals.
  • Modify load rather than stopping all activity where possible.
  • Refer red flags promptly.

Connected topics

References

  1. Collins NJ, Barton CJ, van Middelkoop M, et al. (2018). 2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain. British Journal of Sports Medicine, 52(18):1170–1178. Guideline check pending
  2. Neumann DA (2017). Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation (3rd ed.). Elsevier. Textbook check pending
  3. Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J (2007). Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled study. American Journal of Sports Medicine, 35(6):897–906. RCT check pending

Educational content only — not medical advice. Consult a qualified clinician for diagnosis or treatment.