Well, I'm not Cathe... but I am ACE certified. I'd say it's very important to make sure you don't over-extend your leg, causing stress to your knee. The range of extension should be a natural range--in other words, don't feel as though you have to extend your leg past a natural, straight level on the extension. You should have someone at the the gym or wherever you work out show you, because it's hard to explain in writing. But the machine must be properly set for your height, so that the pad is properly positioned in relation to your knee, and it's important also to have adequate lumbar support for your lower back. Start with a lighter weight until you get your form right, working up to heavier sets. Hope this is of some help.