Substitute for Leg Presses

step_a_holic

Cathlete
Hi Cathe! I have recently been diagnosed with Runners Knee. How inconvenient! I need to lay off of the leg presses for a little bit. Can you recommend any substitute exercises that I could do while you and the lovely ladies are doing leg presses? I would feel guilty just standing there watching you!

I could do squats and lunges but usually those follow the leg presses so I don't want to over do it with those.

Thanks and take care!

Melissa :)
 
Hi Melissa! Do you have an ankle weight? If so, sit on the floor and put an ankle weight around one ankle and lean back on your elbows (if your back hurts while doing the exercise, then lie down completely flat on the floor with the non weighted leg bent).

Completely straighten out the weighted leg to a locked out position while keeping the other leg bent on the floor (under any other circumstance I don't advocate locking out joints but it this case it is done to keep the stress off the knee). Now contract your quads and lift the completely straightened and weighted leg up about 10 inches and hold it for 5 seconds (don't let the leg bend at all...keep it straight). Do this for 15 to 20 reps PER leg.

Helpful hint: Since these will take much longer that a set of leg presses, fast forward or skip leg presses during the workout and then add this straight leg exercise at the end.

Good luck and listen to your body!
 
>Hi Melissa! Do you have an ankle weight? If so, sit on the
>floor and put an ankle weight around one ankle and lean back
>on your elbows (if your back hurts while doing the exercise,
>then lie down completely flat on the floor with the non
>weighted leg bent).
>
>Completely straighten out the weighted leg to a locked out
>position while keeping the other leg bent on the floor (under
>any other circumstance I don't advocate locking out joints but
>it this case it is done to keep the stress off the knee). Now
>contract your quads and lift the completely straightened and
>weighted leg up about 10 inches and hold it for 5 seconds
>(don't let the leg bend at all...keep it straight). Do this
>for 15 to 20 reps PER leg.
>
>Helpful hint: Since these will take much longer that a set of
>leg presses, fast forward or skip leg presses during the
>workout and then add this straight leg exercise at the end.
>
>Good luck and listen to your body! I dont want to contradict you Cathe, but ankle weights should never be used on the ankle especially if you have a bad knee. The ankle weight should be placed above the knee on the thigh, this way there is no stress on the knee at all.
 
> I dont want to contradict
>you Cathe, but ankle weights should never be used on the ankle
>especially if you have a bad knee. The ankle weight should be
>placed above the knee on the thigh, this way there is no
>stress on the knee at all.

I agree that ankle weights should never be used on the ankle when doing inner/outer thigh lifts, because that can put lateral stress on the knee (stress in a plane of motion that the knee does not normally bend at), or be used for leg extensions, but they can be used for hamstring curls (where the stress is placed on the knee in the normal plane of motion) and used carefully in the exercise that Cathe is describing (I'm sure if this were unsafe, physical therapists, who often prescribe the move, would not recommend it). Using weights that are not too heavy (in fact, starting with NO weight) and holding the knee in a locked position are the keys to keeping this exercise safe.
 
The method that Cathe described for doing straight leg raises is *exactly* what I have been doing in physical therapy after my ACL reconstruction in March. For inner/outer and hamstring curls I use 5 lbs and for straight leg and slightly externally rotated lifts I use 3.5 lbs. The key (and Cathe mentioned this) is that the knee HAS to be locked and the quad HAS to be engaged in order to protect the knee.
Unfortunately, I'll get to start all this over again because I fell down my stairs 4 weeks post-op and stretched or tore the graft and will have ACL revision surgery on Thursday.
I just wanted to relate my experience with this because it is exactly as Cathe described. I was interested in this thread because I'm not seeing leg presses (except under the watchful eye of my physical therapist) in my future for many months;(

Cassie
 
If straight leg lifts are a good substitute for lunges, what would be good knee-friendly exercises to substitute for step-ups and squats that would work those same muscles?
 
I have a bum knee and I use ankle weights to work the quad with no ill effect. I like to use them for hamstring curls as well because my hams need a little extra attention to keep them as defined as my quads.
The key is perfect form and slow cautious movement and as Kathryn said, not using too much weight. With the knee in perfect alignment, it is quite safe to use ankle weights on the ankle for quads and hams and I personally find it more effective than leg presses for fine tuning those muscles.
Bobbi "Chicks rule!"http://www.clicksmilies.com/s0105/tiere/animal-smiley-032.gif
Tell me what you plan to do with your one wild and precious life? -Mary Oliver
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Hi Cathe! I just wanted to give you an update. I bought a set of ankle weights and did PLB last night doing the exercise you suggested in place of the Leg Presses. My knee feels great today!

My butt and quads, however, are happily sore!

Thanks, Melissa
 
I have found lying on the floor with one foot on the high step with the heel of the bent leg pressing into the platform while pushing off, raising the glutes and hips offf the floor gets into the hamstring really effectively. I would like to point out that hamstring flexibility is really important because when we do high intensity exercises that cause the quad (agonist) to contract, the hamstring (antagonist) relaxes and lengthens. Follow my bumber car of thought. :) I have found that it is far easier to develop my quads as a result of the kinds of exericse I most enjoy. (Of course, when doing a hamstring curl, the ham is the agonist, the quad the antagonist, so that works both ways.) Anyway, I use those lying presses I guess you would call them and hamstring curls with a 5 pound ankle weight to develop the hamstring because I have always been able to build the muscles in the front of my body more easily. (My biceps are stronger than my triceps, quads more developed than hams.) With the muscles of the upper thigh though, the flexibilty of the hamstring seems to be as important as it's development and that's mostly because mine are very tight. I do yoga, lots of yoga and that has been very beneficial in dealing with my particurlar biomechanical anomalies which include tight hamstrings and adductors. The muscles at the front of my hips are ridiculously open. All stretches are beneficial to the hamstring and deadlifts too are very effective for preparing the quad to do its job as an agonist (the lengthening muscle) just as lying leg press and hamstring curls, with or without weight help when it is the contracting (antogonist) muscle. Keeping your program well rounded by working flexibility as seriously as you work strength can really hlep overcome imbalances which is what gets us into trouble. I used to put 4 5 pound ankle weights on to do both quad work and hamstring curls but I found that more weight is really unnecessary. Five pounds works as well and it's much safer.

You might also use the machines at a gym if that's available to you. They keep your knee in alignment which is one benefit of the machines. Form is a no brainer. I am a diehard fan of free weights though. I can use step ups but only sparingly since I collapsed the arch of my left foot and pronate quite a lot on the right. Tha affects my balance so steping up may be wobbly and put the knee at risk because of that lack of balance. I work very slowly when I go there and I have gotten quite strong which helps me use muscle energy to stay in alignment in spite of the pronation.

Gym Style Legs and Legs and Glutes both have floor exercises targeting the hamstrings and glutes which are effective and very stable for the knee if you can't do step ups. Step ups can be so unstable. My knees, partiuclarly the left, grind and snap and are fine most of the time, but I get sharp shooting pain behind the patella at times. I have a high pain threshold which is how I totaled my foot before realizing anything was even wrong with it. I think my cartiledge is worn down but it only bothers me a little. Knowing that, I am going to see an orthopedic doctor to get some treatment before they go on me. I'm surprised Melissa can still do squats and lunges with her runner's knee. Squats in particular can be difficult when a knee is behaving badly. :) Good luck and happy hamstrings to you. :)
Bobbi "Chicks rule!"http://www.clicksmilies.com/s0105/tiere/animal-smiley-032.gif
Tell me what you plan to do with your one wild and precious life? -Mary Oliver
http://www.clicksmilies.com/s0105/linie/smiley-linie-008.gif
 
Thanks for the details, Bobbi. You sure have patience. I've been starting to do the one leg push using a ball instead of a high step and will see how that works out. But tell me -- "I used to put 4 5 pound ankle weights on to do both quad work and hamstring curls but I found that more weight is really unnecessary. Five pounds works as well and it's much safer." What is 4 5 pounds?????
 

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