Quadriceps Strengthening Exercises
The following quadriceps strengthening exercises are designed to improve strength of the quadriceps muscle (figure 1). The quadriceps comprises of four muscle bellies, one of which is the VMO (Vastus Medialis Obliquus). The VMO is very important in quadriceps and knee rehabilitation exercises. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. Generally, they should only be performed provided they do not cause or increase pain.
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Figure 1 – Quadriceps and VMO
Quadriceps Strengthening – Basic Exercises
To begin with, the following basic quadriceps strengthening exercises should be performed approximately 10 times, 3 times daily. As your quadriceps strength improves, the exercises can be progressed by gradually increasing the repetitions and strength of contraction provided they do not cause or increase pain.
Static Inner Quadriceps Contraction
Tighten the muscle at the front of your thigh (quadriceps) by pushing your knee down into a towel (figure 2). Put your fingers on your inner quadriceps (VMO – figure 1) to feel the muscle tighten during contraction. Hold for 5 seconds and repeat 10 times as hard as possible pain free.
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Figure 2 – Static Inner Quadriceps Contraction (left leg)
Quadriceps over Fulcrum
Begin this quadriceps strengthening exercise lying on your back with a rolled towel or foam roll under your knee and your knee relaxed. Slowly straighten your knee as far as possible tightening the front of your thigh (quadriceps) (figure 3). Hold for 5 seconds then slowly lower back down. Repeat 10 times as hard as possible pain free.
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Figure 3 – Quadriceps over Fulcrum (left leg)
Quadriceps Strengthening – Intermediate Exercises
The following intermediate quadriceps strengthening exercises should generally be performed 1 - 3 times per week provided they do not cause or increase pain. Ideally they should not be performed on consecutive days, to allow muscle recovery. As your quadriceps strength improves, the exercises can be progressed by gradually increasing the repetitions or resistance of the exercises provided they do not cause or increase pain.
Knee Extension in Sitting vs. Resistance Band
Begin this quadriceps strengthening exercise in sitting with your knee bent and a resistance band tied around your ankle as shown (figure 4). Keeping your back straight, slowly straighten your knee tightening the front of your thigh (quadriceps). Then slowly return back to the starting position. Perform 3 sets of 10 repetitions provided it is pain free.
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Figure 4 – Knee Extension in Sitting vs. Resistance Band
Squats with Swiss Ball
Begin this quadriceps strengthening exercise in standing with your feet shoulder width apart and your feet facing forwards. A Swiss ball can be placed between a wall and your lower back to improve your technique (figure 5). Slowly perform a squat, keeping your back straight. Your knees should be in line with your middle toes and should not move forward past your toes. Perform 3 sets of 10 repetitions provided the exercise is pain free.
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Figure 5 – Squats with Swiss Ball
Lunges
Begin this quadriceps strengthening exercise standing with your back straight in the position demonstrated (figure 6). Slowly lower your body until your front knee is at a right angle. Keep your knee in line with your middle toe and your feet facing forward. Perform 3 sets of 10 repetitions provided the exercise is pain free.
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Figure 6 – Lunges
Quadriceps Strengthening – Advanced Exercises
The following advanced quadriceps strengthening exercises should generally be performed 1 - 3 times per week provided they do not cause or increase pain. Ideally they should not be performed on consecutive days, to allow muscle recovery. As your quadriceps strength improves, the exercises can be progressed by gradually increasing the repetitions or resistance of the exercises provided they do not cause or increase pain.
Single Leg Squat with Swiss Ball
Begin this quadriceps strengthening exercise in standing on one leg with your foot facing forwards (figure 7). A Swiss ball can be placed between a wall and your lower back to improve your technique. Slowly perform a squat, keeping your back straight. Your knee should not bend beyond right angles and should be in line with your middle toe. Your knee also should not move forward past your toes. Perform 3 sets of 10 repetitions provided the exercise is pain free.
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Figure 7 – Single Leg Squat with Swiss Ball
Lunges with Weights
Begin this quadriceps strengthening exercise standing holding light weights, with your back straight in the position demonstrated (figure 8). Slowly lower your body until your front knee is at a right angle. Keep your knee in line with your middle toe and your feet facing forward. Perform 3 sets of 10 repetitions provided the exercise is pain free.
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Figure 8 – Lunges with Weights
Arabesque
Begin this quadriceps strengthening exercise standing on one leg with your back straight, your arms to the side at shoulder level and your back leg straight as demonstrated (figure 9). Keeping your balance and maintaining this posture, slowly bend your hip and front knee, lowering your body slightly, and then slowly straighten back up. Your front knee should be in line with your middle toe and should not move forward past your toes during the exercise. Perform 3 sets of 10 repetitions provided it is pain free.
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Figure 9 – Arabesque
Physiotherapy Products for Quadriceps Strengthening Exercises
To purchase physiotherapy products to assist with quadriceps strengthening exercises or rehabilitation click on one of the above links or visit the PhysioAdvisor Shop.
Other Exercises
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