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🦵 Terminal Knee Extension (TKE)

The Terminal Knee Extension (TKE) is a beginner knee exercise that targets the vmo (vastus medialis). Use resistance band behind knee to strengthen the last 30° of knee extension (VMO focus). It's commonly prescribed during rehabilitation for ACL Reconstruction, Total Knee Replacement, and Patellofemoral Pain. Below is how to perform the Terminal Knee Extension (TKE) with correct form, plus the benefits, common mistakes, and how many reps to aim for.

KneeBeginnerResistance Band3 × 15

Benefits of the Terminal Knee Extension (TKE)

  • Strengthens and activates the vmo (vastus medialis)
  • Improves strength
  • Supports recovery and rehab for ACL Reconstruction, Total Knee Replacement, and Patellofemoral Pain
  • Can be done with simple equipment (resistance band)
  • Performed standing, so it's easy to set up

How to do the Terminal Knee Extension (TKE)

  1. Anchor a resistance band at knee height
  2. Loop it behind your injured knee
  3. Step back to create tension, knee slightly bent
  4. Push back to fully straighten the knee, locking it out
  5. Slowly return to bent position

How many reps & sets

A common starting point is 3 sets of 15 reps. Progress gradually and stop if you feel sharp pain.

Form tips

  • Focus on the squeeze at full extension
  • Keep hips level

Muscles worked

VMO (Vastus Medialis)

When to be cautious

  • Pain on terminal extension

Who should do the Terminal Knee Extension (TKE)?

The Terminal Knee Extension (TKE) is often included in programs for people recovering from ACL Reconstruction, Total Knee Replacement, and Patellofemoral Pain, and for anyone wanting to strengthen the knee. It's rated beginner.

Terminal Knee Extension (TKE) — FAQ

What muscles does the Terminal Knee Extension (TKE) work?
The Terminal Knee Extension (TKE) primarily targets the vmo (vastus medialis).
How many sets and reps of the Terminal Knee Extension (TKE) should I do?
A common starting point is 3 sets of 15 reps. Progress gradually and stop if you feel sharp pain.
Is the Terminal Knee Extension (TKE) good for ACL Reconstruction?
Yes — the Terminal Knee Extension (TKE) is commonly used in rehab for ACL Reconstruction and Total Knee Replacement. Confirm with your clinician before starting, especially if you have pain.
Do I need equipment for the Terminal Knee Extension (TKE)?
You'll need: resistance band.
When should I avoid the Terminal Knee Extension (TKE)?
Take care or skip it if you have: pain on terminal extension. When in doubt, check with your physiotherapist.
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