Joel Kryczka · 7 min · 1,125 words
Previously titled: The Secret Rotator Cuff of the Knee
Hey there once again, this is Joel Kriska. What we're going to go over today is a fantastic exercise for your knee. It is one of the most underutilized exercises out there. I give it to patients with knee injuries all the time.
It actually shocks me how little this is used in rehab or even just in again, preventative strengthening of your leg. What we're looking at here is trying to strengthen the internal rotators of the tibia. It's a tiny little muscle called popliteus. Truth be told, it's my favorite muscle, but that's a whole different story.
We won't get into that right now. When we have injuries to the knee itself, whether it's like a heel hook or anything like that, that damages the meniscus, odds are if it's an external rotation of the tibia, it's also going to damage the popliteus. This muscle is responsible for many different functions from giving you feedback of when you're getting into knee hyperextension because it sits right on the back end here. As the knee is hyperextending, it's giving our body feedback of when is too much, too much in addition to the joint and whatnot as well.
It's really, really important to make sure that we have this muscle strong and giving adequate feedback to our body. The other function of it is when your leg is fully straight, it actually has a little bit of external rotation that happens. It locks out the tibia on the femur or the femur on the tibia. The popliteus's job here is to actually engage a little bit of internal rotation to then allow the knee to bend.
That's why when we're trying to straighten someone's knee post-surgery, you never just yard on it straight down. We actually add a little bit of rotation into that to help that screw-home mechanism happen. The last little piece of the puzzle, which again I think is really underutilized in rehab, is when we have, and I'm going to stand up here so you're just going to see my lower body, maybe not my head, but a lot of injuries happen when my knee gets torqued inwards this way and my foot is stationary. My foot is still, I get hit inwards this way and it rotates.
It actually looks painful because it should be. Essentially what happens there, on a planted foot, if my knee comes in with a valgus force, I'm essentially externally rotating my tibia on my femur. Again, that's where we're going to start to see injuries to the MCL, the medial collateral ligament, the medial meniscus or lateral meniscus for that matter, and as well as the popliteus. When we're playing a lot of guards like Dila Hava, K-guard, all these kind of weird ones where we're wrapping our limbs around someone else and there's potential for the foot to get caught and torqued in an external rotation manner, it's really important that we can fight that motion with an internal rotation of our tibia.
So knowing that, essentially what we want to try and do is we're going to take some tubing and again, you want to go fairly light with this if you've never done it before. And you can either hang onto it or you can anchor it to something. I like to hang onto it. That way if it gets tired, I can sort of tend to follow my foot rather than it getting too easy or too hard depending on whatever resistance or length you have of the band.
So I'm going to focus on keeping my knee still and I'm pivoting on my heel. My foot's going to be up in the air and I give it some tension like this and I rotate outwards with the foot and then pull in. Okay. Now, when you're looking to see it doesn't seem like a big movement, so it kind of feels like a really weird, like why am I doing this kind of thing?
But if you pay real close attention with my knee cap being perfectly still, I should see my tibia rotate inwards when I pull in and when I let it open up, the little head of my fibula here should almost hide right back in the pocket where my hamstring is. And so again, what we're trying to do is externally rotate under control and then pull back into neutral externally, rotate back with control, slow and controlled, and then pull back into neutral and you can obviously play with the position of how flex the knee. I typically get people to start at about 90 degrees when they do this and as they, so again, I'll be here and I externally rotate and pull back in and I don't know if you can see it on the camera here. It's a very subtle movement, but I'm looking for the head of my fibula to kind of pop forward as I internally rotate and kind of hide as I open back that way.
Okay. And again, like I was saying is that if you have an injury where say you, it gets painful, the more I get into this bent position or I play a lot of butterfly guard or these kinds of things where I need to have this rotational control of my tibia, start at 90 degrees and over the week or two weeks, we're going to try and work our leg into a more flexed position. There's no point doing it in a fully straight position because the tibia has very little rotation on the femur when it's straight, which is why when we're doing any kind of heel hook, you always want to have a bend in the knee. And again, I don't necessarily think that you are ever going to stop a heel hook from just having really strong popliteus or tibial internal rotation.
There's a lot of break mechanics that happen in that. But I always think, you know what? It's really good to at least make sure while we're doing things like dry land training or rolling that you at least have strength and you have control and any kind of feedback from your knee. Again, am I getting into this poor control position?
Before I get into the end range, break mechanic of a heel hook or I get caught in some weird position again, just make sure that you understand this is just to build upon another layer of strength in our arsenal of our legs in jiu jitsu and kickboxing. I hope that helps. If you have any questions, please fire me an email and I'll see you on the mat soon. Thanks again.
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