STEP 2 Knee & Ankle

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STEP 2 Knee & Ankle

STEP 2 Knee & Ankle

STEP 2 Knee and Ankle

Scientific Therapeutic Exercise Progression (STEP), the premier exercise course series from the Ola Grimsby Institute, has a curriculum that focuses on exercise rehabilitation for tissue repair (mechanotherapy), joint mobilization, motor control, coordination, endurance, strength training and athletic function. In this course, the participant will learn manual assessment techniques for biomechanical and neurological conditions including motor control deficits of knee and ankle dysfunction. Exercise concepts of dosage, design and progression for rehabilitation of the knee and ankle will be addressed. This course is based on the participant’s knowledge of tissue-specific assessment and manual therapy interventions. In addition to the current principles in work physiology, the course offers a clinical approach to an individual, highly specific dosed program to include: resistance (concentric, eccentric, isometric), repetitions, sets, rest, speed, range and frequency with reference to functional qualities are developed. This course integrates specific manual therapy principles in mobilization, stabilization and prevention of injury in the knee and ankle. This course is taught by seasoned instructors that use this curriculum every day in the clinic.

Course Cities and Dates

STEP 2 Knee and Ankle (Seattle, WA) June 8-9, 2019

STEP 2 Knee and Ankle (Minneapolis, MN) September 7-8, 2019

STEP 2 Knee and Ankle (San Diego, CA) October 26-27, 2019


Knee and Ankle

The extensive curriculum taught in the STEP series has a foundation in advance manual therapy education. Its origin is from the Norwegian school of MTT or MET (Medical Training Therapy / Medical Exercise Therapy). With over 50 years of clinical application, these courses are designed to teach the clinician to think—designing their own exercises, or modifying classic ones, to specifically address each impairment of the patient. Current principles in work physiology and clinical evidence guide the participants on a path to critical thinking that empowers to clinician to create, rather than reproduce. Don’t learn a list of exercises, learn how to design an unlimited list of movement based solutions. Exercises are dosed specifically for mechanotherapy, as well as to mobilize joints/fascia, resolve pain and muscle guarding, elevate abnormal movement patterns, combine cervical programs with scapular and upper quarter training. Learn to answer questions for dosage on all variables associated with exercise prescription: resistance (concentric, eccentric, isometric), repetitions, sets, rest, speed, range and frequency.

Become Certified

All 6 STEP courses can be combined, along with online learning, projects and examinations, to receive a certification in Scientific Therapeutic Exercise Progressions (C-STEP).


Participants will be able to:

• Create patient specific exercises and progressions

• Specifically dose exercises for tissue repair, local circulation, motor learning, coordination, endurance and strength training

• Design knee exercises related to specific muscle facilitation patterns, length/tension relationships and multiple resistance training involving the low back, hip and knee

• Progress exercises from mobilization to stabilization for the knee and ankle

• Describe the evidence based implications of hip dyskinesia on knee and ankle function

Course Schedule

Day One

8:00 Introductions

8:15 Lecture: STEP Intro, Models of Pathology, Mobilization Principles, and Clinical Histology

9:15 Lab 1: Knee/ankle OSR

9:45 Lecture: Work Physiology/Dosage

10:15 Lab 2a: Dosage Calculation

Lab2b: Unloading concepts

11:15 Lecture: Manual Therapy, Receptor Function, and Lower Quarter Motor Control (knee/ankle emphasis)

12:00 Lunch

1:00 Lab 3a: Motor Control testing

Lab 3b: Balance Assessment

1:45 Lecture: Exercise Progressions for Knee and Ankle

2:15 Lab 4a: Instructor example of Knee Dynamic Stabilization sequence

Lab 4b: Progressions for dynamic stabilization of knee and ankle pathologies by groups

4:00 Lecture: Ankle Sprains

5:00 Summary / Closing

Day Two

8:00 Q&A

8:15 Lab 5: Acute vs Chronic Ankle Sprain Case Studies (2 groups)

9:15 Lecture: Coaching Motor Control, Muscle Activation/Line of Action

10:00 Lab 6: External / Internal focus training Exercise Design-Line of Action

10:45 Lecture: ACL Reconstruction and Protocol Design

11:15: Lab 7: Modifications for early ACL training/Progressions for Advanced Training

1200: Lunch

1:00 Lecture: Tendinopathy

1:45 Lab 8: Progressions for Knee/Ankle Collagen Injuries-Eccentric Focus

2:30 Case Studies Group Work

5:00 Summary

STEP Book Series

This exceptional three textbook series edited by Ola Grimsby and Jim Rivard covers the scientific fundamentals related to manual therapy and exercise rehabilitation. As a foundational textbook series for the STEP curriculum, this book series will dramatically increase your knowledge base but also provide examples of decades in clinical practice of apply STEP and MET (medical exercise therapy) concepts.

Purchase STEP ebooks from or


Day One

8:00     Introduction: Evidence for STEP Work Physiology Principles

8:30     Lab: Exercise for Joint Mobilization and Cartilage and Tendon Repair

9:30     Exercise Dosage

10:00   Lab: Unloading Concepts-–Clinic and Home

10:30   LQ Myokinematics: LQ Instability

11:00   Lab: Chondromalacia–Motor Control, Coordination and Local Endurance

12:00   Lunch

1:00     Ex Progression: Dynamic Stabilization (CW- IW-EW-CW)

1:30     Lecture: Ankle Sprain Dynamic Stabilization

2:30     Lab: Workshop: Critique of Ankle Sprain Protocol – RICE

3:30     Lab: Proximal Mobilization / Stabilization

4:30     Manipulation: for Motor Recruitment in the Lower Quarter

5:00     Summary

Day Two

8:00     ACL Post-Op: Tissue Sparing Guidelines (OKC/CKC)

9:00     Workshop: ACL Protocol Critique, Classic Exercise Critique

9:30     Motor Learning Principles: Internal / External Attention Focus

10:00   Lab: Balance–Somatosensory, Vestibular and Ocular System

11:00   Tendinopathy Training

11:30   Lab: Tendinopathy and Achilles Repair

12:00   Lunch

1:00     Lab: Lumbar Facilitation During LQ Stabilization Training

2:00     Lab: Squat-Lunge-Jump

3:00     Workshop: Case Study

4:00     Lab: Agility Training-—Lunge / Jump / Running Etc.

5:00     Summary

Other STEP Courses

STEP-1: Shoulder and Elbow

STEP-2: Knee and Ankle

STEP-3: Hip and Pelvis

STEP-4: Lumbar and Thoracic Spine

STEP-5: Cervical Spine

STEP-6: Upper Cervical, TMJ, Ocular Systems


















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