Knee CARs: Tibial Rotation 

Increase tibial rotation by increaseing flexibility and strength =Mobiity. Exercises created by Dr. Spina.

Knee Internal Rotation

Knee External Rotation

Knee Capsule Stretch (internal rotation)
Target: Inside knee joint capsule
While seated, grab the outside aspect of the foot with the opposite hand. Use the other hand to apply a inside to outside force at the distal thigh.

• PASSIVE STRETCH – Into inward tibial rotation
• PAILs – outward shin rotation against the resistance of the hand
• RAILs – Inward tibial rotation

Note: Ensure that rotation is occurring through the Knee joint and not the Ankle joint that should remain locked.

Knee Capsule Stretch (external rotation)
Target: Inside knee joint capsule
While seated, grab the inside of the foot with the same side hand. Use the other hand to apply an outside to inside force at the distal thigh.

• PASSIVE STRETCH – Into outward tibial rotation
• PAILs – Inward shin rotation against the resistance of the hand
• RAILs – Outward tibial rotation

Note: Ensure that rotation is occurring through the knee joint and not the Ankle that should remain locked.