Knees Over Toes Guy Review (from a Doctor of Physical Therapy)
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- čas přidán 26. 06. 2024
- Knees Over Toes Guy Review (from a Doctor of Physical Therapy)
As a doctor of physical therapy and strength and conditioning coach who also competed in college athletics. I have been receiving a lot of questions about the knees over toes guy and if his methods are legit or not? So this video is a review of the knees over toes guy exercises. His training system is called ATG and he has 3 programs which help people who are in knee pain. This review of the #kneesovertoesguy is completely unsolicited. At the time of making this video I have no relationship with Ben Patrick (knees over toes guy) what so ever. This is just my opinion on the topic of knees over toes as doctor of physical therapy who has treated knee pain and surgery for 10 years.
0:00 start video
1:00 Knees Over Toes Guy Training Programs
2:30 full knee bend squat or ATG lunge (knees over toes)
4:30 compressive forces at knee
6:00 progressive loading importance
9:20 knees over toes guy exercises
12:50 tibialis raises
16:00 step down variations
17:30 importance of scalability to an exercise
19:00 negatives of ATG training or Knees Over Toes Guy
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My name is Greg Schaible and I am a Physical Therapist & Strength Coach who works with a lot of athletes and active individuals to overcome injuries! Common location of injuries I treat on a daily basis are: Shoulder, Back, Hip, Knee, and Foot/Ankle. This channel aims to help athletes and regular people prevent injuries as well as speed up and increase the recovery rates!
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My old karate teacher would have loved the KOT Guy, he had us walk and jog backwards, and do gentle full bend knee squats. RIP Sensei, you were a smart man!
Japanese and Chinese were hundreds of years ahead in everything lol
@@critiquemytechnique2.0 It's more like we in the west went back in time
Japanese in particular are movement masters. They even all have group warm-ups at work where they go through a series of gentle short movements using their comfortable ranges of motion. It's really interesting especially how efficient and systematic Japanese society is
Yup my Taekwondo masters have us do basically the same things. I honestly would recommend any eastern martial art to everyone especially with how important flexibility is to majority of them.
@@critiquemytechnique2.0 Not so much in political systems. They can keep those.
I've been using some of KOT's training. I would say that the most IMPORTANT thing is to start with low intensity on all the moves. Even with walking, or running backwards, using body weight, or with resistance, it's very important to start with low intensity, and build up from there.
100% go at your pace and have patience with the process
My knees pop sometimes with certain motions. My knees have always been easy to pop. I'm not sure if that's just natural or if I'm moving incorrectly. But it's simple things like bending down
@@jaleelserrano9037 popping isn't necessarily bad as long as not painful. Think about cracking your knuckles. It's just a shift in pressure fluid within the knee joint capsule. Either because your range is limited and so fluid not used to shifting around as much. Or you have full range and not the end range muscular strength to support the joint structure to its fullest potential. Again, I would not view it as bad. Just that you need to improve your motion or take your progressions gradually.
I have had knee surgery. both the surgeon and physical therapist basically told me to be sedentary. The surgeon told me the only exercise I should ever do again is swimming. (partial knee replacement) This is from someone at a very well respected hospital in NYC (HSS). Why does the medical community seem to tell everyone to stop being athletic if they have a knee issue? Why aren't they recommending programs like KOT guy offers? This is the question that needs to be answered.
Dude I just had Achilles tendon surgery 2 months ago, the surgeon told me I could definitely do sports if I do the physio right.
a friend of mine tore his this week , had surgery and the surgeon told him he should forget about doing sports ever again.
I live in France but it’s juste crazy how inconsistent doctors can be with what they tell their clients
Hey Phil, how are things coming along for you? I was recently diagnosed with a thinning meniscus and told I should definitely stop squatting heavy below 90 degrees by two different doctors, and probably take it pretty easy with the weights in general. I was a bit shocked as I just had some light knee pain now and again with certain movements, but thought I should get it checked out, just in case. I was surprised and bummed to find out I have, at least currently, irreparable damage to my meniscus. Hopefully, someday soon, they'll find a way reliably repair cartiledge, but as far as I can tell, we're not there yet. I've been looking online, and HSS in NY seems like the most legitimate entity to claim to repair cartiledge in the knee. What do you think of them?You can find lots of stem cell transplant places, but it looks like there's no scientific evidence to back that up, and those clinics look dubious at best.
So well said.... 99% of people that catch some fame aren’t appreciated for the years and years they have spent getting to a place where they happen to catch that fame. Successful people don’t just get lucky (most of the time) Appreciate the work!
I'm a 71 year old woman who is a cycling Track athlete and in training for the World Masters Track Championships in September. I train on the Velodrome three times a week and road cycle 2 days a week. Lost October I was caving into knee replacement. I visited my Ortho surgeon and I told him I had a theory about my gait. He suggested I see a gait specialist and NOT HAVE the surgery. I did and my knee felt better, but not good enough to compete at a high level. I found KOT. I've only been doing it for two weeks and I actually can feel my legs and VOM getting stronger. I'm not expecting over night success, but I can see the benefits of these moves. TAKE IT SLOWLY, BE CONSISTENT AND KEEP IN FORM and this program maybe what you're looking for... I know it's working to build up my strength regardless and can do nothing but good. Each move comes with exceptionally clear instructions, the why and alternatives so you can improve. What have you got to loss except not getting stronger!
Nice Ariel! 100% agree
You hit the nail on the head as to why 99.999% of athletes won’t be world class, they can’t stick with the program. No one ever sees all the work and time world class athletes put in.
so true!
What really how about you are just not good enough. Junk
@@johnlloyd1638 What? How about replying back in English next time.
That’s because we have jobs, kids, school etc. World class athletes sole job is to be an athlete. I don’t have hours a day to dedicate to become an athlete unfortunately.
@@IrishMexican sticking with a program and the duration of the program per session are very different things. We realize that life happens and things get busy. Which is why I think you would find our programs at sports rehab expert and @kneesovertoesguy workouts to be very efficient and time friendly.
People don't like hearing that results take years to reach, excellent point to make for those wanting to follow his routines
I just found your channel, I can already see you have covered so many high quality exercises
Cant wait to look through them to see what else I can add to my workouts
Thanks for posting this video. This is exactly what I wanted but didn’t want to do a 45 min exam with my doctor of physical therapy just to ask him his opinion on this guy’s program.
As a happy and successful KOT customer I appreciate your honest and unbiased review. Spot on!
Thank you. I was getting excited to level up quickly but this helped me realize there is no rush and now I feel like I’ll get even more out of KOT training if I take my time. Thx again.
Most welcome! Yep the key is gradual progression
Thank you for taking the time to back what I feel is a 100% good thing! And reiterating that it doesn't happen over night for people, this is key i believe. 👍👏👏👏👏👏
Great video. Im 6 months out of ACL surgery and just started implementing the Knee Ability Zero program. I pushed the ATG Split squat too far and had massive fluid buildup to the point I lost 50% ROM. Went on prednisone to reduce the inflammation. It's very important to not push it.
Great video! Thank you! I'm having difficulty with being patient and not pushing myself too hard with my knee rehab so this was so encouraging to hear you talk about how long these things take to adapt and improve. Many thanks
Most welcome! Human nature and something to always double check ;)
I've been through Ben's ATG Zero program basically twice at this point. Last March I could barely walk without my knee cap clicking, and getting massive IT band pain, had very little musculature in my glutes and quads. Now, my left leg is fully functional, I can support my weight and my musculature and flexibility is the best it has been, ever. I still have imbalances from my left to my right side, but that will correct over time.
I've been to physical therapists, and their programs were honestly milktoast. I really didn't get any improvement after several months. After 6 weeks of Zero, I had seen more results then in 6 months of PT.
Of course, you need to be mindful of your body's condition, and consult your physician before doing any physical activity. But if you're ready, the ability to start where you're at and progressively increase range and weight is pretty stunning. Good programs hit everything. My ankles have never felt stronger, and the back of my knees are thick with muscle now. I've never really had that before.
Great video, and I appreciate you looking out for people. The ATG program was a life changer for me.
Do you recommend to pay for the monthly program or just follow through the books he has? Is it the same? What's the difference?
@@BIGNEM you can message him or his team for advice and you can provide them video to affirm your form is correct
Thanks much for the thorough and detailed review.
Great review Greg ! Been doing some of his exercises and incorporating these movements and been enjoying him - gotta have you on the channel soon and catch up 🤙🤙
Thanks Josh! For sure, let's do a feature sometime. Can do a 1 for 1 on both our channels!
@@sportsrehabexperts I’m down ✌️ I’ll shoot u DM on IG
Great video. I'm a 60 yr. old with bad genetics and a trashed right knee. I've been walking backwards, doing tibialis and calf raises and working on range of motion for a month or so. I'm starting to see results and I appreciate your perspective and reminding me that it will take years. I wish I had this info 40 years ago when I first hurt my knee. Keep up the good work. Guys like you help people more than you know.
That's awesome to hear! An you are right, can be very hard to have patience sometimes. Much appreciated Jon!
I had a question about supermans: Stuart McGill from Backfit Pro studied herniated disc s and says supermans are bad. Worse with increased loads. Should KOTG supermans be replaced with bird dogs? spinehealth.org/breaking-down-the-exercises-that-break-down-your-spine/
@@footLogic yea I am very familiar with McGill's work. He has a lot of solid concepts. But the research is also done on cadaver. Bird dogs are also a VERY low level exercise. Supermans and Jefferson curls are on either end of the spectrum of neutral spine. A bird dog would be in the middle. If you just train bird dog, you will only ever be prepared for the middle of the spectrum and when the task requires you to go outside the middle of the movement spectrum that's when something likely would go wrong.
@@sportsrehabexperts many thanks!
I really like the way you approach this topic. You gently emphasize the importance of going slow. You see the tendency of people to want to perform the final task without taking the time. I think that KOT guy DOESN’T emphasize this enough but instead shows off his final results…
Thank you! I think its so important to recognize this. Its also hard on social media to realize when someone displays very flexible or feats of strength. Its hard to appreciate how long that takes to develop. It also very possible that the person was naturally more flexible. Some people also pack on muscle much quicker then others. Genetics do play a role despite what influencers want you to believe that one exercise will make them more flexible or build a bigger muscle. A lot more nuanced then that!
This is a very good and in-depth review. I appreciate it!
Most welcome!
Awesome, super informative video man!
Thank you for the honest feedback on his program. I have been doing the beginning level for almost a month now and am seeing a nice steady progression of results.
Most welcome :) That's great to hear!
Thanks so much for this content ✌
You make great points, yesterday I did the ATG split squat and since I have pretty good mobility I could do it with the heel down without a step or anything so I overestimated my capabilities and loaded it (only 10kg). During the exercise I was fine, no pain, but a few hours after the workout I started feeling pain in my left knee (I had already had trouble with that one). The thing is, I had already done that same exercise with the same load the week before and didn´t have any problems.
Maybe it was a combination of different factors.
This was only yesterday though and the pain is already receding, so I'll keep in mind what you say in this video and not rush into it! Thanks!!
I needed to hear the "be humble" part...thank you!
Great insight! It would be nice to see what this type of training can lead. I.e. (increase in sarcomere length and changes in muscle architecture). Also the effect on joints (compression forces and segmental forces). You have a new follower!
Great ideas for future videos! Thanks for subscribing :)
Very informative and helpful! Wish I could train with you! IReminding us that this training takes time was essential!
I really appreciate this video. Your knowledge and qualifications to speak on this subject come through, but your humility is really cool to see. I've been excited to start the KOT program, I like what he says and the results seem legit. I also really like your approach and I'm going to check out your website because I've had a pain in the left side of my lower back for the last two years that I can't figure out how to resolve. It prevents me from doing kettlebell swings, which isn't a big deal, but I also occasionally feel it when I run and sprint. Anyway, just wanted to say I thought this was a great video and thanks for sharing your thoughts from your perspective.
Glad you enjoyed the video! My website is built more for the rehab clinician education, but I do work with people online at a training/rehab level if you would ever like to do so. Best way to get started is emailing me greg@sportsrehabexpert.com and we can discuss the programs and your goals.
Let me throw this here. I am 63 yrs old and play soccer professional for 8 yrs to cut short by knee injury. I never had surgery and decided to stop play and no even do therapy. I was 28 y old. During the years I begun to spend time to understanding my knee pain and created some exercises that was giving me comfort to a point to even play and coach. But the problem always was there. What i noticed that wheb i was consist doing the exercise i wad bending my knee more, however, i got scared to push forward or attempt to even do some exercises from the knee guy. Two months ago, i found one of his videos talking about walking backward. I do alot walking long distance about 2 to 3 hous once per week but never tough walking backward, i tryed for a month , i did on the beach pushing a bag of sand and on track field, on the second week i did walking first then stretching and tried one more of his exercises, wow! Almost 34 yrs that i couldn't bend my knee, i start to squat, i just blow me out. But you are 100% right, results is not going to hsppen just like that, need efforts, consistent to have the courage to face the pain, it will minimizes, but takes time. Also, as you mention, some people like me even being on my 63 yrs old, I was an athlete and my body still have all that flexibility and strength and i still athlete active on my exercises even not playing anymore. The knee over toe to me is legit, unfortunaly back then i didn't had no doctors or therapists to told me my problems could be fixed with exercises, other wise i had never quit play professional. I am not sign in his program as i explain, but as you also said, things takes time, and if you don't know your problem, consult a professional and he will help you to best select and coach you with the knee guy program step by step to be safe that you will going to get better. Good luck!
Very very interesting and I feel a very holistic approach coming from your side.
Thanks for the review and all the best.
Hey Phil, thats the goal of the channel is to see all sides of the equation. Appreciate the watch man 😉
glad you explained how long it takes. thank you
You just got a sub. Thanks for great info without trying to sell anything.
Thanks John, much appreciated!
Thank you for sharing your knowledge. I'm impress with his work and having recently experience a knee set back by doing a unplanned moves (Spontaneous move) I was looking for some information or exercises for improving my knee, from mussel pains. It has been 9 weeks from the incident and I took some times of to rest my knee and leg. I was constantly doing my regular routine every morning, my objective was trying to sit on my knee in, "Iaido seiza position." After 7 month of daily workout for one hour a day I have managed to feel comfortable in doing it successfully. All it took was to do a simple insignificant move (Single Pirouettes) normal for me, that a pain on the lateral epicondyle close to the patella suddenly I experienced a acute pain. It was a foolish move. Fortunately after a little wile I was able to walk and the pain went away, no redness or swelling but on and of, the pain kept on coming back at different places, and at different days of the week. each mussel on different days around the patella in the lower leg wear giving me discomfort and reduced my ability to move. I have continued Tai Chi movements occasionally with no problem but reduce the days of practice. Since the incident and taken time off to rest I feel ready to start again but a little hesitant fearing surprises. I know that if I start my regular routine on the floor will not be a problem, I will stop at the slightest discomfort but afraid of my knee if sitting in "Seiza position" I have not dared yet, it can be a challenge to start over again. It was coming along fine even if my quads wear not resting completely on my lower legs. What I find Interesting is as you said, "Been able to be consistent for a long period of time which I was and then take time of doing some thing else." The past 9 weeks I did take time of, reducing my movement, the knee feels better but I will be cautious this time and see how far can I go. I have a objective, Thank you.
This is a great breakdown. I'm a huge fan of and user of Ben's training, but as you mention, I tried to go too quick at first, and I ended up injuring my back pretty bad going too ham on Jefferson Curls and Seated Goodmornings. That's not Ben's fault at all, and he goes out of his way to emphasize regression options and provides a great entry level starting point with the ZERO Program, but I agree that it's worth noting.
Humility is so important. Start where you are, just like this guy is saying. You'll be surprised how far humility will take you.
100%! Start where you are 👊
This the most honest and thoughtful review of KOT I have come across. Hat off to you. It's a month I am about to sign off the KOT program because of my meniscus tear, and you have got exactly what has been keeping me in doubt. For instance the Jefferson curl, since I also have a lumbar protrusion. The good news is now you have convinced me that with the right approach and humility it is worth trying. Great job!
I appreciate that! I was slow to come around to the Jefferson curl as well. I think knee over toe and full spine flexion are very similar in that we should not avoid them. However, I think the scalability of the knee over toe movement is much more friendly to adjust with pain. The Jefferson curl and spine flexion doesn't really have that adjustability to work through pain. So if you have pain, do the other movements and come back to the jefferson curl later. When doing the jefferson curl, no linger pain/discomfort should occur. Muscle workout stiffness is very possible, but that is very different then pain and does not linger as long. Important distinctions to make! Thanks for watching :)
Thank you so much for replying , you got another subscriber 😊. Yes my lumbar situation has healed, it is more of a psychological blockage which I know I have gradually to get rid of because if you don't use it you lose it they say... Cheers
@@raffosnow5429 funny how that saying has a lot of truth to it haha thanks for subscribing!
Great job with everything about this video. Keep it up brother! Peace and Love from two fitness fanatics at the Canada-Detroit border
Hey man, love the review, think it’s great stuff. Can you link the research you mentioned where it was positive and beneficial for the hamstring and calf muscle against eachother in a full knee bend? I’d love to read that research and see what is actually happening in that moment. I feel like that’s a huge teachable moment
I don't remember the specific link but I know I talk about it in this video again and show a picture of the article name: czcams.com/video/GCMWOr9AnKk/video.html
I love this guy's videos. I realized I couldn't do a proper squat at 30 years old, and have since made some great gains in mobility with this new influx of channels discussing ROM, natural movements, and now this type of strength. My problem now, is that my ankles are so stiff that I can't seem to increase my flexibility, despite being pretty strong all around in my legs.
Ankles can be stubborn and take awhile to change. Find something daily you can work on, then stack on top of that something a bit more aggressive you do 2-4x per week to help promote changes as well
@@sportsrehabexperts Thanks for the tips brother!
It’s amazing how injuries and self discovery can build motivation and excitement to experiment and share your experiments. That’s how I see the the knees over toes guy. He isn’t inventing a ton but he is reworking it, matching it up in a easy to execute way and explaining it all in depth for the layperson. His program also isn’t super expensive, which makes me want to give it a go.
Great video
I like the way you break it all down and explain it
Excellent
Thanks Danny!
Thank you. That was great. Very helpful.
Most welcome!
Struggling with plantar fasciitis that has weakened my calves and even started to give me knee pain when running (track and cross country runner) or even after a long shift at work. Recently seen a lot of KOT and was wondering if the program would help. Still planing on starting official PT for the fasciitis but wondered if adding KOT would help or even be safe ? Awesome video by the way
Thanks Nolan, plantar fasciitis can be a pain in the butt sometimes. That being said a lot of the ankle work which is done in the program can be helpful. Let me know how it goes! Happy to provide you with some programing that has a mixture of KOT, rehab, and runner specific stuff as well
Thanks for this! Good insight. What are your thoughts about Baker's Cyst? Curious.
can be a bit annoying but they go away and I wouldn't be to concerned about them. Probably has a large nutrition component to developing them. Also movement is good for the lymphatic system as well.
You definitely need more views bro
I think it's great that your biggest critique of Ben is not on him or his program at all, it's that people won't listen to him and want the quick fix. That could be said of literally any program. Any person who has taken an ATG class and submitted a video of them stepping up too quickly or doing improper form will have Ben and his team commenting on your within 24 hours telling you to regress your movement so you do it correctly.
I think that may be the hardest part. In my younger days I would train super hard and do multiple sets to failure. Over time I've had to learn to be more patient and consistent. Its actually hard for me not to do set after set when I get warmed up. Forcing myself to stop and working out more often but less intensly is starting to pay off. My back pain is basically gone and my knees are very slowly starting to get better.
Wow, if thats real thats like next lvl customer support makes him even more likeable
Greg, we need to send a bison and vegetable gift basket to Ben for all these views we are getting analyzing his system. Great video. Very articulate and it's obvious you have a passion for our profession and a desire to share the message that movement is medicine! Keep up the good work 👍 Tim
Hey Tim! lol yea I know huge thanks to Ben! Saw your video as well and love the at home Nordic variation. I had not seen that option before. Super helpful! Subscribed to your channel to keep up with what you guys are doing as well. Thanks!
@@sportsrehabexperts Thanks Greg! Same with me. I Look forward to following your future content!
Very useful, thank you very much.
I had some knee pain for over a year & then sharp burning pains for a couple of weeks. I couldn't walk but could just about hobble along. I done the backward walking for 2 days & the pain is almost gone. I'm now in the process of doing some of his other excercises (sled pulls etc) to get to the stage where I can run again.
Started the program 2 weeks ago. Getting stronger and more flexible daily.
Same
I believe the said humility is wisdom
I've been struggling with old shin splints for years and might take a look at a few of his recommended exercises
tibialis raises and proper calf training will be very useful.
I appreciate the video, thanks. Got burned before with my lower back on p90x (pushed past the pain on jump squats was the culprit), so definitely want to make sure any workout regimen I do is legit.
Im not a huge fan of p90x either. But to be fair, if you push through pain in ANY program. The likelihood of being burned by the program is much higher
As an exercise enthusiast, former athlete, and current occupational therapy student, would you mind sharing your references for the research into increasing the strength of ligaments, muscles, and tendons around the knee joint when performing exercises that go knees over toes? I've been having this discussion with several of my friends about whether there is research to support or debunk this guys claims. Anything you've found would be great!
Thank you for the video 😀. I like your power lifting mentality ideas. I am a power lifter and my progress has been slow due to still working on mobility and thinking long term goals (5 year goals). What benefits do you think power lifters in general would get if they got rid of that mentality and really took blocks on to think about mobility and joint preparation rather than loading the bar every session? Do you think the progression would be similar?
Spending time on strengthening outer range and develop mobility it would likely allow them to continue training with less flair ups and stay in the game longer!
Thanks for your unique perspective Greg. It was well said when you described the hesitancy many people will have due to the heavy emphasis in physical therapy is to avoid training your knees going over the toes, as well as the incredible movements he is capable of for his marketing purposes. It sounds like the only downside you see is that seeing the feats of extreme athleticism can give people the wrong idea and make them impatient to achieve those movements without building an incredible foundation first to do it safely and healthily. But, when adopting his training methods at the lowest level and patiently and consistently trying to progress slowly, those methods do not carry an inherent risk greater than any other training methods. Is that accurate? Btw I'm just thinking from a PT patient perspective, trying to minimize knee pain, not the extreme strength training and athleticism he demonstrates. Thanks again!
100% Nick, you got it!
I have to say I was skeptical of kneesovertoesguy at first- seemed like too much CZcams hype to be true but I can honestly say it’s working for me and I’m very surprised by how quickly.
I’ve had 4 knee surgeries and have suffered through knee pain for many years- still doing what I love, but always nursing knee pain of one sort or another. I’ve done numerous PT programs- all of which have been helpful but the structure and specific of KOT is really great. I’m barely 2 weeks in to Zero and my knees feel better than they have in years. This is the real deal for me
Thank you. A lot of great knowledgeable comment’s
Great analysis Doc!
I have a question. I got liquid in my left shoulder from lifting something without a warmup and then continuing to put pressure on it with at home exercises for the next month. It's been more than a week since I stopped doing upper body exercises and I still can't put on a jacket properly (shoulder hurts when loading it with any sort of weight). Anything I can do to speed up my recovery?
Loaded question, hard to answer in text format. But likely you have a loading issue to the rotator cuff or tissue of the shoulder in general.
Hey do tib raises also help with posterior shin splints? If not whats another good exercise? Ive had this pain about a year and nothing seems to work. Really appreciate this video and all you do thanks!
They can help, I would definitely give them a good shot if you have not already!
Great post, I agree. What are your thoughts on his stretching protocols?
I'm very familiar with his protocols per say. Other then the stretches he shows. In general I'm in favor of the eccentric training to promote lengthening. But totally okay with superseting or including a couple stretches to complement it. I don't like forced stretches and feel you should be able to relax, breath, and be able to contract a muscle if asked while holding a stretch otherwise being to aggressive. Again he has A LOT of flexibility lol. Im sure some of that was developed over a long period of time because he makes it look easy. But would be interesting to know if he had any hypermobile tendencies back when he talks about all his injuries.
@@sportsrehabexperts Cheers, thanks for the response!
Great video! And thanks for reminding me off the importance of the loading regiment. I have been doing zero for 4 weeks now and gained a lot more mobility and knee ability in my injured knee (fully torn meniscus with surgery 2 years ago). The thing with my meniscus is that when it snapt, I sort of was not “working through pain”, I had a rotation with the knee bent, and it just snapped out off nowhere, sort of.
So my question is; do you think I should be carefull with loading the ATG split squat with weights after 12 weeks of zero (3 times a week), even with no pain? I am considering just keep using the ATG squat as a warmup/mobility exercise with no weight and start loading the Bulgarian split squat again, so I do not risk my meniscus tearing again. Thoughts?
Also, some links for the studies you talked about in the start of your video would be great to see, so I can check out the studies myself.
Biggest factor will be the concept that this is a process! Bulgarian split squats are fine, but they are not the same as a standard split squat or ATG split squat. Do not push through the loading. No shame in elevating the foot on a box if that makes it more comfortable and gradually load through that ROM first before lowering to the floor. Or continue using upper body assist if doing the body weight version on zero. Or both upper body assist and foot elevated if necessary to make comfortable. As far as the research, its termed the "wrapping effect" pubmed.ncbi.nlm.nih.gov/23821469/
Hi Sports Rehab Expert. Thanks for putting this very informative video together. I am considering trying out the beginner program for KOTG and am recovering from a degenerative horizontal medial meniscus tear, that I did not treat with any surgery (basically I am not in any pain). Growing up, I played a lot of basketball and went into sprint training / running later on. Do you think the program is worth perusing based on my injury ? Thank you from Sydney, Australia.
Hard to make specific recommendations. Your injury would not deter you from doing the program. However, how you progress through the program may be different then someone else. Again, cannot make a specific recommendation for you, because I do not work with you.
#kneesovertoes definitely changed my life... it's absolutely amazing!
Thank you I found this useful, one thing I’m curious on is you touched on ACL injuries, but what about meniscus injuries? I had a 1/3 or my medial meniscus removed at 16 as well as ACL repair. The ACL has been fine, but the meniscus has alway been problematic, either inflammation, sometimes slipping, and grinding. Range of motion has also alway been limited. I’ve been watching the knees over toes guy and been wanting to integrate his program in my routine, but was curious as to the affect on someone with meniscus issues and how they play into the deep knee bends that some of those exercises, and motions do.
Hey Ed, not sure how long its been in total. I know you said it was at 16 years old when it occurred. Biggest thing I would say is the meniscus was removed and the ACL was repaired. Meaning you could push the ACL more aggressively. With the meniscus removed, your cartilage and tissue can adapt which is the good news. However, it will not be a quick process but VERY gradual! Don't work through pain and load the range comfortable. But the volatility of the flair ups and sensitivity should reduce over time. Go into the idea with SLOW expectations.
Well I guess I left out that it’s been 20 years, I’ve done my best to stay active, basketball, running, cycling, lifting etc, but often have inflammation, I don’t have the full range of motion in my leg that has surgery, I can’t touch calves to thighs. I’ve given up on being able to dunk again lol just looking for quality not life to improve like with no inflammation. Thanks for taking the time to respond
@@edzinser9143 got it! A lot of the backward walking, jogging, sled pulls are probably a good idea in your circumstance. You may also need some lower level activities that still try to get the knee to bend without as much load if it continues to be sensitive. But you also could reach a point where you are happy enough with quality of life and decide not to push the envelope either. Obviously that's always your call based on how you feel! I have a video coming out tomorrow that will give you some ideas, but again use your better discretion before trying anything.
Thanks for the clarity coach 🙏✊
I really appreciate this point of view--thanks. I am in my 40s, with OA in my right knee, pretty bad. I have a hard time getting my knee straight, and getting into a deep squat. Bad idea to keep pushing for range of motion in the knee? Or should I be pushing myself to get deeper into my squat???
There is a wide spectrum of what OA is...Doctors and surgeons tend to use this "diagnosis" very easily now and many times its just natural changes and nothing to worry about and training can resolve it. Sometimes though the boney adaptations are significant and you will want to be very cautions on how aggressively you push any of this. The cure and poison is in the dose.
@@sportsrehabexperts thank you for responding! I know I cannot get a diagnosis over CZcams, but lots of sports, played basketball through college and then 3 knee tears in my late 20s and mid 30s (ACL/meniscus and then meniscus two more times). Kept running, lifting etc and then swelling and stiffness so bad, could not believe it would happen to me so young. One summer, was in so much pain at night, would've sawed off my leg if I had a saw. Things have gotten better, just trying to figure how far to push. As you say--cure and poison is in the dose! The two docs I've seen push cortisone and knee replacement at 50. Hoping to prove them wrong.
I am 72 and wanting to avoid knee replacement for my osteoarthritic knees, the KOT programme seems a good idea and I hope over the next year to achieve squats and most important the ability to climb stairs which I can only do using one leg first at the moment. Have started doing the zero programme exercises, slow but sure.
Interesting video with some good, sensible advice. I'm 71, and in good health - go the gym 7 days a week. Problem is I have bone on bone, so can't walk as far as I want. Around a month ago I started walking backwards for a short while each day.. Perhaps its wishful thinking, but things seem a wee better. Easier to get out of bed, and easier to get out of a chair. I know its early days yet, but I'll keep it up. I realise these things don't happen overnight. I'm reluctant to have knee replacement when there may be other possibilities to explore.
Thanks for the video. Good viewing.
Thank you so much for the background info - I’m a big fan of koTg but at 54 have gone too fast ie stretching on slant board and injured myself - go slowwwwww is such good advice 👍
100% Thanks Victoria!
Great video!
Great video KNOT squatting has given me great results
Hey there, I'm writing a paper on KOT method, can you share where you found the study, that hamstrings fully touching the calf is beneficial for the pattelar tendon. Thank you.
Many Thanks for your clarification on a lot of the content of the "Kneesovertoesguy" However, with regard to ACL reconstructive surgery, what are your thoughts on the potential stresses to an ACL graft? Of course, no matter how good and successful surgery might be the graft will never be as good as the ligament you were born with! Also, its not uncommon to loose some range of movement due to the reduced elasticity of the graft. I do find however, the training programmes are interesting and very encouraging.
Best regards.
Yea, you need to still respect the graft heeling times. I've had people who progress very quickly with their ROM and we modify the depth of training for a bit (generally 3 months - 6 months depending on how their Lockman's test feels). Sometimes you do need to slow people down and work on inner range strength before pushing outer range strength. However, outer range strength will provide the most protection to the injury long term.
@@sportsrehabexperts Hi Doc, I'm 3 months post left acl op. I have had right acl repair 8 years ago. Rehab is progressing well. Surgeon told me graft is at its weakest at 3 months post op. I wanted to know if you think starting Ben's zero program to supplement my Rehab is a good idea?
Would his program be of any use for someone who had an accident on his patella and cartilage? I had chondromallacia grade 4 because of a knee subluxation and failed surgery, would it help me get back to hiking and training?
Just had meniscus surgery I'm 1 week out and I've been thinking about using his program to get back to basketball and gain some of my athleticism back
I mean he gives all the best for physical health in total.. and I mean he is Nmmber ONE in the world!!!
Hello, I have erosion of cartilage in the knees (knee osteoarthritis). I am 26 years old. I had PRP injections in them and the pain did not go away. Can I start with exercises or a program that I can follow? Thank you
Good Analysis 🙌
Which exercises and to which patients are you implementing some of these exercises to in the therapy world? Where are you using them at in the phase of rehab as well? Thank you!
Pretty much all of them. Its a slightly different mentality working with someone in rehab. Generally you aren't working with people who can tolerate the advanced versions. Its getting good at coaching the lower load varieties of these exercises and finding ways to provide more assist. Especially with those general pop patients who have comorbidities and pain at multiple joints. In rehab you generally don't get to work with someone long term either so that can be a factor into it as well depending on your setting. I'm working to extrapolate all this information in a precise way at sportsrehabexpert.com
Awesome info! What are your thoughts about his programming for a person with moderate medial knee arthritis with 20 years training experience
Likely you will be doing movements you have never done before in training or never considered and as a result you will have to resist the urgency to progress to quickly because you have training experience.
Understood. I have had a tailored workout for years now (actually trying to keep vertical tibia) and keeping weights for legs lighter with high reps. So bodyweight exercises with the right mindset should be beneficial?
@@craigsapp63 correct! vertical tibia isn't bad per say...It just shifts loading from knee to hip. So to build knee resiliency you want to gradually take that knee forward as comfortable.
I got better results from the introductory ZERO program than from the next higher one "DENSE". I'm on his 3rd program now called STANDARDS and I feel I'm progressing again. Not sure why the second program was sketchy here and there but I guess it is hard to progress linearly. I'm excited to continue the programs and to continue posting my progress and results on my channel each time I finish one :)
Hola, explicación muy clara.
Los ejercicios son buenos, su , es verdad están fundamentados sobre el trabajo de otros especialistas y funcionan pero hay que ser prudente en su aplicación, tiempo y sentido común para avanzar , muchas gracias.
What would be a sample (same concept as his posterior chain focus) workout/training for better hands/wrist & elbow ? Doing Muay Thai & constantly pulling, spraining , aching etc in my first metacarpals / wrist … have tried wrapping , using 16oz gloves vs 8, and nothing is working
Would his program also be useful for people with patellofemoral syndrom?
Would you recommend for people with beginning osteoarthritis
I knew there had to be a reason my knees felt so good and strong when I did ballet all the time. The pliés!
I have a question about hamstring/calf touching. You said that it creates a decompression but in cases like osteoperosis you actually want compression. So for people that don't have osteoperosis is there no problem? I'm looking at this purely from a movement standpoint. I don't plain on loading this movement but I've been doing bodyweight atg split squats because of KOT guy and my mobility has never been better. Oh yeah and the powerlifting mentality talk, I don't know many powerlifters that don't take mobility and exercise variety extremely seriously, just because a powerlifter becomes extremely efficient in three movements doesn't mean they neglect other movements. Really awesome video though, I just subbed.
Much appreciated! You do want graded compression with osteoperosis. You'd also want expansion too. Alternating between compression and expansion being able to tolerate both is a nice way of looking at it. So as you go down in squat, there will be retropatellar compressive forces that increase to a degree, then begin to decrease once you have hamstring to calf contact. This is referred to as the "wrapping effect" in the literature. I also did a new video on it today actually czcams.com/video/GCMWOr9AnKk/video.html
@@sportsrehabexperts Thanks a ton for the reply. I'm studying physical therapy so your channel is going to be a real gem for me.
@@jpisamerican Love hearing that!
Hi doctor,
Do you think that this program would help with someone with a hip impingement/labral tear? Would it help take pressure off the hips joints?Thanks
Yes, many people with hip issues lack the ability to load their knees over the foot. As a result many of their movements are hip dominate instead of spreading it over the ankle, knee, and hip. Will still need to be mindful with many of the lifts and not progress to quickly.
Ben, I don't see any negatives. You have a great site and just keep doing what your doing. I have benefited greatly from your work. I think this "doctor" would benefit from your work with an open mind.
You really didn't watch the video and are obviously new to my channel. As I use many of the ATG principals and Charles Poliquin style training. My only negative of the program was aimed at the user. Ben does a great job of telling people that regression is the key to progression. However, individuals ego get in the way because they want to progress faster then what many people are capable of. So it was a warning to the user that it takes time and not to let ego push you to quickly.
Thanks man. What about tib raises and shin splints?
Tib raises for the win all day long!
Tib raises was the only exercise that actually helped me get over shin splints. Everything else just missed the mark. They've become a permanent part of my training now.
Great video! I have been diagnosed with patellofemoral pain syndrome and I have been when walking, even short walks in my neigboorhood. I have been trying his program for one week, and I dont get any pain from doing the exercises. Will this program help from pain when walking?
Thanks man! The fact you do not have pain with any of the exercises is a great sign that if you stay consistent with it likely it will be helpful for you! Let me know how it goes :)
Hey Andreas, may I know hows your progress going , my doc has also diagnosed me with pfs. Have these helped you?
the only thing im confused about and not trying to attack just genuinely curious and i dont know- but is KOT a physical therapisy? additionally does he site research or literature
You mentioned grandma level. Lol
Can you recommend one of your posts to review for knee strengthening and conditioning and weight regimen and exercises for perfectly healthy 60 year women 5’ just beginning to feel the knees going up stairs?
I already have been lifting ankle weights and bar bell at really low levels for 3 years.
Here is a good place to start. This can be graded to your comfort depending on number of reps/sets as well as height of steps or incline of slant: czcams.com/video/5hfpl0w4M8g/video.html
Apologies if I missed it, my biggest question with KOTG is can it help with plantar fasciitis and calf pain/twitching that is associated with those injuries? I haven't been able to run in years due to this. Would his program be beneficial to my recovery?
Yes
Thanks. I'll be honest, im not into sport performance. I just want to feel better after knee injuries which devistate me.
I just found your channel because of researching "Knees Over Toes". I'm glad I did. I love your channel.
Ben Patrick is very up front that he didn't invent any of his exercises and acknowledges doing a ton of research to find out how to over come his injuries. Over time he was able to hone in on key factors that helped him improve his joint stability, range of motion, strength and explosiveness.
Thanks for the kind words Rob!
The biggest take away I got from this video is that it is a long term program and not to rush it. Thanks Sports Rehab Expert and Kneesovertoesguy!
It's hard to believe KOTG had a quad tendon tear. I just had the surgery and cant see myself ever doing anything close to what he does ever again.
@@chadwicklite lies ? I’m an endurance trail runner and doing some of the prehab knee exercises has done wonders for my knee pain . I’ve got none .. added backwards walking and I’m able to squat more and lunge and I haven’t been able to lunge without pain in 4 years . I wouldn’t say he is a liar
no bs'ing you, but i tore my quad twice. (second time was 2.5 months after my first surgery) this was like 2 years ago maybe.. nothing has made my knee feel normal again until I started doing the ATG KOT stuff. kotg is the truth man.
Patience is the key. Your body will heal over time.
Well that mindset def wont get u anywhere
@@nunyabidnezus8456 and your comment wasnt needed at all, but here we are bud.
I had Right TKR on feb 1 2021. Im a weight lifter & former basketball 🏀 player. I added alot of KOT guy’s exercises 2 weeks ago. Im healing up rather quickly, luckily. My ankles are pretty sore right this second. I think I overdid some slant board/tibias exercises! 😂 Safe & prosperous training to all.
Calf soreness is for real at times lol. The tibialis you tend to be able to beat up a bit more. Take it slow, especially just a couple weeks out!
@@sportsrehabexperts
Thanks, appreciate it!
Hi Greg,
I'm a physical therapist in Canada. I'm wondering if you have any ideas/recommedations/ resources for a scalable program such as the kneesovertoes guy for the upper limb? Also, how you see his program and others tying in with spinal health?
Kind regards,
Cody
Hey Cody, I am actually working on developing such a concept for sportsrehabexpert.com that looks at all common injuries we see in the clinic. We have 3 courses - the fast track, human assessment, and treatment domination. Working to build this specificity into these programs and keep refining the programs over time. The upper body needs something similar to this! As for spinal health I think for a lot of the injuries we see there needs to be a lower entry point with many of these movements.
@@sportsrehabexperts Thank you for your reply. That is fantastic to know. Look froward to learning more from you.