Running and Agility Drills
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FROM THE KERLAN - JOBE ORTHOPAEDIC CLINIC
DEPARTMENT OF PHYSICAL THERAPY
BY CE BREWSTER, MS, PT; JL SETO, MA, PT
Agility drills serve as an important component in the functional rehabilitation of the lower extremity (hip, knee and ankle). The drills are designed to replicate the movement demands of the sport and to promote confidence in the returning athlete. Specific areas of development include joint proprioception, coordination between agonist/antagonist muscle groups, and muscle recruitment which contribute toward improving the dynamic stability of the knee joint. The involved joint should be pain free, have no significant amount of swelling, and possess adequate strength, endurance, and flexibility to execute the drills.
A warm-up is important prior to performing the drills. Lower extremity stretching (calf, groin, quadriceps, hamstring, hip flexor, etc.) is recommended. Following the agility drills, repeat the stretching routine and apply a cold modality (ice pack, ice cup massage, etc.) to reduce cellular damage and decrease the inflammatory response to microtrauma.
The following list of agility drills will be added to the treatment program as tolerated by the athlete. If problems arise, contact your physical therapist, athletic trainer, or physician.
Run at a steady pace progressing to a 2 - 3 mile or 20 - 30 minute run. Straight running produces loading at the knee joint which is reasonably higher than walking on level ground.
High Knee Drills
Run in place lifting knees as high as possible for 15 - 30 seconds. Repeat 3 - 5 times. High knee drills produce repetitive loading forces at the knee joint.
Run sideways 50 - 60 yards with knees and hips slightly flexed Run on the balls of the feet. Begin with 8 - 10 (crouched position) repetitions, progressing to 12 - 15 repetitions. Lateral running (shuffling) increases the varus and valgus stress on the knee joint. It also increases the compression forces between the femoral condyles and tibial plateau.
Run backwards at 1/2 speed, 50 - 60 yards, progressing to 3/4 speed then full speed. Begin with 5 - 8 repetitions, progressing to 12 – 15 repetitions. Backward running places excessive stress primarily on the quadriceps mechanism. With the hip and knee in a flexed posture, this drill also develops strength and endurance of the gluteal and calf muscle groups.
Jump up to a mark on the wall from a standing start. Repeat 15 – 20 times, progressing to 25 - 30 times. Vertical jumping demands a coordinated effort between the gluteal, calf, and quadriceps mechanism. The strength and endurance of the muscle groups become even more important in controlling the body as the knee joint flexes and rapidly extends. Increased knee flexion places greater demands on the quadriceps at the beginning phase of the jump.
Run at full speed, 40 - 50 yards, beginning with 5 - 8 repetitions. Progress you’re running to 12 - 15 repetitions. Wind sprints produce increase loading forces at the knee joint as compared to long distance running (jogging).
Run sideways crossing legs in front and then behind the lead leg (involved), 40 - 50 yards. Begin at 1/2 speed, progressing to 3/4 and full speed. Repeat 8 - 10 repetitions, progressing to 12 - 15 repetitions. The carioca step requires fast footwork and develops confidence in moving laterally. The crossing step increases the varus stress at the knee joint in the lead leg.
Begin with one flight of stairs, or the equivalent, progressing to 5 flights of stairs (20 - 25 steps/flight). Running down the stairs at 1/2 speed is an option as tolerated by the athlete. Repeat 4 – 5 repetitions. Stair climbing is a functional movement pattern and is a strengthening and endurance exercise to all lower extremity muscle groups. Descending stairs adds a greater demand on the quadriceps in controlling knee flexion.
Jump rope landing on alternate feet (e.g., jogging in place) progressing from 5 - 20 minutes. Jumping rope offers conditioning to the cardiovascular system and increases the endurance in all lower extremity muscle groups with emphasis in the quadriceps and calf muscles. Repetitive loading forces at the knee joint during single limb weight bearing are also produced.
Run a figure eight pattern 30 yards long (e.g., length and width of a basketball court) at 1/2 speed 8 - 10 times. Progress speed and repetitions until the athlete is able to perform 15 - 20 repetitions at full speed. Progress to a smaller figure eight pattern 15 yards long (e.g. about the length of half a basketball court) and then gradually narrow the width to 5 yards (e.g., the size of a key on a basketball court) each time progressing from 1/2 speed to 3/4 speed to full speed. Figure eight drills are performed to incorporate angled running and cutting and places increased demands on all structures (muscles and ligaments) at the knee joint.
Identify three points 10 yards, 20 yards, and 30 yards from the starting line. Run at 1/2 speed and touch point A (10 drill yards) with your hand. Perform a 180 ° pivot on the lead leg (involved) and return to touch the starting line. Proceed to
touch points B (20 yards), pivot, and return to the starting line. Complete the sequence by touching point C (30 yards), pivoting, and returning to the starting position. Performing the sequence equals one repetition. Progress you’re running to 3/4 speed then to full speed running. Repeat 8 - 10 repetitions, progressing to 12 - 15 repetitions. The 180 ° pivot maneuver provides a knee valgus and rotational stress combined with tibial external rotation on the lead leg. Increased demands are placed on the quadriceps, pes anserinus, medial hamstring group, and ligaments.
Run and Cut
Side-set cut (lateral cut)
Run at 1/2 speed for 10 yards and pivot on the right (involved) leg pushing off and cutting to the left at a 90 ° angle. . Begin with 8 - 10 repetitions and progress to 15 - 20 repetitions. The side-step cut at 90 ° places an increase valgus and rotational stress and tibial external rotation at the knee joint. Increased demands are placed on the static and dynamic stabilizers of the knee joint.
Run at 1/2 speed for 10 yards and perform a cross-over cut. The athlete pivots on the right leg (involved) and crosses over with the left leg at a 45 ° angle. (If left leg is involved, pivot on the left and cross-over with the right leg). Progress you’re running to 3/4 speed and then to full speed running. Begin with 8 - 10 repetitions and progress to 15 – 20 repetitions. Increase the cutting angle from 45 ° to 90 ° as tolerated. The cross-over cut at 45 ° places an increase rotational stress and tibial internal rotation at the knee joint. Increased demands are placed on the static and dynamic stabilizers of the knee joint.
Run a Zigzag pattern, 40 - 50 yards, at 1/2 speed. In10 yard increments perform side-step or cross-over cuts. Progress you’re running to 3/4 and then full speed running. Begin with 8 - 10 repetitions and progress to 15 - 20 repetitions. Zigzag running, places an increase in rotational stress at the knee joint. Increased demands are placed on the static and dynamic stabilizers of the knee joint.
The athlete may begin drills specific to the sport (i.e., football, basketball, baseball, etc.).
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This information is provided by Orthopedic Spine and Sport Medicine Center as basic information about a specific orthopedic topic. It is not intended as a personal reply to your specific questions or concerns. It is hoped that the contents of this instruction will help you understand the nature of your orthopedic problem and the possibilities of treatment. The final decision regarding treatment, however, must take into account the possibilities of outcomes and complications and should be made only after consideration and further discussion with your physician. For more information, please contact Orthopedic Spine and Sports Medicine Center at 201-587-1111.