Lower Extremity Strengthening – Step Ups 

Occupational Therapy Intervention : Lower Extremity Strengthening

Documentation and Activity Rationale

The patient engaged in LE strengthening exercise in which she was tasked with single-leg balance, gait clearance and maintaining postural alignment in order to decrease balance deficits and increase hip flexors and peripheral musculature of the LE’s. 

Grading Strategies

Grading Up: 

  • increase speed
  • increase repetitions

Grading Down: 

  • lower aerobic stepper 
  • provide study support for balance and safety (e.g. chair, non-wheeled walker)

Appropriate Diagnoses / Deficits

  • Generalized weakness
  • Balance deficits 
  • Muscle imbalances 
  • CVA
  • TBI