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Knee · Knee Hyperextension

Single-Leg Stance Knee

Stand on one bare foot with the other knee at hip height and time it. Whether the standing knee stays steady or takes over the balance work is the reading.

Reviewed 25 Oct 2026 Published 1 Nov 2026 Risk tier Moderate Camera frontal

1 · Test protocol60 s
Gear
A clear floor, bare feet, and a timer.
Stance
Stand on one bare foot with the other knee lifted to hip height in front and the arms folded across the chest.
Duration
60 s
Camera angle
frontal, lens level with the landmark
Position
Hold the position with the eyes open and time it. Stop when the free foot touches down, the lifted knee drops, or the standing knee moves more than a hand's width.

Bone landmarks

  • Greater trochanter — coordinate id greater-trochanter
  • Lateral knee line — coordinate id knee-lateral
  • Lateral malleolus — coordinate id lateral-malleolus
  • Navicular tuberosity — coordinate id navicular
2 · Readout scales / scaleMax 60
Parametric posture figure for Single-Leg Stance Knee
Parametric measurement figure, generated from this record's reading
Second view for Single-Leg Stance Knee
Second view: lateral
Within range 0 Borderline Deviated 60s
10mm offset
6° angle
foot position baseline
timer instrument

Within range

over 30 s

Criterion: The position holds for over 30 seconds with the standing knee steady, the heel down and the lifted knee at hip height.

The leg can hold a narrow base without the knee compensating. This is the floor for the other single-leg screens at this station.

Borderline

10-30 s

Criterion: Ten to thirty seconds, or the hold lasts only while the standing knee swings, the lifted knee drops below hip height, or the arms come out of the fold.

The narrow base is being managed from the knee rather than from the hip and foot. Read the ankle screens alongside this one.

Deviated

under 10 s

Criterion: Under ten seconds, or the position cannot be taken without the standing knee being locked back to stay upright, or it is painful.

A single-leg stance that is only possible with the knee locked is a finding about the hip and the foot, and the knee is where the symptom is being reported rather than where the cause is.

3 · Causal chain and risk tier3 links
HabitStanding on one leg with the kneelocked back whenever waitingCompensationThe joint capsule carries thesideways sway that the hip and the foot should be managing→SymptomThe knee hurts after standing in a queue but not after walking→HabitWearing soft-soled shoes that letthe foot roll sidewaysCompensationThe knee is asked to makecorrections the shoe should haveabsorbed→SymptomBarefoot balance is much worsethan shod balance→HabitHolding the breath and stiffeningthe whole leg to keep balanceCompensationBalance is achieved by grippingrather than by adjusting→SymptomBalance time collapses the momentthe person is asked to breathenormally→
Risk tiering
Tier What to do
Low Reading sits in the within-range band and is symmetric side to side: re-measure every 8–12 weeks and record which way the number is moving.
Moderate Reading sits in the borderline band, or the two sides differ clearly: re-measure every 4–6 weeks and log the daily trigger (hours seated, one-sided load). Change the situation before adding anything to the routine.
High Reading sits in the deviated band, or several screens at the same station all read deviated: get a clinician to rule out a structural or neural cause before continuing to self-screen.
Referral threshold A single-leg stance that is painful, or that gives way, or that is limited by numbness in the foot, should be assessed.

Commonly co-occurring

How to read this

A narrow base

Standing on two feet gives a wide base and hides almost everything. Standing on one converts every small postural adjustment into a visible event, and the question this screen asks is where those adjustments are coming from.

A leg that manages a narrow base well adjusts from the hip and the foot, with the knee staying quietly at neutral. A leg that manages it badly does the adjusting at the knee, which means the knee is being asked to correct for the hip and the ankle at the same time.

Procedure

Stand on one bare foot on a clear floor. Lift the other knee to about hip height in front, and fold the arms across the chest. No shoes, no wall, no support.

Start the timer and hold. Stop when the free foot touches down, when the lifted knee drops below hip height, when the arms come unfolded, or when the standing knee has swung more than a hand’s width.

Repeat on the other side and record both numbers separately.

Reading it

Over thirty seconds with a steady knee, a heel on the floor and the lifted knee held is a good result. Ten to thirty seconds, or a hold maintained by swinging the knee, is the common middle.

Under ten seconds, or a stance that is only possible with the knee locked backward, points away from the knee. The hip and the foot are the usual reasons a narrow base fails, and the ankle screens at this station are the ones to run next.

Two sides, two numbers

The comparison between sides is often more useful than either number. A difference of more than ten seconds between legs, taken on the same day with the same conditions, is worth following even when both sides clear the threshold, because it usually means one leg has stopped doing something the other still does.

Questions

Eyes open or closed?

Open for this screen. Eyes-closed stance measures a different system and is a much harder test with a much wider spread of normal results. Keep this one comparable.

Where does the free leg go?

Knee lifted to roughly hip height in front, not tucked against the standing leg. Tucking it against the standing leg gives a contact point and makes the balance far easier.

Is 30 seconds a lot?

It is a reasonable target and not a hard cutoff. The number that matters is your own, taken the same way each time. A person who starts at twelve seconds and reaches twenty-five has improved regardless of the threshold.

Disclaimer This page is informational only. It is not a medical diagnosis and it is not treatment or rehabilitation advice. Run every self-screen inside a pain-free range; stop and see a clinician for pain, numbness, weakness, night pain, or anything that started after an injury. The readout criteria are drawn from healthy-adult norms — prior injury, surgery and individual variation all shift the numbers.
lastReviewed 2026-10-25 · record single-leg-stance-knee · published 2026-11-01