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LATERAL STEPS - ADVANCED

Maximize gluteal muscle activation through dynamic lateral stepping at increased intensity with added resistance for advanced practitioners.

Focus Lower Body
Environment Hydrotherapy pool
Pool Depth Fully Anchored
Supervision Not required
Equipment Yes

How to Perform

  1. Stand in chest-deep water with feet together, hand buoys held in each hand for upper body resistance.
  2. Take large step to the right keeping right knee extended, simultaneously moving buoys laterally.
  3. Bring left leg next to right leg with explosive movement.
  4. Immediately take large step to the left with coordinated upper body movement.
  5. Continue alternating lateral steps for 10-15 repetitions at 70 beats per minute (faster, dynamic pace).

Key Execution Cues

Remember: Maintain fast cadence. Maximize step width. Coordinate upper and lower body. Keep trunk stable. Push hard against water resistance.

Safety & Precautions

Important: Avoid if acute hip or knee injury. Requires good balance and coordination. Not suitable for those with significant mobility limitations.

Additional Safety Notes: Pain-free exercise but high intensity. Ensure good balance before adding hand buoys. Stop if unable to maintain form or if joint pain develops.

Exercise Modifications

Make it Harder (Progressions)

Increase to 75-80 bpm. Add second set of 15 reps. Increase step width. Perform continuously for time (30-60 seconds).

Make it Easier (Regressions)

Remove hand buoys. Reduce cadence to 65 bpm. Decrease step width. Return to Level 3 version.

Attribution

Source TypePDF
Original AuthorPsycharakis SG, et al.
ContributorAI Extraction Agent - Modified for Level 4
PublicationPhysiotherapy 116 (2022) 108-118 - The WATER Study
LicenseAll Rights Reserved
Credit RequiredYes
Date Created2026-01-18
Last Modified2026-01-18

External Source

TypePDF
Additional InfoModified from original Level 3 exercise. Increased cadence and added resistance for Level 4 ability.