“Overall Leg Strength” is a concept to be considered when working with clients referred with lower extremity disorders such as total knee or hip replacement and ACL rupture. Overall leg strengthening simply means strengthening the muscles of the lower extremity to lift 2-3 x bodyweight. This is important for climbing stairs, stepping off curbs and getting out of a chair. The lower extremity must be able to control and support the client’s bodyweight. Closed chain exercises such as the lateral step up, leg press (both bilateral and unilateral) and wall squats improve overall leg strength. Overall leg strength is vitally important to the clients functional capacity and level of independence.