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ASSISTED HEEL–TOE RAISE

Gently strengthen ankles and lower legs while improving basic stance control and weight shift in shallow water.

Focus Lower Body
Environment Therapy or leisure pool with stable handrail.
Pool Depth Fully Anchored
Supervision Not required
Equipment None

How to Perform

  1. Stand in water between waist and mid-chest depth facing the pool wall, holding the rail with both hands.
  2. Place feet hip-width apart with weight evenly distributed and spine tall.
  3. Slowly lift both heels to rise onto the balls of the feet, pausing briefly at the top.
  4. Lower the heels back down, then gently lift the toes to rock weight toward the heels without losing balance.
  5. Continue alternating heel and toe raises for 8 to 12 controlled repetitions, resting as needed.

Key Execution Cues

Remember: Move smoothly, keep knees soft, and focus on feeling the water support you as your weight shifts forward and back.

Safety & Precautions

Important: Use caution with acute ankle fractures, severe neuropathy, or uncontrolled vertigo; ensure close support for high fall-risk clients.

Additional Safety Notes: Maintain at least one firm hand contact with the rail, avoid fast or jerky movements, and stop if ankle or calf cramping begins.

Exercise Modifications

Make it Harder (Progressions)

Perform the raises with one hand or fingertip support only, or increase repetitions to build additional endurance.

Make it Easier (Regressions)

Limit movement to smaller heel or toe lifts, or perform only heel raises until control improves.

Attribution

Source TypeBook
Original AuthorRuth Sova
ContributorAI Extraction Agent
PublicationAquatics: The Complete Reference Guide for Aquatic Fitness Professionals
LicenseAll Rights Reserved
Credit RequiredYes
Date Created2025-11-30
Last Modified2025-11-30

External Source

TypeBook
Additional InfoConceptually inspired by Sova’s discussions of gait, ankle control, and lower-extremity work in shallow water; wording and structure are original.