Practical guide
Side Leg Lifts vs Backward Leg Raises: NHS Directions
The NHS sideways leg lift moves out to the side; its “leg extension” is a chair-supported standing lift backwards. Compare their complete steps, back and hip cues, separate side counts and the hold wording that belongs only to the backward entry.
“Leg extension” is a standing backward movement here
On the NHS strength-exercises page, the entry called “leg extension” begins with hands on the back of a chair and asks you to lift one leg backwards. In this guide, backward leg raise is a plain description of that source’s movement. [1]
It is not an instruction to sit and straighten your knee against a machine. The name alone cannot tell you which exercise a different website, physiotherapist or equipment label means. Check its actual starting position, direction and instructions before assuming they match.
The neighbouring NHS “sideways leg lift” uses the same general type of standing chair support but sends the leg sideways. That directional difference is the main comparison here.
Check the chair before using it as support
Use a solid, stable chair without wheels. It must not slide. The NHS asks for a seat that lets your feet rest flat on the floor with your knees at right angles, and says to avoid chair arms that restrict movement. Wear loose, comfortable clothes and keep water handy. [1]
Check the particular role of the chair before starting: you sit on it for a sit-to-stand; you hold its back while standing for a mini-squat or leg raise. A chair suitable to sit on is not automatically stable when used as standing support. Resolve sliding, wobbling or restricted movement first.
These are plain-language instructions for understanding the NHS general exercise page. They are not a personalised programme, rehabilitation plan or weight-loss prescription. The NHS advises speaking to a GP first if you have not exercised for a long time, or have medical conditions or concerns; choose activity and intensity appropriate to your fitness. [3]
If the setup is unstable or a movement is painful or unsuitable for you, do not force it to satisfy a webpage’s count. Ask for advice suited to the actual difficulty. This guide does not establish which movement is safe for your particular condition.
Sideways leg lift: keep the hips and back straight
- Place your hands on the back of the stable chair for support.
- Raise your right leg out to the side as far as is comfortable.
- Keep your back and hips straight; avoid tilting to the right.
- Return to the starting position.
- Now raise the left leg to the side in the same way.
- The NHS entry says to raise and lower each leg 5 times.
The source supplies no required sideways angle or hold time for this entry. Raising the leg higher is not automatically the point if it changes the back/hip position described. Do not transfer the backward entry’s hold wording to this movement and then attribute the combined instruction to the NHS.
Backward leg raise: do not arch the back
- Place your hands on the back of the stable chair for support.
- While standing upright, raise your left leg backwards, keeping it straight.
- Avoid arching your back as the leg moves behind you. The source says the effort should be felt at the back of the thigh and bottom.
- The source says to hold this lift for up to 5 seconds.
- Return and repeat with the right leg. The entry says to repeat 5 times with each leg.
“Up to” is a limit in the wording, not an instruction to exceed it: the entry does not say that everyone must hold every lift for exactly 5 seconds. It also gives no universal height or distance for the backward lift.
The source’s description of where effort is felt is not a diagnosis or permission to continue through pain. If you are unsure about the movement or it is unsuitable, ask for guidance that addresses your actual circumstances.
Keep the direction and hold wording with the right entry
On a small screen, scroll within this table to see every column.
| Check | Sideways leg lift | Backward leg raise (“leg extension”) |
|---|---|---|
| Direction | Out to the side. | Behind you. |
| Support | Hands on back of stable chair. | Hands on back of stable chair. |
| Position cue | Back and hips straight; avoid tilting towards the raised side. | Stand upright; leg straight; avoid arching the back. |
| Hold wording | No hold duration stated in this entry. | Up to 5 seconds for the lift. |
| Count wording | Raise and lower each leg 5 times. | Repeat 5 times with each leg. |
The rows come from two distinct source entries. [1] “No duration stated” means this selected text does not provide one; it does not declare that a different individual instruction is wrong.
Count each side without losing the movement name
A repetition is one complete movement, and a set is a group of repetitions. [2] For these leg movements, keep both the direction and the side visible. A fictional line reading “sideways: right 5, left 5” represents 5 on each side, or 10 individual raises in total. It does not mean 10 per side.
A second fictional line reading “backward: right 5, left 5” describes a different movement, even though its arithmetic total is also 10. Do not combine the two lines into “20 leg extensions”: that would erase the sideways/backward distinction. A count does not record the height, hold time, comfort or suitability of those movements.
The training-volume guide explains side-labelled and unequal-set records. No record is required to understand the movement; if you keep one, record only what actually happened.
Two source-reading checks
Example 1: “The page says leg extension. Should I use a seated knee-extension machine?”
That is a different setup from the NHS entry explained here.
This entry is standing, chair-supported and backwards. A machine exercise cannot be substituted on the strength of the shared name. Check the complete instruction or ask the person who supplied your individual plan.
Example 2: “The sideways entry must also have a 5-second hold, because the next entry does.”
The selected sideways entry states no hold duration.
The up-to 5-second wording belongs to the standing backward entry. Keep source instructions attached to their own movement instead of copying a neighbouring number. These are hypothetical understanding examples, not observed reader sessions.
Find the next movement or arrange an appropriate session
For lower-body movements that begin seated or standing, see sit-to-stand versus mini-squats. For the upper-body movement from the same NHS page, see wall press-up instructions.
The beginner strength planning guide covers a first-session arrangement. The general NHS routine advises building up slowly; adult activity guidance also includes aerobic activity, so these counts do not establish your whole activity programme. [1] [3]
This comparison does not assess balance, diagnose weakness, prescribe injury recovery or estimate weight-loss results. Its task is to help you follow the correct source entry rather than an ambiguous exercise name.
Sources and further reading
- NHS: Strength exercisesChair setup and instructions for the named gentle strength exercises, with their example counts. NHS page reviewed 28 February 2024; consulted 7 November 2026.
- NHS: How to improve your strength and flexibilityDefinitions of repetition and set, and general strength-training context. NHS page reviewed 21 July 2026; consulted 7 November 2026.
- NHS: Physical activity guidelines for adults aged 19 to 64General adult 19–64 activity context, fitness-appropriate intensity and advice on when to speak to a GP first. NHS page reviewed 22 May 2024; consulted 7 November 2026.