Overhead Squat Assessment: Signs of Dysfunction
Unlock optimal movement with the Overhead Squat Assessment. Evaluate dynamic flexibility and neuromuscular control in major joints. Start your journey to better fitness now!
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Course Description: Overhead Squat Assessment: Signs of Dysfunction
All fitness, performance, and rehabilitation programs should start with an assessment. The goal of assessment is to refine exercise and technique recommendations, with the intent of improving client or patient outcomes. This course describes the Overhead Squat Assessment (a.k.a OSA, OHSA, squat assessment, overhead squat, and similar to the deep squat of the Functional Movement Screen).
The Overhead Squat Assessment is particularly effective as a starting point for a comprehensive assessment of movement quality because it challenges the dynamic flexibility and neuromuscular control of the large joints of the kinetic chain. Following a few repetitions, a movement professional can quickly identify reliable signs correlated with altered shoulder mobility, scapula dyskinesis, altered core strength, hip mobility, knee joint alignment, and/or ankle mobility. These signs can be used by professionals prior to more specific assessments that may aid in identifying altered recruitment patterns, muscle imbalance, muscle overactivity, muscle underactivity, loss of muscle strength, or increased joint stiffness. For example, the sign "Knee Valgus (Knees Bow In)" may be indicative of lower extremity dysfunction , implying that it may be beneficial to perform goniometry of the hip, knee, and/or ankle. The combination of the Overhead Squat Assessment and Goniometry may highlight a lack of dorsiflexion, a lack of ankle stability, and muscle imbalances including a loss of calf flexibility , and/or a loss of invertor strength .
This course includes unique content only available from the Brookbush Institute . Unlike other education companies that also teach a squat assessment; including the National Academy of Sports Medicine (NASM), the American Council on Exercise (ACE), and the Functional Movement Screen (FMS), the Brookbush Institute provides an evidence-based analysis of muscle imbalance and joint dyskinesis. But, perhaps most importantly, the Brookbush Institute is the first company to teach a methodology that includes assessment using a preset group of reliable signs, analysis of the impairments implied by those signs (including altered muscle activity and length, and joint dyskinesis), development of an integrated approach to addressing the analysis, and reassessment to determine the efficacy of the intervention. This industry has always been poor at describing the link between assessment and technique selection. The Brookbush Institute addresses this issue in this course with a clear methodology for all sports medicine professionals to build on (personal trainers, fitness instructors, physical therapists, massage therapists, chiropractors, occupational therapists, athletic trainers, etc.).
For an introduction to the Overhead Squat Assessment (OHSA) including intent, validity, reliability, signs of dysfunction, analysis, and set-up please review:
This course thoroughly describes each sign including instructional videos, solution tables with analysis and intervention recommendations, and relevant research.
- Feet flatten
- Feet turn-out
- Knees bow-in
- Knees bow-out
- Excessive lordosis (Anterior pelvic tilt)
- Excessive forward lean
- Arms fall
- Shoulder girdle elevation
Printable PDF of the Movement Assessment Template (including the OHSA):
Pre-approved credits for:
Pre-approved for Continuing Education Credits for:
- Athletic Trainers
- Chiropractors
- Group Exercise Instructors
- Massage Therapists
- Occupational Therapists - Intermediate
- Personal Trainers
- Physical Therapists
- Physical Therapy Assistants
- Yoga Instructors
This Course Includes:
- AI Tutor
- Study Guide
- Text and Illustrations
- Audio Voice-over
- Technique Videos
- Practice Exam
- Pre-approved Final Exam

Course Study Guide: Overhead Squat Assessment
Movement Assessment Template and Program Generator
Feet Flatten3 Sub Sections
Feet Turn Out3 Sub Sections
Knees Bow In3 Sub Sections
Knees Bow Out3 Sub Sections
Excessive Forward Lean3 Sub Sections
Anterior Pelvic Tilt (Excessive Lordosis)3 Sub Sections
Arms Fall3 Sub Sections
Shoulders Elevate3 Sub Sections
The Next Step
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- Exercise Helps Functional Valgus
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- Knee Bows Out
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- Low Back Pain Altered Recruitment
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- Excessive Forward Lean
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- and 58
- Regional Interdependence
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- Reliability and additional research
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- Bell, D. R., Padua, D. A., & Clark, M. A. (2008). Muscle strength and flexibility characteristics of people displaying excessive medial knee displacement. Archives of physical medicine and rehabilitation, 89(7), 1323-1328.
- Bell, D. R., Vesci, B. J., DiStefano, L. J., Guskiewicz, K. M., Hirth, C. J., & Padua, D. A. (2012). Muscle activity and flexibility in individuals with medial knee displacement during the overhead squat. Athletic Training and Sports Health Care, 4(3), 117-125.
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