Name: Overhead Squat Assessment 10 - Arms Fall
Uploaded: 2023-04-26T01:02:06.000Z
Duration: 4 min 36 s

English captions

https://stream.mux.com/KOIE0202P6lLaUSa9E201vlj019mJLNpZXQgwVxruJ6YGAw.m3u8

Learn how to identify and interpret the arms fall sign using the overhead squat assessment in this comprehensive step-by-step instructional video from the Brookbush Institute. This evidence-based video provides expert guidance on assessing upper body mobility and motor patterns. Develop the skills needed to recognize upper body compensation patterns that will inform corrective exercise strategies. Perfect for clinicians, fitness professionals, and rehabilitation clients seeking to enhance movement assessment accuracy, improve overhead positioning, and optimize squat mechanics while reducing injury risk.

Introduction to Overhead Squat Assessment

Understanding the Arms Fall Sign

Muscle Implications of Arms Falling

Common Tight and Underactive Muscles

Exercises for Correcting Arms Fall in Squats

Overhead Squat Assessment 10 - Arms Fall

This is Brent coming at you with yet another overhead squat assessment video. In this video we're going to go over the sign arms fall. I'm going to have my friend Mike come out, he's going to help me demonstrate. Now this is definitely one of those signs that you may see before you even have somebody start the assessment. So if I have Mike go ahead and go alright man throw your arms up, lock your elbows. Now he did a nice job here because he knows what's coming, but if I have Mike start over and pretend like he does not know what is involved in this assessment and he just threw his arms up to where he's comfortable, you guys can see his arms now are not in line with his torso, you can still see his ear, his arms should cover his ear. so this would be arms fall, even if I didn't see anything more than that as he did the assessment I would go ahead and check that box on my overhead squat assessment template. Now i'm going go ahead and let Mike go back to where he was before elbows locks, and he's going to go ahead and squat so you guys see what arms falling forward during the squat looks like. And sure enough you can see as he goes towards the bottom his ear pops out there you can see it from that lateral view. as well as those arms start to come down this way. Alright just make sure when you're looking at this sign they're not disguised, if you're using the ear as a marker they're not disguising their arms fall by having an excessive forward head as well. Good go ahead and stand back up. Let's go ahead and turn forward. Now the sign arms fall a lot of people will say arms fall forward, but it's really arms fall in either direction. Whether it's forward or down to the sides i'm going to show you guys where it implicates the same muscles. So go ahead and throw your arms up good, and you'll see Mike's going to demonstrate for us. As he goes down you'll see his elbow start to bend and he starts to go into like this adduction, almost like like a little mini lat pulldown as he's going down into a squat. That's the same sign, all of whether it's forward whether you can't get them all the way up, or whether they start to fall down towards his side, it's all arms fall. Thanks Mike. Now the tricky part is once again we're going back to what joint sign does that correlate to. Now I'm going to make this a little easy on you guys I have already done the math. Personally all of the muscles that would either adduct or extend our shoulder from a hundred and eighty degrees of flexion and/or abduction however you want to look at it, are also the same muscles that internally rotate our shoulder. This does give us a little bit of congruence between our dynamic postural assessment as well as our static assessment, because I know you guys have seen static assessments where people's arms get here. So now we just have to list up the muscles. Internal rotators you guys have seen some of these implicated as tight PEC major, lats, teres major, subscapularis, anterior deltoid you guys could put a little star by that one. Although the anterior deltoid is implicated by our graph, I don't find it involved in postural dysfunction that much. I know you guys know PEC major wall stretch. I showed you guys the PEC foam rolling technique in one of my previous videos. Lats you guys know Child's Pose, teres major would be included in that. Subscapularis I showed you guys a trick with the backnobber. And then what is our under active musculature, well that would be our external rotators that I know a lot of you guys have seen external rotator activation, either this way or this way. I even showed you guys some reactive activation with a body blade. The one weird muscle here guys is the posterior deltoid often becomes long and overactive. So occasionally this is one of those muscles that's going to be released and not activated or stretched. I hope our breakdown of arms fall gives you guys a better understanding of what the sign is that you're looking for, what the exercises would be. So this is our short side right release and lengthen, this is our long side which we're going to activate, reactive activate, and of course integrate back into our functional movement pattern. I hope you guys get great results.

Home

Videos

Unlock optimal movement with the Overhead Squat Assessment. Evaluate dynamic flexibility and neuromuscular control in major joints. Start your journey to better fitness now!

Overhead Squat Assessment: Signs of Dysfunction

 to indicate the objective of the assessment or the signs you are attempting to identify. We do not want the client/patient attempting to "fix" their alignment.

Ask your patient/client to stand with feet hip-width apart.

Because a patient/client may assume a range of comfortable foot positions, it may be necessary to cue and manually adjust foot position so that the OHSA is started with the ideal foot position (or as close to the ideal foot position as can be achieved).

Ask your patient/client to reach "straight up over their head" with "elbows locked".

Ask your patient to "sit down" and "stand up" as many times as necessary to assess for the "signs of dysfunction".

 For those who do not know how to squat or may be at risk of falls, this can be done with a chair, and thought of as a "sit-to-stand transfer assessment".

 For advanced exercises and athletes who may "know what a squat should look like", it may be helpful to have them close their eyes, reducing visual input and their ability to self-correct

 It is tempting to start noting every "deviation" based on a personal frame-of-reference of squat form. The only signs that have been correlated with dysfunction and successful intervention are the signs discussed below. Adding additional signs to the assessment, however well-intentioned, may serve to invalidate the assessment, reduce assessment reliability, or reduce the relative efficacy of the implied interventions.

As mentioned above, this assessment is designed to highlight deviations from ideal motion with the intent of informing intervention selection. It may be helpful to review the definition (discussed above) of 

Evidence-based Ideal Posture/Alignment Definition:

 A mean range of segment alignment (bone, joint, muscle, nerve) that is absent of signs correlated with dysfunction, pain, or an increased risk of injury.

The ideal alignment described here is similar to what may be anticipated during a static postural assessment or gait assessment. However, additional details have been added to aid in differentiating between ideal motion and the deviations discussed below.

 Ideal alignment includes feet parallel (2nd metatarsal and toe pointing forward), hip width, and the medial longitudinal arch maintained. That is, the 2nd metatarsals (center of the foot) are parallel, in alignment with the hip joints which are inferior to the anterior superior iliac spine (ASIS), and significant inferior motion of the navicular tubercle is not observed.

Although the neck of the femur extends the greater trochanter laterally and gives the appearance that the hip joints extend to the lateral thigh, the hip joints are only about 7" apart (6). This is about the same width as the ASIS, and the hip joints are in fact, just inferior and in near alignment with the ASIS. Because the hip joints cannot be palpated, the ASIS are used as the reference for hip width.

 The knees should maintain alignment with the hip joint and ankle joint. If optimal foot position is maintained, the anterior and posterior motion of the patella during the squat should align with the 2nd and 3rd metatarsals.

 Ideal alignment includes an optimal lumbar curve, ASIS just inferior to the level of the posterior superior iliac spine (PSIS) (within 2 cm), and the right and left iliac crest level.

During the lateral view of the OHSA, the intersection of the mid-axillary line, and a line between the ASIS and PSIS should be near 90º.

 The tibia and the mid-axillary line should maintain near-parallel alignment during a squat.

 Ideal alignment includes depression and retraction of the scapula. Shoulder flexion should be achieved via upward rotation and posterior tipping of the scapula.

 Ideal alignment is maintaining the arms in alignment with the torso with elbows at terminal extension. That is, 180º of shoulder flexion should be maintained.

Overhead Squat Assessment 10 - Arms Fall

Overhead Squat Assessment 16 - Sign Clusters: Posterior Pelvic Tilt ("Butt Wink") and Inadequate Forward Lean Breakdown

Overhead Squat Assessment 11 - Shoulders Elevate

Overhead Squat Assessment 9 - Anterior Pelvic Tilt (Excessive Lordosis)

Anterior Pelvic Tilt Break Down (Workshop Snippet)

Overhead Squat Assessment 8 - Excessive Forward Lean

Overhead Squat Assessment 7 - Knees Bow Out

Overhead Squat Assessment 6 - Knees Bow In Breakdown

Overhead Squat Assessment 5 - Feet Turn Out Breakdown

"Feet Turn Out" Breakdown

Overhead Squat Assessment 4 - Feet Flat Breakdown

Comments

Guest