Name: Overhead Squat Assessment 4 - Feet Flat Breakdown
Uploaded: 2023-04-26T01:01:17.000Z
Duration: 5 min 21 s

English captions

https://stream.mux.com/h3ZHUzPbb8llGqW02GcAS6Oyf3B9rqCNdpniLoWlokTk.m3u8

Learn how to identify and interpret the sign feet flatten (pes planus) 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 foot and ankle mobility, recognizing compensatory movement patterns, and understanding how restricted dorsiflexion and altered lower-extremity mechanics contribute to inefficient movement, decreased performance, and increased risk of pain, dysfunction, and injury. Develop the skills needed to accurately assess feet flatten (pes planus) deviations, inform corrective exercise and mobility strategies, and improve squat mechanics and movement efficiency. Perfect for clinicians, fitness professionals, and rehabilitation clients seeking to enhance movement assessment accuracy, optimize lower-extremity function, and reduce injury risk.

Introduction to Overhead Squat Assessment

Demonstrating Feet Flat Dysfunction

Identifying Joint Actions Related to Feet Flat

Understanding Muscle Imbalances

Corrective Strategies for Lower Leg Dysfunction

Integrating Exercises for Effective Correction

Overhead Squat Assessment 4 - Feet Flat Breakdown

This is Brent coming at you with our fourth overhead squat assessment video in this video we're gonna break down the sign feet flat. I'm going to have my friend Leanne come out, and Leanne's going to help me demonstrate feet flat. I want to give you guys a few more ways you can look at this sign to make sure it's happening, if you're having a hard time identifying. So first things first I'm gonna line her up with feet parallel second toe pointing forward and in line with her hip, that's in line with her ASIS. Now from an anterior view what I think you guys are gonna notice as she does her overhead squat, is if you look at the ankle and foot here, go ahead and squat. You guys are gonna see a little bit of this. Alright and back up, she gets a little bit of her arch back and then her feet go which is a little bit of eversion. So that's foot flat. If you didn't see that you you're having a hard time seeing what I'm talking about. You could turn off just a little bit, view at an angle and this time what I want you guys to look at is this medial arch. There should be a space between these bones and the platform they're on. If all of a sudden as they go down into their squat they lose that, they no longer have space there that's also feet flat, right they lost that medial longitudinal arch which again is a sign of eversion. Alright then we're gonna go ahead and turn her all the way around. If you're still not sure, you still want a little bit more proof that this person has feet flat, you might be able to look at the heel, the calcaneus. You guys should note a nice straight line between the Achilles tendon and the heel all the way down. What I think we're gonna see with Leann because she has this foot flat dysfunction is actually a little calcaneus valgus, where her calcaneus or heel bone does this. So if she drops down to the bottom of her squat what you can see here is that once straight line is now veered off a little bit on both sides. These are all signs of feet flat dysfunction. Alright thank you Leanne. Now the question is what do I do with this information? Well I know what good posture looks like, I've identified the sign, now I have to consider what joint action correlates with that sign. In the case of feet flat its ankle eversion. So ankle eversion, if I'm doing too much eversion, that implies that my everters are short and overactive. Right so my everters are my fibularis and my lateral gastroc. If my fibularis and lateral gastroc are short and overactive that means the opposing muscles are going to be long and under active which would be my inverters, which are my anterior and posterior tib. Where the overhead squat assessment does get a little complicated is some of these signs correlate with other joint actions that aren't so obvious. Most of the time our lower leg dysfunction is driven by an inability to dorsiflex. So an inability to dorsiflex bring my knees forward this way would be the same thing as having excessive plantar flexion. In essence my plantar flexors are what is restricting my ability to dorsiflex. So that goes on our short side, and you guys know what your plantar flexors are those are your calves that means the opposing muscles of course are then long and underactive that would be my dorsi flexors which is again my anterior tib. So now I've made my list the question is what do I do with it. Well short muscles need to be what... lengthened, and if they're overactive before we even lengthen them, we need to tone them down. That's where our self-administered release techniques come in. So you guys could do those self-administered release techniques for these muscles and you guys can look those up on my videos. You guys could then even progress that to active release in time. Your lengthening is going to be all of your static stretching to start with, eventually progressing to active and dynamic. My long structures, these are the structures I want to activate. I want to get them more active, more involved, get them stronger. So these guys you guys can go ahead and look up isolated activation. You could even progress that eventually to reactive activation, and then you guys are going to start picking some exercises to start integrating these exercises. I can tell you when it comes to lower leg dysfunction one of our great integrated exercises is all of those single leg activities so single leg balance with excursion or single leg deadlift touchdown. I hope what I just did for you guys going from feet flat, to the chart, to kind of discussing how we create a corrective exercise program helps you guys create some very successful corrective programs. I look forward to breaking down more dysfunctions in the future.

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 4 - Feet Flat Breakdown

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 10 - Arms Fall

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

Comments

Guest