Name: Overhead Squat Assessment 11 - Shoulders Elevate
Uploaded: 2023-04-26T01:01:04.000Z
Duration: 4 min 13 s

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https://stream.mux.com/eyWBVbXWsmMCXqIpjw00k2ZedxYbBUuFnUo39nW5OJS4.m3u8

Learn how to identify shoulder elevation 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 observing overhead mobility limitations, recognizing compensatory shoulder patterns, and understanding how restricted mobility and altered motor control contribute to movement dysfunction. Develop the skills needed to accurately assess shoulder elevation, to inform corrective exercise and mobility strategies, and improve movement quality. Perfect for clinicians, fitness professionals, and rehabilitation clients seeking to enhance movement assessment accuracy, optimize upper extremity mobility, and reduce injury risk.

Overhead Squat Assessment Introduction

Understanding Scapula Elevation and Dysfunction

Correlation Between Scapula Elevation and Downward Rotation

Muscular Function Assessment and Common Tight Areas

Focus on Activation Exercises for Upper Body Dysfunction

Overhead Squat Assessment 11 - Shoulders Elevate

This is Brent coming at you with yet another overhead squat assessment video. In this video we're going to tie in the rest of our upper body dysfunction. I showed you guys arms fall in a previous video, in this video we're going to do that scapula elevation. I'm going to have my friend Mike come out, Mike's going to show a scapula elevation. It is part of his dysfunctional movement pattern, so this is a little easier for him to show. This is one of those signs where you guys may notice this happen before you even get into the dynamic assessment. If I go hey Mike throw your arms over your head, lock your elbows, and you can see him almost immediately. It's not just like, let's let's try to do arms up with keeping this depressed, i want you to actively keep this down. It's not this, this would be a much better pattern, a much better shoulder pattern that he's only getting upward rotation, but that his scapular stabilizers can keep them there. What you're seeing with Mike is as soon as I haven't throw his arms up, where does this scapula go, right everything goes up that way. Now the only reason we need the overhead squat is some people are better hiding it, they'll do that optimal pattern, and then they'll go down into their squat, and as they go into their squat all of this starts elevating up towards their ears. That's it, this is all that you guys are looking for. Thanks Mike. So let me break this down for you, this is not the easiest sign to break down. Scapular elevation correlates with downward rotation, and I know what you guys are thinking, you're thinking downward rotation, I just saw something move up, and you're right you did, what you saw was the superior angle of the scapula. So if this is my scapula, this triangle right, this is the superior angle, you saw the superior angle move up, but relative to the glenoid fossa right. So if it's superior to the glenoid fossa, my glenoid fossa is now facing down, that's actually downward rotation, and you're also seeing a little bit of this anterior tipping as the scapula crawl over the rib cage. So what does that say about muscular function, well my downward rotators are a lot of muscles you guys already know as tight, PEC minor, levator scapulae right that nasty little muscle on the neck, your rhomboids. How many of you guys get trigger points between your shoulder blades, look up all of these release techniques. I'm sure once you guys start doing, you'll be like oh yeah now I know why that stuff is tight. You have some stretches in there for those 2, anterior tipping you guys will notice for the most part it's the same muscles. So we have PEC minor and levator scapulae also up on this part of our graph. So we know that they're short, we know they're overactive for two different joint actions. This also adds the upper trap, a note on the upper trap guys a lot of play people blame the upper trap for being tight, being overactive, being the cause of their pain when actually it's the levator scapulae. Now our upward rotators, upper traps, lower traps and serratus anterior, these you guys need to learn how to activate, especially lower trap and serratus anterior. If you do not have this in your arsenal and you're trying to help people with upper body dysfunction, you need to learn some activation exercises here, learn your progressions. You can make powerful changes with this stuff, and as far as our posterior tippers you guys will notice it's the same. So you don't have a whole lot of techniques to learn. You guys see there's a lot of overlap. I know downward rotation, upward rotation, anterior, posterior tipping, probably some new joint actions for some of you, but overall the amount of techniques you have to learn is very small. There's only a few release techniques, a couple of stretches and a couple activation progressions for you to learn, and you can make huge change. I'll talk with you guys soon. I hope you get great outcomes.

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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 11 - Shoulders Elevate

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

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

Overhead Squat Assessment 4 - Feet Flat Breakdown

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