You can only view 3 videos without an account. Become a Member to access all videos on the website.
Overhead Squat Assessment 13 - Sign Clusters: Upper Body Dysfunction
Overhead Squat Assessment 13 - Sign Clusters: Upper Body Dysfunction is a tool used to detect movement irregularities in the shoulder, thoracic spine, and trunk that may be causing pain or limiting performance. This assessment is quick and easy to perform and results in a score which can be used to give an analysis of the body's overall function while performing the overhead squat. In addition, the Sign Clusters of Upper Body Dysfunction component can provide insight into how the shoulder, thor
Transcript
00:00:0500:00:10
This is Brent and in this video, it's our
00:00:0500:00:10
second video taking the overhead squat
00:00:1000:00:14
assessment up a notch, going from recognizing just sign by sign
00:00:1400:00:20
dysfunction to recognizing these common patterns, or these clusters of signs. So
00:00:2000:00:24
in this video we're going to go over the cluster of signs that leads me to
00:00:2400:00:29
believe somebody has the compensation pattern upper body dysfunction. I'm going
00:00:2900:00:33
to have Melissa come out, she's going to help me demonstrate this. Now I'm going
00:00:3300:00:37
to throw this out here right now guys, this is not Melissa's natural
00:00:3700:00:41
compensation pattern, so she's going to face fake it a lot. I'm going to have her
00:00:4100:00:46
dramatize stuff a lot. We will in the future do some case study videos where
00:00:4600:00:51
you guys see very real compensation patterns. Alright so first things first
00:00:5100:00:54
I'm going to set her up the same way, I know you guys can't see your feet but I want her
00:00:5400:00:59
toes turned, second toe pointing forward, her feet hip-width underneath her ASIS,
00:00:5900:01:03
she's going to throw her arms up. Now I mentioned this in the signs of
00:01:0300:01:08
dysfunction video with arms fall, if somebody can't even get to their arms up
00:01:0800:01:14
to in line with their torso, you check that box. If as soon as somebody throws
00:01:1400:01:20
their arms up their shoulders elevate, you check that box. If they already have
00:01:2000:01:24
an anterior pelvic tilt as soon as they throw their arms up, you check that box.
00:01:2400:01:30
Now those are the three big signs that lead me to believe that somebody has
00:01:3000:01:36
upper body dysfunction. The one problem we have and you can go ahead and do a
00:01:3600:01:40
squat for us here, we would most most of the time we would see somebody's arms
00:01:4000:01:45
fall either forward, or they do that like little mini lat pulldown thing or their
00:01:4500:01:50
elbows bend, and they kind of come down this way, that happens right. So let me
00:01:5000:01:56
have you a lateral view, then a lateral view we have this tendency to see arms
00:01:5600:02:03
fall and then her lats sometimes pull her into an anterior pelvic tilt. Alright
00:02:0300:02:09
and then in the posterior view, now this is super super rare, every once in a
00:02:0900:02:14
while I'll see this, like one arm fall way farther than the other, and actually
00:02:1400:02:18
get pulled into a little bit of an asymmetrical weight shift. So let's say
00:02:1800:02:21
it's this arm the falls down a little further, and
00:02:2100:02:25
she kind of does a weight shift this way, that's really rare that an asymmetrical
00:02:2500:02:29
weight shift would come from upper body dysfunction, but it does happen. Alright
00:02:2900:02:34
so the only thing I have to figure out about this dysfunction, what got me a
00:02:3400:02:39
little boggled right now, is if Melissa presents with both arms fall forward and
00:02:3900:02:46
an anterior pelvic tilt, both of those signs could come from over activity of
00:02:4600:02:52
her latissimus dorsi. However her latissimus dorsi is involved in both
00:02:5200:02:59
lumbo-pelvic hip complex dysfunction as well as upper body dysfunction. In order
00:02:5900:03:03
for me to figure out a accurate effective corrective exercise strategy I
00:03:0300:03:07
need to know which one I'm going to go after. Alright if the lats are coming
00:03:0700:03:10
from upper body dysfunction, then it's going to be shoulder scapula thoracic
00:03:1000:03:14
spine stuff i'm working on, maybe some cervical spine as opposed to if lats are
00:03:1400:03:18
tight because of lumbo-pelvic hip complex dysfunction, I got to go after hip
00:03:1800:03:23
flexors, lumbar extensors, hip, SI joint, lumbar spine are going to be involved.
00:03:2300:03:28
How do I figure this out, well same thing we did with the other video we just did
00:03:2800:03:34
with lower leg dysfunction, I do a squat with modification and see if the signs
00:03:3400:03:39
go away. So actually for upper body dysfunction the only thing I really need
00:03:3900:03:46
to see in modification, is hands on the hips and a lateral view. Now first things
00:03:4600:03:52
first I'm going to have Melissa go ahead and just do a squat for me, and you guys
00:03:5200:03:56
will see that her anterior pelvic tilt does not go away, that's coming from
00:03:5600:04:02
lumbo-pelvic hip complex dysfunction; by putting her arms down I shortened her
00:04:0200:04:07
lat, so it's not her lat pulling her into an anterior pelvic tilt it's
00:04:0700:04:10
lumbo-pelvic hip complex dysfunction pulling her to an anterior pelvic tilt.
00:04:1000:04:16
Now if she had true upper body dysfunction, her arms were falling
00:04:1600:04:20
forward, she had an anterior pelvic tilt, and when she did this assessment that
00:04:2000:04:25
anterior pelvic tilt went away, that's coming from upper body dysfunction. It is
00:04:2500:04:30
actually her lats that are causing that dysfunctional pattern. Now the one
00:04:3000:04:34
strange thing that you will often see with these people who have
00:04:3400:04:40
true upper-body dysfunction, is do the lats being overactive, the global
00:04:4000:04:45
stabilizers becoming synergistically dominant at the core, once I take the
00:04:4500:04:48
lats out of the movement, and I'm going to have Melissa try to demonstrate this,
00:04:4800:04:54
they'll squat and collapse in the upper body, they'll go into a further excessive
00:04:5400:04:58
forward lean or you'll actually see trunk flexion, or rounding of the
00:04:5800:05:02
back here, guys that's still upper body dysfunction. I know it looks like a
00:05:0200:05:06
totally different set of signs, it's just kind of how this whole dysfunctional
00:05:0600:05:13
pattern works out. That the intrinsic stabilizers shut down, lats and anterior
00:05:1300:05:16
oblique subsystem become overactive. So when I take the lats out of it, the
00:05:1600:05:20
anterior oblique subsystem takes over and either crunches them for forward, or
00:05:2000:05:26
crunches their lumbar spine and thoracic spine. Thank you Melissa. So hopefully you
00:05:2600:05:31
guys got how this cluster of signs work. The one thing I wanted to mention is the
00:05:3100:05:36
shoulder girdle elevation guys, that -this thing that I went over in a previous
00:05:3600:05:41
video, that is an upper body dysfunction sign. You don't have to do a squat with
00:05:4100:05:45
modifications to find out if that's an upper body dysfunction sign, that is only
00:05:4500:05:49
related to upper body dysfunction; however more often than not you will see
00:05:4900:05:54
if somebody's arms fall that with modification it truly comes from upper
00:05:5400:06:00
body that this is included. Now just like our previous video, I know this looks
00:06:0000:06:04
like a lot of signs to try to figure out, but really when you smash out all the
00:06:0400:06:09
stuff together you realize there's a lot of overlap, and rather than getting a
00:06:0900:06:14
huge corrective exercise strategy you get a corrective exercise strategy
00:06:1400:06:22
that's a few muscles longer but way more effective. So you can see here on the
00:06:2200:06:26
overactive side, actually all I've done is take this overactive scapulae muscles
00:06:2600:06:34
and add them to the overactive shoulder muscles all right. Subscapularis should
00:06:3400:06:39
be up there as well guys that's my apology,
00:06:4300:06:49
and you guys will notice that I have anterior oblique subsystem because now
00:06:4900:06:53
that I've started to look that this is a cluster of signs, as I started to look at
00:06:5300:06:57
the entire upper body, I get to investigate some of those more
00:06:5700:07:01
interesting relationships, where you have the lats into the thoracolumbar fascia,
00:07:0100:07:06
and the thoracolumbar fascia is also integrated into the intrinsic
00:07:0600:07:10
stabilization subsystem; and we get to consider all of that once we get to look
00:07:1000:07:15
at multiple joints. So in this particular dysfunction we have a AOS overactive.
00:07:1500:07:19
That's going to play a role in like if I know that this is overactive, maybe
00:07:1900:07:22
somebody who has upper body dysfunction probably shouldn't be doing crunches.
00:07:2200:07:22
Maybe planks are kind of off the menu until we get this more corrected. Under-
00:07:2200:07:27
active, external rotators, lower traps, serratus anterior, and then this
00:07:3200:07:37
crunching forward comes from that intrinsic stabilization subsystem taken
00:07:3700:07:41
out, due to global muscular dominance, and to get them straightened back out and
00:07:4100:07:45
then start integrating that posterior oblique subsystem. Once again this is
00:07:4500:07:49
stuff that I get to look at because I'm integrating all of these signs together.
00:07:4900:07:54
Now there is an article at brentbrookbush.com under postural dysfunction and
00:07:5400:07:59
movement impairment on upward up per body dysfunction, and you guys can see me rip
00:07:5900:08:03
this thing apart and go into arthrokinematics, and go into all of the
00:08:0300:08:07
muscles, and all of the muscles are hyperlinked to muscular articles, and
00:08:0700:08:11
those articles have techniques for each muscle that you would use based on the
00:08:1100:08:15
activity of length of all of these structures. I think what you guys are
00:08:1500:08:20
going to find by taking the jump from signs to patterns, is all of a sudden you
00:08:2000:08:25
are going to get much better correction in one session. You're going to have that
00:08:2500:08:29
person who arms fell forward, shoulders elevate, anterior pelvic tilt, once you do
00:08:2900:08:34
all of this they do a squat and feel a lot better in one session. I think you're
00:08:3400:08:37
going to see your outcomes get better, your carryover from session to session
00:08:3700:08:41
get a lot better, and I know that's something that all of us are working on.
00:08:4100:08:44
We don't just want somebody to get better, but then the next time they come
00:08:4400:08:50
back to us they still have 50 or 75 percent of the changes we made from the
00:08:5000:08:54
previous session, so that we can keep taking steps forward. I hope you guys
00:08:5400:08:56
enjoyed this video, I hope you take a huge step in your
00:08:5600:09:00
assessment capabilities, and that has a huge impact on your program, talk to you
Related Videos
Femoral Nerve Neurodynamic Tests
Lumbar Movement Assessment
Slump Test
Upper Body Movement Assessment
Straight Leg Raise Test and Well Leg Raise Test
Overhead Squat Assessment 12 - Sign Clusters: Lower Leg Dysfunction
Overhead Squat Assessment 13 - Sign Clusters: Upper Body Dysfunction
Overhead Squat Assessment 6 - Knees Bow In Breakdown
Overhead Squat Assessment 1: Introduction
Overhead Squat Assessment 11 - Shoulders Elevate
Overhead Squat Assessment 14 - Sign Clusters: Lumbo Pelvic Hip Complex Dysfunction
Overhead Squat Assessment 16 - Sign Clusters: Posterior Pelvic Tilt ("Butt Wink") and Inadequate Forward Lean Breakdown
Overhead Squat Assessment 15 - Sign Clusters: Asymmetrical Weight Shift