Professional Documents
Culture Documents
Douglas College
February 25 2021
Preparation
Performing an overhead squat assessment is a great method to help evaluate the
individual’s dynamic flexibility, core strength, balance and overall neuromuscular control and
allow the trainer to help mitigate and reduce injury risk (NASM, 2020). The overhead squat
assessment allows us to identify any movement impairments which could be due to
compensations in available joint motion, muscle activation and overall neuromuscular control,
and with the information obtained from the assessment we can devise strategies to improve
compensations and decrease clients risk of injury and improving their overall quality of life
(NASM, 2020). In order for the participant to be assessed they will start by removing their shoes
and will hold a straight dowel over their head with their arms fully extended and in line with
their ears (NASM, 2020). They will then be asked to complete three sets of five repetitions at a
moderate speed. One set will be directed towards analyzing the anterior view and the participants
feet and knees, another will be viewed in the sagittal plane to assess the lumbo-pelvic-hip-
complex [hereinafter LPHC] as well as the upper body and the final set will be observed in the
posterior view to assess the foot and LPHC position.
This closed skill is broken into four functional phases: standing, lowering, holding and an
upward phase (Figure 1). The standing phase consists of the individual standing feet shoulder
width apart, arms straight above the head holding the dowel at a comfortable grip with their arms
in line with their ears, eyes and feet facing forwards along with the foot, ankle, knee and LPHC
in a neutral position (NASM, 2020). In this phase, we will assess how the participants set up for
their squat without giving them cues. Allowing the participant to set up for the squat on their
own will show us if they point their feet outwards, if they start with too narrow or too wide of a
stance and where their arms are in relation to their body; too far forward or back.
In the next phase the participant will initiate the movement and go into their lowering
phase. The participant should engage their core, keep their eyes looking forward, track the knees
overtop of the feet as opposed to knee valgus or varus (inwards or outwards rotation), the degree
of forward lean, if the back is neutral, arched or rounded, the path their arms travel in relation to
the rest of the body during the movement, heel lift, a flat foot and asymmetrical weight shift
within the LPHC (NASM, 2020). These are all critical features of the overhead squat and are
important to analyze to determine if the participant has any overactive and underactive muscle
imbalances which could lead to injury and improper form.
The holding phase is characterized by the participant in a full squat position, which is
their lowest depth of the movement. The same critical features listed in the lowering phase will
be analyzed in this phase. In the holding phase we will more specifically analyze the participants
feet to see if they lift off the ground, if there is excessive forward lean, if their arms are straight
above the head and parallel to the knees, the depth of their squat, and assess if their spine is
neutral to rule out anterior pelvic tilt in the lower back or tucking under of the hips. Alongside
this we will also be looking for any gross differences between the gastrocnemius and back
(NASM, 2020).
The final phase is the upward phase in which the participant returns back to the standing
phase in an upward motion. The same critical features will be analyzed throughout to ensure
proper safety and efficiency in their return to the standing phase.
Standing Phase Lowering Phase Holding Phase Upward Phase Standing Phase
Before filming, white markers were placed on all of the joints of Back (Posterior) Plane
Figure 6 Figure 7
Figure 5 shows the external rotation in the left knee, as Hamm (2021) said a smaller
angle indicates a more externally rotated knee. The knees should track in a straight path, which is
seen on the performers right knee as it is almost at 180 degrees, which shows that it was tracking
in a straight path throughout the movement. This could potentially be due to underactivity in the
left gluteus medius and hip adductors, meaning these muscles are weak and not able to fire
efficiently for the movement to keep the knees in line with the toes.
Lateral
In the lateral view (side view), it was evident that the performer had a slight forward lean
(Figure 9). An excessive forward lean would be shown if the lines were to cross paths and they
do not. However, they should be perpendicular from one in another to indicate
no forward lean, and the frame shows these two lines to not be perpendicular.
An ideal lateral view with no forward lean is seen in Figure 23 in Marcia’s
overhead squat, where the tibia and torso are parallel with one another. This
forward lean could be due to the depth of the squat as it is seen to be very low
(Figure 8) and potentially could have led to an anterior pelvic tilt which caused
the participant to slightly lean forward (NASM, n.d.). Figure 6 also represents
that the participants arms did not fall forward as they remained in line with her
ears throughout the movement, which is ideal for the overhead squat. Figure 8
Figure 10 Figure 11
Figure 9
Figure 10 shows that the participant had a low back arch in the lowering phase of her
squat, but it was not apparent in the holding phase (Figure 11). Although a slight arch is still
present in Figure 10, Axiom Fitness Academy (2017) stated that a slight arch in the back is
normal. The low back arch in the lowering phase could be due to latissimus dorsi extensibility or
core weakness (Axiom Fitness Academy, 2017).
Posterior
In the back (posterior) view an asymmetrical weight shift was observed to her right side
in the lowering phase as well as a minor weight shift in the upward phase on the left side. Figure
12 shows the performer in the standing phase, with an even weight distribution of 0.91 meters on
both sides. In the lowering phase it appears that the distance from her left hip to left ankle (lateral
malleolus) is 0.42 meters, while her right side is closer to the ground as the distance between her
hip and ankle is 0.39 meters (Figure 13). In the upward phase, a shift from right side weight shift
to a left side weight shift is noticeable. Figure 14 shows that the distance from her hip to ankle
on the left side was 0.80 meters which was closer to the ground compared to her right side which
had a distance of 0.86 meters. This means that in the lowering phase, her pelvis dropped more to
the right side, however in the upward phase, it shifted, and the left leg began to accept more of
the weight (Hamm, 2021). This is not due to a regular imbalance because as seen in Figure 12
she is symmetrical in length on both the right and left side in the standing phase. The participant
intake form (Appendix D) indicated that she has had knee surgeries on both of her knees, so this
could potentially be due to her protecting the leg where the hip is up, which happens to be both.
Potential tight (overactive) muscles are the gastrocnemius/soleus, adductors, tensor fascia latae
on the same side of her weight shift (left and right) and the gluteus medius on the opposite side
of the weight shift (left and right) (NASM, n.d.). Potential weak (underactive) muscles include
the gluteus medius on the same side of the weight side as well as the anterior tibialis and
adductors on the opposite side of the weight shift (Penny, n.d).
The figures below (12-14) display that the heel of her foot did not rise and did not
become flat throughout the overhead squat which is an ideal form for the movement.
Figure 12 Figure 13 Figure 14
Julianna's Intervention
Upon analysis of Julianna’s overhead squat, we have developed some strategies to help
with her overactive (tight) muscles and to strengthen her underactive (weak) muscles.
Overactive Calves
The assessment indicated that Julianna’s left foot moved outwards as she completed her
overhead squat. This could potentially be the result of tightness in her calves (gastrocnemius and
soleus) and she may be moving her foot outward to help release some of the demand of these
muscles to overcome this tightness (Hamm, 2021). Below are some strategies to help with this
tightness in her calves:
Self-Myofascial Release: Foam Rolling (NASM, n.d.)
- Get a foam roller and place it under the
mid-calf
- Cross your right leg over the left
- Begin to slowly roll the calf area and
find the most tender spot
- Once that spot is found, hold it in that
spot for 30-90 seconds or until the
discomfort begins to reduce
- Repeat this on both sides
Wall Standing Calf Stretch:
Photo of a person foam rolling their calf. Web source: NASM
- Participant should stand approximately
2 feet away from a wall
- Place the ball of the right foot up against a wall
and ensure your heel stays on the ground
- Gently begin to lean into the wall while
keeping your knee straight
- Hold this for approximately 30 seconds
- Repeat on the other side
L-P-H-C
This assessment indicated that Julianna has an asymmetrical weight shift on both the left
and right side, excessive forward lean and a low back arch. Below are some exercises that she
can do to help strengthen potential underactive muscles as well as relax the potential overactive
muscles.
Overactive Hip Adductors
Butterfly Stretch
- Sit up tall with your back straight
- Have the soles of your feet pressed together and your knees dropped to either side
- Hold onto your feet and bring your chest down to
your feet while keeping your back straight
- Use your elbows to keep pressure on your knees and
to keep them as close as you can to the ground
- Hold this for 15 to 20 seconds
- Then move your stretched out hands to the right side, keeping them stretched out in
front of you and your chest close to your knees, holding for 15 to 30 seconds.
- Repeat this on the left side
- Repeat this cycle 3 times.
Core Weakness
Bird Dog
- Get onto your hands and knees
- Reach your right arm out in front of you, and stretch your left leg
out behind you
- While holding this position for 30 seconds, ensure you keep a flat
back and engage your core
- Repeat this with your left hand in front and right leg behind.
- Repeat the cycle 3 times through
Bird Dog. Web source: Popsugar
Excessive Forward Lean
Wall Facing Squats
To help avoid the excessive forward lean, we want to ensure that Julianna is squatting at
a depth that doesn’t put her into an anterior pelvic tilt.
- Face the wall and stand with an upright posture approximately 6 inches away from the
wall and have a chair behind you.
- Perform the squat with your hands above your head until your gluteus maximus makes
contact with the chair and then go back up.
- When squatting down ensure your hands do not touch the wall.
- Do this for 3 sets of 10 repetitions.
Lateral
From the lateral view (right side), we can view the lumbo-pelvic-hip complex and note if
the tibia and arms are in line with the torso throughout the movement (Axiom Fitness Academy,
2017).
Looking at our participant at the beginning of the squat, we can see that she is standing in
a good starting position with her hands overhead, and her arms in line with the ear. She is
looking straight ahead, her feet are pointing forwards, and she is standing in a neutral position
with an overall angle of 180 degrees (Figure 21).
Figure 22
Figure 21
We can see that our participant does not have an excessive forward lean (Figure 23) as
the lines drawn on the back and through the legs appear to be parallel to one another. We are also
able to see that her lower back does not round during the movement. However, she does have a
slight low back arch in the holding phase of the squat (lowest point of the squat) (Figure 22).
This low back arch may be due to latissimus dorsi extensibility or core weakness (Axiom Fitness
Academy, 2017). Figure 23 also indicates that Marcia’s arms did not fall forward since they
stayed in line with her ears throughout the movement, which is an ideal technique in the
overhead squat.
Figure 23 Figure 24
Posterior
From the posterior (back side) view of the overhead squat, we are looking for any heel
rise, foot flattening or asymmetrical weight shift through the lumbo-pelvic-hip complex (Axiom
Fitness Academy, 2017). The participant did not show any of these traits as seen in Figure 25 to
Figure 27.
Figure 29 Figure 30
Figure 28
In the standing phase the performer’s right knee is externally rotated more than her left
knee (Figure 31). However, in the lowering phase her left knee moves out more than her right
knee and remains to be more externally rotated throughout the movement (Figure 32). In the
holding phase her left knee is more externally rotated than her right, but both knees still remain
to be outwards and not in line with her toes (Figure 33). This could be due to a regular imbalance
because it is also apparent that both the performers knees start at an inward position as seen in
Figure 31 which shows the angle of her knees to be smaller than 180 degrees. An ideal overhead
squat would show the knees to track in a straight path with her toes which would be seen if her
knee angle was 180 degrees. As well as a regular imbalance, these frames suggest weakness in
her gluteus medius and hip adductors.
Figure 31 Figure 32 Figure 33
Lateral
From the lateral view (Figure 34 and Figure 35) of Jensen’s overhead squat, a slight
forward lean is indicated as the arms and legs are not parallel to each other. That being said,
since the arms and legs do not cross paths, an excessive forward lean cannot be considered
(Axiom Fitness Academy, 2017). It is also evident that her arms do not fall forward as they show
to remain in line with her ears throughout the movement (Figure 34 and Figure 35). Figure 36
shows a minor low back arch; however, this should not be of much concern as a minor low back
arch is normal (Axiom Fitness Academy, 2017).
Jensen’s Intervention
The analysis of Jensen’s overhead squat indicated some muscle weakness in the gluteus
medius muscles and hip adductors, as a result some exercises have been produced to aid in
strengthening these muscles. In addition, some muscle tightness in the gastrocnemius and soleus
(overactive muscles) were identified due to a deviation in her right ankle during the lowering
phase of the squat (Hamm, 2021). As a result, some exercises have been acknowledged to aid in
releasing tension in the gastrocnemius and soleus muscles thus improving the overall execution
of her overhead squat.
Overactive Calves
The assessment of this participant indicated that her right ankle moved outward during
the lowering phase of the squat; however, it remained normal throughout the standing and
holding phase.
Self-Myofascial Release: Foam Rolling (NASM, n.d.)
- Get a foam roller and place it under your mid-
calf
- Cross your right leg over your left
- Begin to slowly roll the calf area and find the
most tender spot
- Once you find that spot, hold it in that spot for
30-90 seconds or until you feel the discomfort
reduce
- Repeat this on both sides!
Photo of a person foam rolling their calf. Web source: NASM
Wall Standing Calf Stretch:
- Place yourself approximately 2 feet away from a
wall
- Place the ball of your right foot up against a wall
and have your heel stay on the ground
- Gently begin to lean into the wall while keeping
your knee straight.
- Hold this for approximately 30 seconds
- Repeat on the other side
Photo of a person performing the wall standing calf stretch. Web
source: Skimble
Underactive Gluteus Medius & Hip Adductors
The assessment of Jensen’s overhead squat resulted in identifying a possible regular
imbalance as well as weakness in her gluteus medius and hip adductors. This is due to the fact
that her left and right knees both turn outward during the lowering phase of the squat.
Clamshells:
- Lie on your right side with your knees bent
- Slowly open your left leg as far as you can
- Hold this position for a few seconds and then lower your leg back towards your right
knee
- For a challenge you can add a resistance band just above your knees
- Repeat this on both sides.
How to do clamshell exercise. Web source: Pinterest