Introduction to Overhead Squat Assessment 

Thanks Sophie, We work hard at enhancing the delivery of education. Scaffolding, clarity, associative learning, etc... are hallmarks of our design process. Really, really appreciate you noticing. I hope you will check out everything we have to offer at BrentBrookbush.com Dr. B2

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+Karl Humphreys Thanks Karl, Really flattered. I have certainly improved since the first video I recorded ;-) B2

Hey @user-ly8xc9zo4b! Hope the studying is going well. We just recently added our business to Google my Business, would you mind leaving a quick review? g.page/r/CR1LsEAZ5W6AEBM/review

Thank you Jennifer! Glad we could help!

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Thanks Chris Shumake. I have a couple tricks up my sleeve ;-) B2

Glad to help.

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Glad I could help. Dr. B2

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I am going to do my best to a get a large portion of the series done in the coming weeks.

Will do, have no intention in stopping ;-)

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Glad I could help.

She is amazing. Great human being, great trainer, great athlete. Dr. B2

Glad I could help. DR. B2

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Thanks Faith, I hope to get back to Australia some day as well. B2

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There is no research to suggest this is a reliable sign, or that addressing it would be an effective strategy for improving motion or patient symptoms. Dr. B2

Thanks Brent for your response

You're very welcome! All our videos are available to members at BrookbushInstitute.com. You'll have access to all 500+ videos alongside articles, online courses (that will count towards your NASM recertification), and the Human Movement Certification.

Happy to help!

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You are very welcome Nany Nouru, Thank you for the support. Dr. B2

Hey Dylan, So, there is an important distinction to be made between diagnosis and assessment for determining an appropriate intervention. In essence, the only thing a diagnosis gives you is a set of common symptoms and potentially a search term for finding research that may refine your approach. Your intervention is going to be based on correcting the movement impairment you note through various assessments like - postural assessment, goniometry, PAIVM's, muscle length tests, manual muscle testing, etc. So will we post a video on subacromial impingement syndrome? - Unlikely, although we may post case studies of various individuals who have complaints indicative of subacromial impingement syndrome as part of our online learning platform at BrentBrookbush.com Dr. B2

Thank you Brent Brookbush​ . Do you have a clinics in australia :(

I don't, but I hope in the future we will have an associates or HMS professional network tor refer people to. Dr. B2

Work on ankle mobility.

Hey Leslie, It's all about regression. You need to experiment with way to get techniques accomplished in a position that your population is comfortable with. For example, using tennis balls on a table is probably better for release techniques so that seniors do not have to get up and down off the floor. You may also need to be well stocked with lighter bands, and not be afraid to do corrective techniques with body-weight alone. Also I would say that a full corrective routine using an integrated warm-up template like I use may be the entire workout.... and that's okay. B2

Thank you! Dr. B2

Great Question Virginia, Since we want to see how the rest of the kinetic chain compensates during closed chain mechanics (with feet completely on the floor), we need to keep the heels down too. My best suggestion is to suggest to the individual to "keep their heels down", if that doesn't work, cue them again, but have them sit back into a chair and get up. Using a heel rise is part of the modifications I discuss in later videos regarding "sign clusters". It is a great way to differentiate between lower leg dysfunction (LLD) and lumbo pelvic hip complex dysfunction (LPHCD) because it "takes the ankle out of the assessment", but since it takes the ankle out of the assessment this is not appropriate initially. B2

Hey George Koutsis, That is a great question. I would think that applying the same observations to a sit-to-stand and stand-to-sit transfer and a separate overhead reach assessment would be more practical for most MS patients, and it is questionable whether all of the techniques listed in the solution tables would be appropriate in addressing true neural symptoms. But, there is little doubt that much of the dysfunction seen in MS could be attributed to the same postural dysfunction seen in all individuals. I know one of my team, Stefanie Dicarrado, DPT, has been applying some of this methodology in MS patients (besides working with the Brookbush Institute she also works in a clinic with a fairly large MS population). I would recommend reaching out to her: sdicarrado@gmail.com I will discuss it with her, but maybe we could add some online education, videos and case studies to the Brookbush Institute for a deeper look at your question. Sincerely, Dr. B2

Jorge Perez Hey Jorge Perez, You can find the video as part of this lesson - brentbrookbush.com/sign-clusters-compensation-patterns-overhead-squat-assessment/ - however, you must be a member of BrentBrookbush.com We changed our user interface about 8 months ago to a membership model. We have kept membership cheap (just 12.99/month or 139.00/year), but in order to keep growing we had to start charging for the immense amount of content we have produced and continue to produce. I hope you understand, Thanks again for the question, Dr. B2

Jake Kosene That is a huge portion of the content at BrentBrookbush.com (12.99/month) although it is geared toward the professional. The videos you have seen, along with all of our content is continuing education and academic support. Assuming that you have interest in the content and you are considering becoming a professional I think you would gain a ton of insight. You could start with our articles on "Intro to Postural Dysfunction" - bit.ly/1Ivhkmh , "Upper Body Dysfunction" - bit.ly/1PeAIqb and "Upper Body Dysfunction Corrective Exercise and Sample Routine" - bit.ly/1NjfsOU Hope that helps Jake, Sincerely, Dr. B2

Hey Sam, Try to keep in mind this is an assessment. We should not have to externally rotate and bow the knees out in order to squat. What powerlifters do to achieve performance is not necessarily healthful or optimal for the general public, just as dunking a basketball is not the healthiest activity for the shoulder complex. If you want to get the most out of the assessment we need to compare it to optimal - i.e. the ability to perform the movement as described in the video. Sincerely, B2

Brent Brookbush It has nothing to do with powerlifters or olympic lifters "achieving performance." The most mechanically sound way to squat is to externally rotate the hips (or should I say femurs). The (sad) fact that the general public (in modern western societies) can't do this does not mean it isn't optimal. It means the general public can't do it properly, and if a client falls in that category, it needs to be addressed, because they aren't able to correctly perform a basic human movement pattern. This isn't a case of us being "form nazis," but rather a recognition of the fact that squatting without externally rotation is not mechanically sound. I suppose I could imagine a case where I'd use this assessment to look at ankle mobility, and the ability to keep the torso upright and shoulders externall rotated/seated back where they belong, but this doesn't asses what it's name implies--squatting ability. Plenty of "clients" can do this assessment exactly as demonstrated, but I would never let them actually squat like this, whether they were under a load or not. If said client has no interest in becoming athletic in any way, I guess they can squat with their knees forward, so I'd say go ahead and turn your feet out like a duck, round your shoulders, let your heels come off the ground, let the knee(s) cave in, and ignore the arch in your foot. Do whatever you need to do in order to sit down onto something. While we're at it, go ahead and install handrails next to the toilet. And in front of your couch, too. But if they're coming to you for an assessment, chances are they're actually interested in becoming more athletic, or at least resolve some strenth/mobility issues that are keeping them from enjoying life.

Hey IvanAndreevich, Usually these popping and cracking sounds are related to tracking issues of the patella. Now... it gets a little complicated, but new research is showing that these tracking issues are not a patella out of place, but the alignment of the femur and tibia moving away from the patella during eccentric loading (the knee's cave-in and leave the patella behind). My guess is you have more issues than cracking and popping (for example, your feet turn-out, feet flatten, knees bow in, etc....). As I go through this video series hopefully you will be able to determine your compensation pattern, a corrective exercise strategy to improve your movement pattern, and potentially the end of your knee's cracking and popping. Note: there are several other things that could be wrong with your knee, or any knee for that matter. As I have mentioned in previous posts... I can not diagnose, treat, train, or even guess at what is truly happening online. I hope that some of my suggestions help, but if they don't... please find a PT or orthopedic physician that can do a physical examination to determine the issue. Sincerely, B2

Brent Brookbush I used to frequently get crepitus at the knee cap with deep knee flexion, but that's no longer the case after quad flexibility improvements. This cracking and popping is definitely coming from the tibiofemoral joint. What are the odds that I could have osteoarthritis in my late 20's?

+Emilio A Hey Emilio, This is an assessment... if an individual had ideal mobility and neuromuscular control they could squat with their second toe pointing forward in line with their ASIS. I think the position you have been taught is based more on comfort than ideal position based on bony architecture. Sincerely, Dr. B2

No Joe, I believe that is Eric Beard... if not possibly Rick Richey... I know there is a video floating around of Dr. Mike Clark (creator of the OPT model) teaching the overhead squat somewhere. B2

You look and sound just like him! Thanks for the.videos, they helped a lot!

Joe Hempel Can you send me the link? B2

Brent Brookbush Brent@BrookbushInstitute.com

She is pretty small, and I am not a small guy. I believe she is 5'2" and I am 6'3"... a big difference, and we joke about it all the time ;-)

+InYourHeadChangedMan Anterior Superior Iliac Spine

+InYourHeadChangedMan +Handle is correct. Your anterior superior iliac spine is the two bony notches you can feel lateral to your lower abdominal area. An important landmark to know and feel comfortable with identifying. B2

She's a close friend, and I have never been called creepy... maybe you're just fairly poor at judging the emotions and behavior of others? Don't troll! Dr. B2

@@BrookbushInstitute ya wow, that Kamie has some serious issues. Your client is clearly a willing participant, she's smiling the entire time and isn't exhibiting any signs of discomfort, shyness, fear, etc. I hate when people project their own traumas and insecurities onto others and try to turn them into villains and perpetrators. Yes you're touching her a lot but I'm sure you already got permission to do so before you started filming the video. "Creepy"... *smh*

hes obviously being professional. Doctors sometimes to look someone over the same way for pain.

Did you really think that trolling this channel would result in anything other than opening yourself to criticism? What did you hope to accomplish with this statement?

definitely sounds like trolling. Thanks for the great video Brent

Uneducated guys grope, PTs palpate.

I am a doctor Freddy... the palpation is done for instructional purposes and may not be necessary in other settings. I am trying to help people understand where landmarks are, and in some cases helping may patients understand what they are feeling. Based on your response, I am going to suggest you don't touch anyone, ever. Assuming that touch is always done with the intent of affection or provocation suggests you have issues with physical contact. Have a good day. Dr. B2