Brian_6

There is a lot of focus on movement in rehab and training circles these days. I believe that as a very good thing and routinely incorporate the FMS in my programming as part of my client movement assessments. To that end, I am going to review some of my "go to" correctives for each portion of the FMS in the coming weeks.

Many issues can impact the overhead squat. While I often find ankle and hip mobility to be the primary limiting issues, an overlooked problem may include poor scapulothoracic stability. This exercise will help correct deficiencies in that region.

Execution:
I prefer to use a Cook band for this drill, however, you may also opt for tubing with handles or a TRX. The important thing is to use a partner or have whatever equipment you use firmly and safely anchored so you can squat without it giving way.

Begin in an upright position while looping the straps/handles over the back of the wrists or grabbing the handles with palms facing away from you. Slowly squat down as you actively retract the scapulae while keeping the arms in an overhead position. Pause at the bottom and return to upright. Adjust the distance from the anchor point to achieve the proper resistance level, keeping in mind that too much resistance will compromise form and result in a forward trunk lean.

Perform 2-3 sets of 10-15 repetitions. Initially, it may be best to spot the client if you feel he/she is apt to lose balance or has poor trunk control. If you are holding the band, adjust the resistance based on form and client feedback.



Application:
This is a very effective training exercise to facilitate proper scapulothoracic muscle activation. If a client has latissiumus, pec or teres major tightness, performing soft tissue mobilization beforehand is suggested. Cueing the client to actively pull the shoulder blades "down and back" is helpful in many cases. In many cases, they are so upper trap dominant they do not use proper motor patterns with overhead activity.

Regression:
Instruct the client to do a forward facing overhead squat near a wall. Let them move close enough to where their fingertips nearly or just touch the wall at the bottom of the squat. The cues for muscle activation remain the same.

Progression:
In the bottom of the overhead squat, instruct the client to hold while the trainer will provide some light perturbations of the bands to maximize neuromuscular activation and further groove the right pattern. Form should guide how much perturbation and once fatigue begins to impact control the exercise should stop. You may do fewer repetitions with this more advanced exercise.


Brian Schiff, PT, OCS, CSCS, is a licensed physical therapist, respected author and fitness professional. Currently, he serves as the supervisor for Athletes' Performance at Raleigh Orthopaedic in Raleigh, NC. Brian conducts live continuing education webinars and presents nationally at professional conferences and seminars on injury prevention, rehab and sport-specific training. For more information on his products and services, visit www.BrianSchiff.com.

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