Everyone has heard the phrase repeatedly, over the past 5 years or so, while squatting, “drive your knees out.” This can be a great cue when used appropriately, however, it has almost become obnoxious with everyone and their mothers yelling this phrase. Don’t get me wrong, I apply the cue myself, but it is highly overused. The cue should NOT be said every single time someone squats, if so, find a new gym.
When watching more experienced, along with world-record breaking, Olympic lifters, such as Ilya Ilyin and his 2014 - 242kg
Ideally, we want to see stabilization at the hips and feet to maintain a good lower extremity position with “neutral” alignment between the hips, knees, and feet. Preferably these three areas should line up during any squat variation. There should be little to no movement of the knee outward or inward of this imaginary line.
When a person loads their body with weight to squat, they increase the challenge on their neuromuscular system, to maintain ideal body position throughout the motion. If someone challenges their neuromuscular awareness outside of their current level, decreased movement quality or complete failure will occur. As a result, the brain will digress to a more primitive, stabilizing pattern in order to achieve the task at hand.
There is a valid argument of bone-on-bone, alignment issues (i.e. loss of ankle dorsiflexion). However, you will see individuals perfectly in “neutral” lower extremity alignment, in the bottom position, but as they drive their bodies’ force downward, you can briefly see their knees migrate inward. If there is a problem with boney alignment, it would present during the extreme angle (ass to grass), not during mid-range angles. Another issue with the lack of bone-on-bone range of motion (ROM) dilemma is when unloaded (i.e. body weight squat or ankle ROM testing) there should also be a lack of ankle ROM. However, when tested, passive or low-grade active ROM is not always a limiting factor to the quality of movement. This brings into the equation a more complex understanding, or viewpoint, of motion throughout the squat.
An extreme example of a neurological plateau is seen in stroke victims. Certain areas of the brain become damaged, allowing more primitive, stabilizing patterns to present. Arm, hand, and wrist positions often become altered; you will see this pattern of stabilization in newborns as well (first 28 days of life). The uncompensated parts of the Central Nervous System (CNS) reappear as the best authority to stabilize the body¹; this produces visually altered body positions.
The knees caving inward is the digressed, stabilizing pattern for upward movement. This is why, I believe, the knees will ultimately cave inward while driving out of the bottom of the squat, or through midrange, when a person has hit their neurological plateau.
If you watch Ilya Ilyin’s
Here is a
Advancement in videography allows us to watch these videos in slow-mo, enabling us to better identify movement patterns and quality. Part 2 highlights why and where the drifting of the knees come from.
Kobesova, A., Kolar, P., Developmental kinesiology: Three levels of motor control in the assessment and treatment of the motor system, Journal of Bodywork & Movement Therapies (2013), http://dx.doi.org/10.1016/j.jbmt.2013.04.002
By accepting you will be accessing a service provided by a third-party external to https://www.ictmjc.com/
Do you have a question about chiropractic care, fitness or nutrition? We would love to hear from you, and we might even turn your question into our next blog post!
Ask a Question