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The Wall Squat
I prefer to customize my patient's exercises to be as efficient and focused as possible. If I want them to strengthen their legs and I choose the squat as one of the exercises, they must first squat properly. To do this, I have them train with a "real-life" version of the squat. Instead of the Therapy Ball-Wall Squat, I will use the Box Squat or the Face The Wall Squat.
Above is the Box Squat. Here, a bench, chair or plyo-box is placed behind you. You hinge at your hips and push your butt back towards the box as you lower yourself down into the seated position. Initially, I will have patients lower to the seated position, rest and then return to standing. However, as they become stronger, I progress this exercise by having them lower themselves until they just about touch the box, and then return to stance. Taking away the rest portion of the activity makes it more challenging due to the increased control and stability that is needed. In the box squat, you must hip hinge and maintain proper knee alignment.
Do not allow the knees to cross anterior to your toes and do not allow the knees to "cave in" towards each other.
The Facing Wall Squat is another great activity that teaches proper squat technique while relying on your own body's feedback mechanism for stability rather than an external support.
Here, you stand close to the wall, facing it and lower yourself into a squat. Your goal is to avoid hitting your knees or your head on the wall. You will feel your weight shift back onto your heels and must stabilize to avoid falling backward. Because of your position, the wall will give you the proper feedback to prevent your knees from shifting anterior to your toes.
The Therapy Ball Wall Squat reminds me of the Smith Machine.
The Smith Machine is another type of external support mechanism that in my opinion, reduces the use of your joint stabilizers to perform a movement such as the Bench Press, Shoulder Press or the Squat.
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| Here, the Smith Machine controls the bar, preventing it from shifting forward or back. All you have to do is raise and lower it. Less stabilization is required than if you had to control a free weight. |
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| The Smith Machine Squat is similar to the Therapy Ball Wall Squat, as it prevents you from shifting forward or back as you raise and lower your body. Less ankle, knee, hip, and trunk stability is required than if you were to perform a free standing squat (Box Squat or Face Wall Squat) that does not provide an external support system.
In my opinion, if a person can not do a proper body weight squat, then I would not have them perform a Smith Machine Squat using resistance/weight. It is more important to perfect the squat movement prior to adding resistance to it. I choose to use help my patients learn to properly squat for their everyday needs, rather than provide a bunch of external support so that they can increase the amount of weight that they squat. If they can not squat their bodyweight properly, you should not be adding resistance to the movement. This will only lead to bad habits, worse technique and injury.
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