RE: Maribeth, what is your feeling on this twist?
Hey FitnessRN,
What elevating the heels in a squat will do is allow someone with tight calves to drop lower into the squat by slackening the soleus. Since as the squat progresses, the foot moves into a greater degree of dorsiflexion, a tight soleus will stop the tibia from moving forward over the foot, which at the knee, will equate to a lesser degree of flexion. By elevating the heels, the stretch on the soleus is lessened, and the degree of knee flexion can be increased.
Plantar flexion of the ankle in a closed chain position (such as elevating the heels for squatting) also tends to either pitch the pelvis forward, causing the person to have to lean the upper torso backward or will cause the person to have to start the squat in a position of more hip flexion, pushing the buttocks back and the upper torso forward--basically a reverse of the pelvis forward-trunk back position--in order to balance.
The first scenario puts waaay more compressive force on the patellofemoral joint and more shear force on the tibiofemoral joint. The latter actually can facilitate good form, and can decrease patellofemoral compressive and tibial anterior shear forces somewhat by slackening the rectus femoris across the hip (due to starting in a more hip flexed position), reducing the pull of the quads on the tibia and the compression of the quads on the patella.
Thing is, when you elevate the heels and squat deeper than 90 degrees, you have two factors that are problematic. The greater than 90 degree flexion is where the knee is most unstable ligamentous wise AND the heels elevated position is more unstable for the ankle. Combine these two factors with the fact that there is less surface area of the foot in contact with the ground, and you have instability x 3. And, the further past 90 degrees you go, the LESS the hamstrings and gastrocs contribute, meaning there is less dynamic resistance to anterior shear forces.
The big thing to remember here is that if you choose to do the deep squats, especially if you do them via heel elevation, you HAVE to be very, very stable in your exercise. Even a slight bobble at these depths can result in damage to articular cartilage, meniscus and/or ligaments due to the slackened ligaments and decreased muscular resistance to shear forces. And regardless of the somewhat lessened compressive forces of the quads on the patella due to the heel elevation, they are still much greater as you pass the 90 degree point.
Long answer to a quick question--sorry for the book!
Maribeth