WHAT ALL SQUATTERS “KNEED” TO KNOW
Frederick C. Hatfield, Ph.D., MSS
International Sports Science Association
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Editor’s Note: Dr. Fred Hatfield isn’t called “Dr. Squat” for nothing. In 1987, after 30 years of squatting, he performed a competitive squat of 1014 pounds. By his own estimate, over the previous ten years he had exceeded 800 pounds in the squat more than 1500 times. That’s roughly 500 squat workouts averaging three such monster squats per workout. When asked why he’d do such a thing to himself, he replied, “I KNEEded to!” To this day, his knees are fine.
Squats can be bad for your knees. Period. But they’re good for everything else.
So good, in fact, that you MUST do them. I don’t care if you’re a bodybuilder, a powerlifter or a ballerina. Ya gotta do them! Question is, how? The answer is, as safely as possible without losing any of the benefits! Sorta like drugs, no? The art and science of medicine dictates that while using drugs, you must minimize the risks while maximizing the benefits. If there’s one way to take your iron pill, then, it’s in large doses! That means SQUATTING!
In sports, knee problems are nigh unto a way of life, but squatting isn’t the primary culprit. Among bodybuilders who have knee problems, however, squatting is the only culprit. In both cases, squatting properly can reduce, prevent or ameliorate many, many of the common knee problems inherent in sports. That they will make you a better bodybuilder or athlete is an unquestioned fact.
Speaking of the world of medicine and the practitioners thereof, you’ll find precious few who have any real, first-hand knowledge of squatting technique or its effects (good and bad) on the knees. One who does is three-time California powerlifting champion Dr. Sal Arria, my fellow co-founder of the International Sports Sciences Association. He’s the guy right behind me in the photo of me squatting 1014 pounds. Dr. Arria, in the ISSA’s course text, Fitness: Complete Guide for personal fitness trainers, listed many common nee problems and ways to prevent them. I’ve drawn heavily from that text in writing this article. I also drew from several other sources (see references).
KNEE ANATOMY AND ACTION
Keeping your knees healthy and asymptomatic begins with developing a functional understanding of how this unique joint is constructed (anatomy) and how it does and doesn't function (biomechanics).
The knee is a hinge-type joint, roughly equivalent to a door hinge, but with a little “twist” to lock it into full extension. Instead of a fixed axis (such as a door hinge has), however, it’s a complicated movement consisting of gliding and rotation in such a fashion that the articulating surfaces are always changing. Hence, the axis is always changing. That can lead to trouble, particularly during unweighted exercises such as leg extensions.
It’s almost a law that your quads and hammies should be of approximately equal strength in order to provide “balanced” development. Some experts claim that a ham-to-quad strength ratio of 1 to 1 reduces shear and hamstring pulls. At best, this is mere speculation. When I was a powerlifter, my hamstrings were close to twice or three times the strength of my quads. Most sprinters are much stronger in the mammie department too, because that’s what they all use! If you give attention to muscle balance, beware that speculation is rampant.
Seven different types of tissue comprise the knee -- bones, ligaments, tendons, muscles, synovial fluid (bursa), adipose tissue and articular cartilage.
Bone: The bony structures forming the knee joint are the femur, tibia, and the patella.
Ligaments: Fibrous connective tissue which connects bone to bone, providing stability and integrity to the joint. The knee’s ligaments are divided into two groups, eight interior and six external ligaments.
Muscle: We all have a clear idea as to what muscles are. Clearly, there are no muscles in the knee joint itself. The ones which act upon the knee joint are all external to the knee. They are listed below:
- The quadriceps, the muscles of the anterior (front) thigh;
- Next are the hamstrings, or the leg biceps, located on the posterior thigh;
- The other muscles of the knee all contribute to knee flexion and some to inward rotation.
Tendons: Fibrous bands that that connect the muscles listed above to their bony attachments. The knee’s four extensors form a common tendon of insertion called the quadriceps tendon, which connects to the patella, and (below it) the patellar tendon to the tibial tuberosity.
Bursa: A bursa is a pad-like sac or cavity found near areas subject to friction, i.e. joints, particularly those located between bony prominences and muscle or tendon. It is lined with synovial membrane and contains synovia. There are twelve such sacs in the knee.
Adipose Tissue: For padding.
Articular Cartilage: Cartilage is the connective tissue which provides for a smooth articulation between the bones which form the joint. Cartilage also acts as a shock absorber. The two semi-lunar shaped menisci are the knee's only two cartilages. Located on the tibial plateau, they cradle the femoral condyles, or the rounded knobs of the lower femur. Since the tibeal plateau is flat, and the femoral condyle is rounded, these two menisci (along with the bursa sacs) provide a better "fit" between these two bony structures.
THE THREE CONVENTIONAL METHODS OF SQUATTING
Despite the inherent problems with squatting, all of us have for years put up with them. We squat no matter what, because it has always been thought of as best to do so. That we've gotten by and made progress with the three conventional squatting techniques mentioned below is due in no small measure to the fact that squats are a necessary part of our training. It's what we do.
Powerlifting Squats (wide, intermediate or narrow stance): The distinguishing characteristic of this squatting technique is that
the hip angle is acute and the knee is kept close to a right angle. The knees remain over the feet. This places the load on the gluteals and hamstrings, enabling greater loads to me moved. The danger is the shear placed on the lumbar spine, so great erector spinae strength must be developed prior to attempting this technique with heavy weights.
Olympic Squats (also called "High Bar Squats" or "Bodybuilding Squats"): Olympic lifters trained this way many years ago, and bodybuilders favor it because
the brunt of the load is caried by the quads. Bodybuilders claim that squatting this way “prevents” getting overly-developed gluteals.
The hip is at a right angle and the knees are acutely flexed, placing great shear on the knees.
Athlete’s Squats: If you’re going to squat for fitness or sports, and do not have a safety squat bar, this is the safest way to go. Please refer to the sidebar accompanying this article for a detailed description of the proper technique. Bear in mind that
shear at both the knees and at the lumbar spine is still present, though far less than in the powerlifting or Olympic styles of squatting.
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