The Biomechanical Fallacy of Maximal Abduction: Why "Knees Out" Induces Lateral Compartment Pathology and Reduces Squat Depth

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Main Authors: Mehta, Neeraj, Jain, Karun, March, Santa, M, Pankaj
Format: Recurso digital
Published: Zenodo 2025
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author Mehta, Neeraj
Jain, Karun
March, Santa
M, Pankaj
author_facet Mehta, Neeraj
Jain, Karun
March, Santa
M, Pankaj
contents <p dir="ltr">For over a decade, the cue "knees out" (maximal hip abduction and external rotation) has been the dominant corrective strategy to prevent dynamic knee valgus. However, emerging data suggests this cue has resulted in an industry-wide overcorrection. From 2023 to 2025, MMSx Authority analyzed 870 subjects using the MMSx-SCAN™ protocol. The data indicates that forced excessive abduction creates pathological varus torque, lateral patellofemoral compression, and a loss of foot stability. This position paper presents evidence that while preventing valgus is critical, the "knees out" strategy reduces squat depth by an average of 6.4 cm and increases joint reaction forces in 87% of lifters. We introduce the Biomechanical Power Integration Technique (BPIT) and the "5-Line Principle" as the new Gold Standard for neutral tracking, demonstrating a restoration of depth and reduction in pain markers across the study cohort.</p> <p><strong> </strong></p> <p dir="ltr">Keywords: Dynamic Knee Valgus, Pathological Varus, Patellofemoral Pain, Squat Biomechanics, BPIT Principle, MMSx-SCAN.</p> <p> </p>
format Recurso digital
id zenodo_https___doi_org_10_5281_zenodo_18063977
institution Zenodo
language
publishDate 2025
publisher Zenodo
record_format zenodo
spellingShingle The Biomechanical Fallacy of Maximal Abduction: Why "Knees Out" Induces Lateral Compartment Pathology and Reduces Squat Depth
Mehta, Neeraj
Jain, Karun
March, Santa
M, Pankaj
<p dir="ltr">For over a decade, the cue "knees out" (maximal hip abduction and external rotation) has been the dominant corrective strategy to prevent dynamic knee valgus. However, emerging data suggests this cue has resulted in an industry-wide overcorrection. From 2023 to 2025, MMSx Authority analyzed 870 subjects using the MMSx-SCAN™ protocol. The data indicates that forced excessive abduction creates pathological varus torque, lateral patellofemoral compression, and a loss of foot stability. This position paper presents evidence that while preventing valgus is critical, the "knees out" strategy reduces squat depth by an average of 6.4 cm and increases joint reaction forces in 87% of lifters. We introduce the Biomechanical Power Integration Technique (BPIT) and the "5-Line Principle" as the new Gold Standard for neutral tracking, demonstrating a restoration of depth and reduction in pain markers across the study cohort.</p> <p><strong> </strong></p> <p dir="ltr">Keywords: Dynamic Knee Valgus, Pathological Varus, Patellofemoral Pain, Squat Biomechanics, BPIT Principle, MMSx-SCAN.</p> <p> </p>
title The Biomechanical Fallacy of Maximal Abduction: Why "Knees Out" Induces Lateral Compartment Pathology and Reduces Squat Depth
url https://doi.org/10.5281/zenodo.18063977