03/06/2026
"Heel elevation increases ankle and knee range of motion during squatting in healthy adults: a systematic review with meta analysis"
This review analyzed squatting with heels elevated to determine if using low (2.5 cm or 5 degrees) heel elevation led changes in range of motion at the ankle, knee, hip or trunk.
14 total studies were reviewed by the authors.
The main findings of note were that ankle range of motion increased significantly with high heel elevation only, and knee range of motion at depth increased significantly with low and high heel elevation.
Even more importantly, and our biggest take away, with higher elevation of the heel, the trunk and hips were able to stay more upright.
Our takeaway from this information is that for someone with a cranky low back, it may be beneficial to elevate the heels to allow for a more upright posture during squats. At least until symptpoms calm down so they can return to their normal heel elevation and motion.
If you have questions, or want someone to nerd out with you about your squat form, reach out! We love doing this.
Ghasemi, M., Emami, M., & Mohammadi Yaghoubi, U. (2026). Heel elevation increases ankle and knee range of motion during squatting in healthy adults: a systematic review with meta-analysis. Sports Biomechanics, 1–17. https://buff.ly/4eOshOM