Pilates Flashcards
Define pilates
A series of nonimpact exercises designed by Joseph Pilates to develop strength, flexibility, balance, and inner awareness
Joesph Hubertus
Creator of pilates
Childhood illness
Pilates book for HEP
Joesph wrote the book Return to Life so that he could spread his ideas and exercises at low cost
Has instructions for 34 exervises with emphasis on breath and motor control
70% are contraindicated for OP, disc pathology, and sciatica though
Proliferation of pilates
1992 - name pilates was copyrighted
2000 - pilates ruled to be generic name
Sales increased a lot 1997-2002
Goals of pilates
To stabilize the powerhouse by isometric, concentric, eccentric strengthening of abdominal, lower spine and PFM
To train the local spinal mm, incorporating breathing patterns - while inhibiting global mm
Goals of pilates - powerhouse =
Core mm strengthening
Lower spine, abdominals, scapular stabilizers, hips
Principles of pilates for rehab
Breathing - proper COSTAL and diaph breathing
Alignment
Core control - rib cage over pelvis
Motor control - precision and fluidity of mvmnts
Program design
Basic principles first Spinal alignment Movement patterns (isolated - hip dis, shld dis, hip and shld dis) Balance and proprioception Positions
Benefits of pilates
Strength
Core stabilization
Flexibility
Spinal mobility
Improvement in posture - addressing muscle imbalances when working on alignment
Body awareness - this is big - motor coordination and awareness
Getting some fascial stretching - nerve gliding too
Mental focus and clarity of mind
Empower the pt
Common diagnoses treated
Chronic neck and back pain Total knee/hip Shoulder impinge/tendonitis Hip bursitis Ankle instability MS PD Fibro Scoliosis Pediatrics Preg and post partum
Evidence for pilates
Consistent with principles of Kendall and Sarhmann
Systematic reviews shoe
Pilates superior to minimal intervention for pain relief
When compared to other exercises for pain relief or disability, did not have sig difference
Conclusion - low quality studies to compare differences with heterogenous groups
Pilates mat vs. equipment
Equipment based pilates was better nly in 6 month follow up of kinesieophobia and pt specific disability scale
Clinical predicition rule for LBP to benefit from pilates
Were similar to our usual CPR Trunk flex 70 or less S/S 6 months or less No leg symptoms in last week BMI of 25 or greater Hip rot ROM 25 or greater
3/5 - probability of success with pilates increased from 54 to 93%
Pilates for children - physical activity guidelines for children
Is good
60 minutes of daily exercise with moderate to vigorous intensity
2 times a week of strengthening
Rehab pitfalls for pilates
75% of all traditional pilates mat exercises are done in spinal flexion
Limited amount of leg strengthening
Classical ex rx is the same number of reps and springs for all exercises
Limited standing exercises
Benefits of pilates (table comparison to limitations)
Correction of faulty mvmnt
Core control facilitates inhibition of global mm used for substitutions
Breathing facilitates mvmnt
Costal breathing enhances core control, thoracic/rib mobility and improves posture
Spinal mob in all directions
Dec dependence on healthcare and more control for pt
Differences in pilates vs. yoga - Pilates
Small mvmnts progressing to larger mvmnts.
Costal breathing
Focus on forced exhalation
Limited standing exercises in mat pilates
Differences in pilates vs. yoga - yoga
Postures held at end range
Diaphrag breathing
Breath with restriction of airflow in and out to strengthen diaphragm
Includes more standing, balance, and leg strengthening
Pilates as wellness - wellness programming
Cash based programs Mat or equipment Individual sessions Group sessions - general strengthening - balance and coord for fall prevention - youth fitness - sport specific classes - OP
Pilates as wellness - benefits of pilates program for clinic
Cash based program
Increased referrals
Community programs - service to community
Pt engagement with your clinic and then they have continued engagement with your clinic - you become their therapist for life (the only one they think of referring friends/family to)
Can also help with using your flex space - so using your equipment and space for other things
Pilates as wellness - special considerations (what pt populations)
OP Herniated disc Spondy Total hip.knee Pregnancy Fibro Neuro conditions (vertigo, MS, PD)
Clinical take home message
Pilates ex may be an effective intervention for chronic LBP when provided by a pilates certified PT
Inc literature on various pop from children, chronic conditions, ortho, neuro, geriatric - More objective studies needed but HRQOL reports show no difference
Good exercise program for health individuals to improve flexibility, dynamic balance, and muscle endurance
Local muscles
Control of stiffness and intervertebral relationship of spinal segments and posture of lumbar spine
Essential for stability, but dont control spinal segment orientation
Originate on vertebrae and attach on hip or shoulder
