It is critical to understand the scientific evidence in physical therapy and rehabilitation. Many physical therapists agree with the notion that scientific evidence should be utilized to guide practice decisions.
One of the main principles in Pilates is Core Control / Centering. This refers to the development of a strong core/torso to provide a solid foundation from which the extremities move. Several studies indicate that the Transverse Abdominis and Multifidi are key muscles to stabilize the lumbar spine. However, other studies challenge these muscles as the key stabilizers of the spine. One study suggests that no single core muscle can be identified as most important for lumbar spine stability and that stabilization exercises may be most effective when they enlist the entire spinal musculature under various loading conditions. Clinically, this is also a popular theory.
Since Pilates focuses on proper alignment, as well as many other things, when used appropriately it may be integrated in the post–surgical population as well. One preliminary review suggests it may be safely integrated into post–surgical total hip and knee arthroplasty rehabilitative interventions. Also, core stabilization has been found to improve hip range of motion.
Pilates can be effective in treating multiple neurological diseases and conditions. In several neurological conditions, such as Multiple Sclerosis, Parkinson’s Disease, stroke, peripheral neuropathy, and gait ataxia, balance re–training is a key component in rehabilitation. Several studies suggest that Pilates is effective in improving balance in the older adult population.Claims have been made that Pilates can also assist in improving posture and energy level in these groups, but more research is needed to prove these claims.
Pilates can be safely used in the geriatric population. However, certain exercises may require modifications or adjustments. Not only has Pilates been found to improve both static and dynamic balance in this population, it has also been found to improve personal autonomy and quality of life. In middle–aged men and women, Pilates has been found to improve abdominal endurance, hamstring flexibility, and upper–body muscular endurance. Additionally, Pilates can improve overall body composition, muscular endurance, and flexibility in adults.
Although the research is limited the use of Pilates in the rehabilitation setting, there are still several studies suggesting the benefits of Pilates for various diagnoses and benefits. One study showed that Pilates and pelvic floor muscle training showed similar increases in pelvic floor muscle strength in healthy females. Pilates can be a safe and effective method for people with Fibromyalgia syndrome. There are studies showing the effectiveness of using Pilates in breast cancer patients. Possible benefits include increased shoulder range of motion, as well as improvement in symptoms of fatigue, functional capacity, depression, and quality of life. Pilates may even help reduce obesity. Studies showed that a four–week Pilates program actually reduced BMI percentile in healthy, young girls.
More research is needed to examine the use and benefits of Pilates for various diagnoses. However, the current literature suggests Pilates may be a great adjunct to current treatment. Moreover, it is important that practitioners undergo proper and adequate training in this exercise form in order to apply it appropriately, safely, and effectively to the variety of conditions seen in the rehabilitation setting.
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Each exercise is throughly explained in each movie segment
Lower Extremity Movements with Neutral Pelvic Alignment
Exercises with Bands
A 21-year old male has been in PT for the past 6 weeks post ACL reconstruction on the right knee.
A 70-year old female is 5 weeks post-op for a left total hip replacement (posterior THR precautions).
Patient is a 40-year old female was diagnosed with Multiple Sclerosis 5 years ago. She currently complains of mild difficulty with walking, occasional losses of balance, and generalized upper and lower extremity weakness. Her goals for PT are to improve her walking, balance, and upper body strength.
A patient is a 68-year old male who reports having a stroke 3 weeks ago. Prior to the stroke, he states he was working full-time as an electrician. He states he usually plays golf twice per week and enjoys spending time with his 3 young grandchildren. He states his goals for PT are to improve his walking, return to work, return to golf, and return to being able to play with his grandkids.
A patient is an 80-year old female who currently complains of right low back pain that radiates into her right buttock and posterior thigh. She states she had an MRI last week and her doctor diagnosed her with lumbar stenosis. Aggravating factors include prolonged walking and prolonged standing. She usually feels better with sitting and bending forward. She states she is very active and would like to return to her previous level of activity which includes walking on the track at the senior center and attending her Tai Chi class.