A Pilates Primer - The Combo Millennium Edition - Josepfh Pilates
Jessica Miller. List the benefits of Pilates List the 6 principles of Pilates List 3 Pilates...
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Transcript of Jessica Miller. List the benefits of Pilates List the 6 principles of Pilates List 3 Pilates...
Objectives
• List the benefits of Pilates
• List the 6 principles of Pilates
• List 3 Pilates exercises that can be performed when rehabilitating a TKA
• List 3 Pilates exercises that can be performed when rehabilitating a THA
• List 3 Pilates exercises that can be performed when rehabilitating LBP
What is Pilates?
• Low-impact, complete body workout
• Develops body awareness
• Strengthens core muscles
• Improves stability and support in the body.
History
• Joseph Pilates
• Germany 1880
• Sickly child
• Skilled gymnast, skier, boxer and wrestler
• WWI he taught Mind and Body = Contrology
• U.S. in 1926, New York Ballet
• Pilates (1967)
• Became popular with Hollywood
Breathing
• Diaphragmatic
• Improve efficiency of lung function and blood oxygenation
• Increase mental focus
• Improve ability to relax
• Increase overall ribcage mobility
• Encourage efficient exhalation
• Assist posture, musculoskeletal function and movement
patterns
Concentration
• All moves should be done as conscious acts
• Conducive environment
• Calming mood
• Soothing background music
• Don’t let the mind wander, keep focused on the
movement
Centering
• Abdominals should contract before initiating any movement
• Exercises centered on “Powerhouse”
• Use proper alignment and form
Control
• Mind and body control
• Slow and controlled movements
• Constant speed
• No jerky or meaningless movements
• Several muscle groups engaged
Precision
• Body Awareness
• Appropriate placement of limbs
• Correct alignment
• Execute each exercise as best you can
• “Honor every movement”
Fluidity of Movement
• Continuous motion
• Smooth and slow movement
• No jarring repetitions
• Energy flows through body evenly
• No beginning or end
• Body constantly in motion during each
exercise/transition
Pilates and Rehabilitation• Start integrating this principles into your
interventions
• Encourage patients to implement these with their HEP
• "The principles of Pilates are awesome for rehabilitation, but if they aren't used in conjunction with proper therapy techniques it could aggravate the injury.”
• Benefits of Pilates
Benefits of Pilates
• Core strength and good posture
• Balance and Coordination
• Mobility and learning to move efficiently
• Joint flexibility and long lean muscles
• Create an evenly conditioned body
• Gentle but challenging as well as adaptable
• Refreshing mind and body workout
Pilates Rehab for TKA and THA• More THA and TKAs are being performed
• Shorter hospital stay and quicker recovery
• Less invasive surgical techniques allow rapid rehabilitation
• Pre-op and rapid post-op rehab may improve patient’s balance and coordination as well as gait adaptations
• Proposed advantages of utilizing Pilates:• Maximizing pre-op function• Develop a pathway for return to outpatient exercise• Promote whole body approach to post-op rehab
Pilates for Rehab Purpose
• 1. Introduce Pilates into orthopedic community as a safe way to restore function
• 2. Describe an improved program suited to all levels of skill that can be continued as a long term maintenance program
• 3. Review a series of patients having completed the rehab programs at 1 year follow-up
• 4. Pilates can be a viable option for rehabilitation
Pilates Field Observation Facts38 Patients (30 Women, 8 Men)
THA• 22 Patients, average
age 46 years• Pre-Operative
Diagnoses:• 16 Osteoarthritis• 4 Osteonecrosis of
femoral head• 1 Hip Dysplasia• 1 Lupus Erythematous
TKA• 17 Patients, average
age 55 years• Preoperative
Diagnoses• 14 Osteoarthritis• 3 Inflammatory Arthritis
Exercise RegimenPre-Operative
Regimen
• Adapted to meet pt needs
• Pre-op exercise 3-4x/week for 1-2 hours
• Exercises recommended: Week 2-6 in Tables
Post-Operative Regimen
• Early post-op exercises should be modified and begin 2 weeks after hospital D/C
• 3-4x/week for a minimum of 1 hour
• Progression can occur according to pain levels, quality of movement and as the MD permits
• Pilates can be an enjoyable approach that can be molded into a maintenance program
Pilates Field Observation Results
• 1 year follow-up by charts and phone calls
• 25 Extremely Satisfied w/ outcome
• 13 Satisfied w/ outcome
• 73% of women continued after rehab• Advantages:• Pre-op exercises to improve function• Implement exercises into HEP• Adaptability of exercises for joint precautions and
restrictions
Chronic Low Back Pain
• 70% of adults suffer from LBP at some point
• 90% of LBP cases seem to be non-specific
• 15% of people develop LBP and have persistent pain one year after initial episode
• Exercise therapy is one of the most common recommended treatments for chronic LBP
Clinical Pilates
• Theory based exercise regimen founded on rationale of improving segmental stability and functional movement
• Adapted from traditional Pilates by physiotherapists
• Described as an exercise based on the Pilates Method adapted for rehabilitation purposes
• Treatment for chronic LBP using Clinical Pilates have shown a reduction in pain and improvement in function compared to no tx, but no significant difference compared to other forms
Pilates and LBP Pilot Study• 15 Participants
• Skilled Clinical Pilates Exercise Program • Spring resistance used with Reformer• Strength, Endurance and Stability Exercises• 1 hour 2x/week for 6 weeks
• Home Exercise Program• Floor Exercises• 30 minutes 3x/week for 6 weeks• New HEP for 26 weeks after skilled intervention
LBP Exercises
• Pelvic Tilt
• Bridge with Pelvic Tilt
• Chest Lift
• Swan Prep
• Child’s Pose
• Kneeling Arm and Leg Reach
• Cat/Cow
• Spine Stretch
• The Saw
LBP Pilot Study Outcome• Statistically significant improvement in all measures
from the start of the intervention to the 6 weeks
• No significant differences from 6 weeks to 26 week F/U, note pt adherence had gone down
• Findings indicate improved function and decreased pain levels maintained for 26 weeks
• Clinical Pilates can be equally effective as other stabilization exercises
References:• Levine B, Kaplanek B, Jaffe W. Pilates training for use in rehabilitation after
total hip and knee arthroplasty: a preliminary report. Clinical Orthopaedics & Related Research [serial online]. June 2009;467(6):1468-1475. Available from: CINAHL with Full Text, Ipswich, MA. Accessed November 8, 2012.
• Swann J. The power of Pilates. Nursing & Residential Care [serial online]. October 2009;11(10):520-523. Available from: CINAHL with Full Text, Ipswich, MA. Accessed November 8, 2012.
• Taylor L, C., Dean S. Can clinical pilates decrease pain and improve function in people complaining of non-specific chronic low back pain? A pilot study. New Zealand Journal Of Physiotherapy [serial online]. March 2011;39(1):30-38. Available from: CINAHL with Full Text, Ipswich, MA. Accessed November 8, 2012.
• Bodylines Pilates, Orchard Hills Athletic Club. The Six Principles of Pilates. Bodylines Pilates. Available at http://www.bodylinespilates.com/principles.html. Accessed 14 Nov 2012
• Pilates Reformer Overview. Pilates Overview. Pilates Reformer. Oct 24 2012. Available at http://pilatesreformer.com/overview/. Accessed 15 Nov 2012
• http://www.youtube.com/watch?v=Fi72rEFT0zc