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Pilates is a system of body conditioning, which helps improve posture, strength, flexibility and core stability. It is named after its inventor, Joseph Pilates (pronounced pi-lah-tees), a physical trainer who worked in an internment camp during World War I.
Later he ran a studio in New York. As it was next to a dance studio, he assisted many dancers to overcome injuries. As a result some of the exercises he taught are very challenging, as they were designed for dancers, who required a very high level of strength and flexibility.
Exercise Rehab and Pilates Classes have been developed by our Physiotherapists to help overcome pain and movement problems and assist rehabilitation. At Free2Move in Perth , some common exercises have been modified to make them safer and more therapeutic. Other exercises have been eliminated, due to the risk of injury, which has been reported with conventional Pilates.
Recent scientific research has shown that sufferers of back pain often have a weakness in specific spinal, pelvic and abdominal muscles, known as the ‘core stabilisers’. Learning to sense and activate these muscles is a fundamental part of the Pilates technique. Often the core muscles are not being activated effectively or at the right time. The surface muscles may be over-activated in an attempt to compensate for a weak core or poor postural endurance.
Many Physiotherapists have found that retraining of the deep or ‘core’ stabilising muscles is essential in helping someone with back, neck, hip or shoulder pain return to optimal function. The carefully controlled stretching and strengthening exercises in Exercise Rehab and Pilates Classes often involve stabilising one part of the body, while moving another part. This helps you to build up the awareness, strength and endurance in your deep or ‘core’ muscles so important to good posture and comfortable efficient movement. These muscles are ‘stabilisers’ and they differ from your main ‘movers’ in a number of ways.
Activating the core muscles is not a strenuous activity for the body and yet many people find it difficult at first to differentiate these muscles. It may take a lot of concentration and practice. For some people it feels easy but then certain muscles are sore the next day from unaccustomed use. Others find it takes a few weeks or even months before they are really sure they are activating their ‘core’ muscles, while keeping the surface muscles relatively relaxed.
Your muscles tend to work in pairs to support your spine and other joints. A muscle imbalance occurs when one muscle group becomes excessively tight and it’s opposing group becomes weakened. Muscle imbalance can cause poor posture. Conversely, poor posture can result in muscle imbalance. For example lower back pain can cause muscle tightness in the lower back, resulting in a ‘sway back’ (over-arching). The opposite group (the abdominals) then cannot work as efficiently, so it becomes harder to activate and weakened. Conversely, weakened abdominal muscles following pregnancy can result in lower back tightness resulting in a ‘sway back’.
Podiatrists tell us that 70% of Australians have pronated feet (dropped arches or flat feet). This can affect the alignment and cause muscle imbalances around your ankles, knees, hips and spine. In the neck and shoulders, the muscles that pull the shoulders forwards and upwards tend to be too tight or over-active in some people. The muscles that pull the shoulders down and back tend to be too weak. Other common imbalances occur in the rotator muscles of the shoulders and hips and in the inner and outer quadriceps muscles of the knee.
Exercise Rehab helps to correct these common imbalances by strengthening the weaker groups and stretching the tight muscle groups, helping you to find neutral alignment. To find out whether or not you have any muscle imbalances, see your Exercise Rehab Physiotherapist for a detailed assessment. When you are doing your Pilates exercise programme with Free2Move, your Physiotherapist will be checking that you are in a ‘neutral alignment’, helping you to overcome muscle imbalances and to get your core muscles working.
The main benefits are improvements in strength, flexibility, concentration, breathing, balance, coordination, posture and body awareness as well as relief of many chronic aches and pains. Exercise Rehab is also helpful for those with pelvic floor muscle weakness, as most exercises incorporate the pelvic floor as part of the ‘core stability’ system.
Exercise Rehab helps conditions such as arthritis, tense or tight muscles, and lack of strength. It also addresses posture problems, scoliosis, neck or back pain, sciatica, headaches, shoulder, and hip pain. It’s safe for most people with arm, knee or foot pain and is excellent for pregnant and postnatal toning.
At Free2Move North Perth, we have a special interest in Exercise Rehab based on Pilates exercises for chronic pain and joint hypermobility. We find that the increased strength and stability really helps to reduce pain levels.
Different people progress through these stages at their own rate. The ability to learn and incorporate the new patterns of muscle use varies widely. Although some people have underlying structural problems which cannot be changed by exercise, most pain and movement problems have a functional component, which means that they respond well to changing how you move and use your muscles.
While Exercise Rehab is usually not a ‘quick fix’, some people experience pain relief as soon as they become more aware of how their posture or movement is aggravating their condition. With Free2Move Exercise Rehab sessions, we find that most people take around 6 weeks before they feel a real difference. You should not expect to experience a long term change unless you are willing to commit yourself to 6 to 12 months of regular practice.
