Jessica Miller 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 ID: 499542
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Slide1
Pilates
Jessica MillerSlide2
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 LBPSlide3
What is Pilates?
Low-impact, complete body workout
Develops
body
awareness
Strengthens
core
muscles
Improves
stability and
support in
the body.Slide4
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 HollywoodSlide5
6 Pilates Principles
Breathing
Concentration
Centering
Control
Precision
Fluidity of MovementSlide6
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 patternsSlide7
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 movementSlide8
Centering
Abdominals should contract before initiating any movement
Exercises centered on “Powerhouse”
Use proper alignment and formSlide9
Control
Mind and body control
Slow and controlled movements
Constant speed
No jerky or meaningless movements
Several muscle groups engaged Slide10
Precision
Body Awareness
Appropriate placement of limbs
Correct alignment
Execute each exercise as best you can
“Honor every movement”Slide11
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/transitionSlide12
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 PilatesSlide13
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
workoutSlide14
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 rehabSlide15
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 rehabilitationSlide16
Pilates Field Observation Facts
38
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 ArthritisSlide17
Exercise Regimen
Pre-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 programSlide18
Pilates Rehab Protocol for TKASlide19
Pilates Rehab Protocol for THASlide20
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 restrictionsSlide21
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 LBPSlide22
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
C
linical Pilates have shown a reduction in pain and improvement in function compared to no tx, but no significant difference compared to other formsSlide23
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 interventionSlide24
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 SawSlide25
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 exercisesSlide26
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