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CLINICAL PILATES

Pilates is a method of exercise and movement re-education based on the work and teachings of Josef Pilates in the early 20th century (see Wikipedia entry for Pilates). Clinical Pilates is a further modification of this method adapted for therapeutic use by physiotherapists to form a specific exercise modality (Wajswelner et al, 2012). The term Clinical Pilates was first coined by Australian physiotherapist Craig Phillips in the late 1980’s to describe the specific application of traditional Pilates exercises within a clinical physiotherapy setting. Spinal stability research was linked to the work of Joseph Pilates to form Clinical Pilates as a movement-based classification system (Tulloch et al 2012). There is a growing number of reports on the benefits of Pilates-based exercises for low back pain. Concurrently, an increasing number of healthcare practitioners are using the Pilates-based approach for rehabilitation (Yu et al, 2015).

WHAT DIFFERENTIATES CLINICAL PILATES FROM TRADITIONAL PILATES?

Traditional Pilates group classes are for uninjured people wanting to undertake exercise to keep fit and improve general function e.g. flexibility, strength, and muscle tone. Exercises are homogenous and therefore not individually prescribed to individuals based on clinical examination.

Clinical Pilates is a treatment intervention used by physiotherapists to manage injuries and musculoskeletal conditions based on a “movement-based classification system” (Tulloch et al 2012). Specific exercises are individually prescribed by a health care practitioner based on a patient’s clinical presentation such as direction of movement that aggravates or eases symptoms, injury history, findings on examination, and response to clinical testing.

References

Tulloch E, Phillips C, Soles G,Abbott H (2012) DMA Clinical Pilates Directional Bias Assessment: Reliability and Predictive Validity. J Orthop Sports Phys Ther :42(8): 676-687

Wajswelner, H, Metcalf B, & Bennell K. (2012) Clinical Pilates versus General Exercise for Chronic Low Back Pain: A Randomized Trial. Med. Sci. Sports Exerc., Vol. 44, No. 7, pp. 1197–1205,

Yu K, Hendricks P, Tulloch E. (2015) Interrater Reliability of a Pilates Movement-Based Classification System University of Otago JBMT 19, 160-176