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The Pilates method of exercise was developed by the German born Joseph Pilates in the 1920's. The concept and approach was developed primarily to prevent injury and facilitate the rehabilitation of elite dancers and athletes. Over the last twenty or thirty years the Pilates method has been modified and adapted for use in the wider community. The aims of this type of exercise and rehabilitation programme is to;
The goal is to teach individuals to recruit or use appropriate muscles and muscle groups to stabilise their spine and limbs during normal day to day activities. This allows the body to work in a correct and well supported posture while movement occurs efficiently, reducing the risk of injury or aggravation of pre-existing degenerative complaints. It is desirable to produce evenly conditioned musculature throughout the body, with an emphasis on the control of the injured or weak area. Factors which cause the aggravation or exacerbation of an injury or degenerative complaint are addressed. The principles of these exercises are then practiced during appropriate functional tasks such sitting, reaching, lifting, getting out of a chair and bending forward. The aim being to allow healing or recovery in the short term, and the maintenance of condition and the prevention of recurrence in the long term. This approach builds a coordinated, efficient strength and control of movement. Breathing and correct initiation and utilisation of abdominal muscle support is emphasized in each movement sequence so that this becomes and automatic process which is carried over into everyday activities. The Pilates method was initially designed as a series of exercises performed on the floor under the influence of gravity. As a result many of the movement patterns required were difficult, complicated or inappropriate for low to mid level rehabilitation. Therefore, largely through necessity, the Pilates equipment was developed to assist in the process of rehabilitation which has enabled the principles to be applied to the rehabilitation of a variety of spinal, joint and limb complaints.
The images shown depict the use of the "Reformer" and "Trapeze". Floor based exercises will also be utilized. When you are referred to a Pilates practitioner you will undergo an initial assessment when the therapist will ascertain your specific needs and capacity. A program will then be individualised to your needs. The first 4 to 6 sessions will usually be on a one to one basis, but this will be determined to some extent by your needs. Once you demonstrate an understanding and competence with the equipment you may then take part in group sessions or be left to perform your exercises independently. Assistance will of course be available if needed. You should plan to attend at least two or three times per week for a period of eight to twelve weeks in order to maximise the benefit obtained from this approach, by which time you should be able to notice a significant difference in your physical condition. It is then important to maintain the skills learnt and the improved fitness and tone achieved through a maintenance program. This may be undertaken in the home, a fitness centre or gymnasium. With any exercise program it is however the effort you invest in these activities that will determine your outcome and the benefit you obtain from it. If you are interested in a program of this type contact your local physiotherapist or general practitioner to inquire about the suitability of this type of program to your needs. |
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