The last decade has seen a growing body of research supporting Pilates-based therapeutic exercise as a “patient-centered” rehabilitative approach which focuses on individual asymmetries in flexibility, strength and muscle recruitment patterns. Clients who rehabilitate with Pilates benefit from multi-faceted exercises that challenge them as a whole being, rather than as a specific injury.
Clients can naturally progress from traditional physical therapies (physiotherapy, athletic therapy, chiropractic care, and massage therapy) to Pilates as both methodologies similarly emphasize postural awareness, neuromuscular control and the length and strength of the entire musculoskeletal system.
With the focus now on control of muscle rather than strength, a unique approach had to be taken to meet the criteria.
With a basis of submaximal /variable resistance work in potentially unstable positions it had many of the right ingredients to satisfy stability training criteria. The exercises can encourage efficiency and submaximal muscle control by using variable (i.e. spring loaded) resistance and movement. To execute the exercises properly a stable, controlled pelvic and shoulder girdle is established with load facilitating both deep and global stability musculature.
MOVEMENT DYSFUNCTION (THE SCIENCE AND TECHNICAL WORDS)
Movement dysfunction often leads to pathology and vice versa. Low level Type 1 endurance musculature is the primary focus of stability training, and the aim is for early onset, at low loads, of both the local / deep stabilisers such as transversus abdominus and the deep multifidus and the more superficial global stabilisers such as the obliques / superficial multifidus, latissimus dorsi, etc. The difficulty in getting patients to activate stability musculature is because low percent of maximum voluntary contraction (MVC) required for stability and postural control is not as easy to “feel” as higher percentage of MVC.
Therefore the exercises must facilitate and challenge those muscles irrespective of whether the patient is consciously aware of the muscle activity or not. If the muscle is to act as a background to movement it stands to reason that it should then be trained in the background and a “movement pattern” developed. Stability training must progress from the static to the dynamic and incorporate the connection between the shoulder and pelvic girdles. Static isolated muscle activity does not guarantee carry over into the dynamic situation. Load and movement are key factors in muscle activity so “if you want a muscle to do a job it must have a job to do” and it must be appropriate.
INJURY MANAGEMENT WITH REHAB PILATES
An important issue in stability training is the effect of pathology. Pathologies are generally load sensitive as well as direction sensitive. Therefore if a pain producing pathology exists it must be determined if it has a direction preference. The neutral position required for ideal posture may in fact be provocative in the initial stages leading to pain, hence, muscle inhibition. Unloading the pathology in either flexion, extension or off centre may well protect the pathology and allow muscle activity to occur. With progression, neutral is incorporated and eventually the provocative position used to determine the “threshold of function” of the injury.
As the research and knowledge continues to grow in this area it is encouraging to know that a Rehab Pilates programme can be specifically designed to satisfy both the guidelines of the healthcare professional’s treatment protocol while meeting the needs of the client.
Rehab Pilates will help you recover from episodes of back and neck pain and it is a reliable method of prevention of a recurrence of these problems. Research has shown the need to specifically retrain your deep stabilizing muscles after an injury to reduce the likelihood of further episodes, and aid a quicker recovery. Pilates can also help people with hip or shoulder problems by improving stability in these areas, and can reduce stress and improve body image. This is commonly known as “Clinical” or ”Rehab” Pilates and is very different from the Fitness Pilates often taught in large groups.
The MELT Method® is a self-treatment technique that helps prevent pain, heal injury, and erase the negative effects of aging and active living. MELT simulates the hands-on techniques that a manual therapist uses to eliminate stress, pain, and dysfunction in patients. This unique Hands-off Bodywork™ approach is the first treatment of it’s kind that simulates the techniques – and the results – of manual therapy.
MELT is the first neurofascial technique that brings the body back to a more ideal state by directly enhancing body awareness, rehydrating connective tissue, and quieting and rebalancing the nervous system. The first time you MELT, you see and feel a difference – and over time, you can transform how your body looks and feels.
MELT is changing the way people live in their bodies. This proactive approach to maintaining a healthy, pain-free, active lifestyle is the best solution for living longer…better.
MELT incorporates a variety of direct and indirect patent-pending techniques that each fall under one of the 4 R’s of MELT: Reconnect, Rebalance, Rehydrate, and Release.
Reconnect: To create global, lasting changes in your body, you have to assess your body’s current state before and after doing any technique. This is the cornerstone of MELT: self-assess, MELT, then reassess. The Reconnect techniques quiet the nervous system to destress the body and heighten your body sense and mind-body connection. Taking a moment to self-assess your imbalances allows you to identify which areas need your attention and to sense improvements and whole-body changes.
Rebalance: These techniques focus on the diaphragm, the NeuroCore, and the autonomic nervous system. Specific MELT Rebalance techniques contact and expand the diaphragm’s three-dimensional range of movement, which is essential to preventing or reducing any type of body pain and maintaining optimal organ function.
Other techniques Rebalance the NeuroCore system, which provides whole-body balance, gut support, and spinal stability. Imbalance in this system is a common cause of back pain, gut issues, lower-belly paunch, and more. Traditional core exercises do not address – and often inhibit or impair – this neurological core system. MELT Rebalance techniques return the NeuroCore to optimal function and balance.
Rebalance techniques destress the body’s Autopilot – the aspects of your autonomic nervous system that provide stability outside of your conscious control. Reset your Autopilot to save energy rather than working inefficiently and exhausting precious internal energy resources. Go green in your own body!
Rehydrate: MELT rejuvenates connective tissue hydration and relieves trapped tension in our bodies. Deydration causes body pain, joint ache, toxicity, poor posture, wrinkles, cellulite, muscle misuse, and loads of stress on our mind and body. Ageing, exercise, and repetitive activity at work and at home all cause connective tissue dehydration. The specialized techniques of MELT stimulate the receivers in the connective tissue to keep your entire body responsive, hydrated, and ready for all life has to offer!
Release: Decompressing your neck, low back, and the joints of your spine, hands, and feet is essential to maintaining a pain-free, active lifestyle! Release the joint compression that contributes to chronic pain, inflammation, and discomfort with these powerful techniques.
Please contact Jenine for more information on rates and services available for private sessions in your home. (Prices shown do not include travel time and travel costs)