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Developed by Joseph Pilates .
Definition: It is a system of exercises using special
apparatus designed to improve physical strength,
flexibility and posture and to enhance mental awareness.
It is a form of exercise which concentrates on
strengthening the body with an emphasis on core
strength.
It is based on the method of ‘Contrology’
Contrology is a complete co-ordination of body, mind and
spirit. It developes the body uniformly, corrects wrong
posture, restores physical vitality, investigates the mind
and elevates the spirit.
1. Completely co-ordinate the body, mind and spirit.
2. Achieve the natural inner rhythm associated with all
subconscious activities.
3. Apply the natural laws of life to every day living
 From the three higher principles Isacowitz identified 10 movement principles that
form a foundation of BASI ( Body Arts and Science International) pilates method.
I. Awareness
II. Balance
III. Breath
IV. Concentration
V. Centre
VI. Control
VII. Efficiency
VIII. Flow
IX. Precision
X. Harmony
1. AWARENESS
 Change cannot occur without awareness.
 Awareness of posture, incorrect movements.
2. BALANCE
 Stability and Mobility.
 Necessary to carry out tasks.
3.BREATH
 Oxygenates the blood, Releases toxins, Improves circulation,
 Calms the mind and body. Increases concentration, Provides a
rhythm for movement
4.CONCENTRATION
 Bridge between awareness and movement.
 Provides more accurate movement.
 Maintaining correct alignment and stabilization during exercise.
5.CENTER
 Place in the body where ones center of gravity is located.
 In pilates CENTER means CORE also termed as Powerhouse for
movement.
6. CONTROL
 Mind control over muscles.
 Precise neuromuscular control of appropriate muscles to achieve a
particular movement.
7. EFFICIENCY
 Conservation of energy and use only the necessary muscles to achieve the
functional task.
8.FLOW.
 Involvement of whole body and mind. Every action is produced from the
previous action.
 Physiologically- The immaculate timing of muscle recruitment. (muscle
firing or muscle activation sequence)
9.PRECISION
 Exact manner in which an action is executed.
10.HARMONY
 The way in which one interprets and integrates all principles into the
practice of pilates.
 Focuses on the centre or core muscles.
 Pilates exercise emphasizes on both stability and
mobility.
 Includes both closed-kinetic-chain and open-kinetic-
chain exercises.
 Muscles works statically and dynamically (both
concentric and eccentric contractions)
 Functional exercises.
 Importance on breathing appropriately.
Adaptable for different patientpopulation.
It is a mind body form of conditioning.
1) Spring Tension
2) Mat
3) Reformers
4) Cadillac
5) Wunda chair (Combo Chair)
6) Ladder Barrel
 CVA stroke
 Parkinson Disease
 Multiple sclerosis
 GBS
 Low back pain or neck pain
 Piriformis syndrome.
 Balance impairment
 Poor flexibility
 Scoliosis
 Unstable Blood pressure
 Herniated disk
 Severe Osteoporosis
 Thrombophilia
 Spinal stenosis
 Hip or knee replacement surgery
PELVIS
1. Pelvic curl
 Primary Muscles Involved: Abdominals, hamstrings, and gluteus maximus.
 Objectives: Mobilization of the spine and pelvic region, spinal articulation,
hamstring control, pelvic lumbar stabilization, and recruitment and cocontraction
of the core muscles
2) SINGLE-LEG LIFTS
 Primary Muscles Involved: Abdominals and hip flexors
 Objectives: Lumbo-pelvic stabilization, hip joint dissociation, and abdominal and
hip flexor control
ABDOMIN
3) SUPINE SPINE TWIST
 Primary Muscles Involved: Abdominals (emphasis on obliques)
 Objectives: Spinal rotation, abdominal control with oblique emphasis, and pelvic
lumbar stabilization
4) CHEST LIFT
 Primary Muscles Involved: Abdominals
 Objectives: Abdominal strength and lumbo-pelvic stability.
 5.1) PRE-HUNDRED PREP (LEVELS 1, 2, 3)
 Primary Muscles Involved: Abdominals (emphasis on TrA)
 Objectives: Abdominal strength, trunk stabilization, and lumbo-pelvic control
 Level 1 (No Load on Lumbar Spine): Lie supine with the knees bent, feet on the mat parallel
to each other approxi-mately hip distance apart, with the arms straight at the sides just hovering off
the mat with palms down, and the pelvis in a neutral position (if tolerated andappropriate). Set the
core and then pump the arms up and down in a smallmovement, exhaling for five pumps and inhaling
for five pumps. Repeat upto 10 cycles.
 Level 2 (Partial Load on Lumbar Spine): The starting position is the same as for level 1.
Exhale to lift one leg to the tabletop position, then inhale and hold the position Pump thearms up and
down for five breath cycles, as in level 1, then switch sides.
 Level 3 (Increased Load on Lumbar Spine and Rectus Abdominis, and the
Obliques Are Active) : Starting position is the same as for level 1. Exhale to lift one leg into the
tabletop position. Inhale while holding the position. Exhale to bring the opposite leg to the tabletop
position, ensuring that the neutral position can be maintained and there is no doming of the abdomen
.If either happens, return to level 2 until the correct form can be achieved. Pump the arms up and
down for 10 breath cycles as in level 1 and 2 (or less if unable to perform 10 cyclescorrectly).
5. 2) HUNDRED PREP
 Primary Muscles Involved: Abdominals
 Objectives: Abdominal strength, trunk stabilization, and lumbo-pelvic control with
an open-chain load
5. 3) HUNDRED
 Primary Muscles Involved: Abdominals
 Objectives: Abdominal strength and lumbo-pelvic stabilization
BACK
7) BASIC BACK EXTENSION
 Primary Muscles Involved: Back extensors and abdominals
 Objectives: Strengthen back extensors, develop abdominal and scapular control,
and cocontract core muscles
8) SPHINX (PREP FOR SWAN DIVE PREP)
 Primary Muscles Involved: Back extensors, deep neck flexors, lower trapezius, and
serratus anterior
 Objectives: To retrain coactivation of the upper core (DNF, LT, and serratus
anterior) and strengthen back extensors of the cervical and thoracic region.
9) GOALPOST (PREP FOR SWAN DIVE PREP)
 Primary Muscles Involved: Back extensors, deep neck flexors,and lower trapezius.
 Objectives: Retrain the upper core muscles and strengthen the back extensors.
10) SWIMMING
 Primary Muscles Involved: Back extensors and hip extensors
 Objectives: Back extensor strength, hip extensor strength, trunk stabilization, and
cross-pattern coordination
1) BOTTOM LIFT
 Primary Muscles Involved: Abdominals, hamstrings, gluteus maximus, and back
extensors.
 Objectives: Mobilization of the spine and pelvic region, spinal articulation,
hamstring control, hip extensor strength, pelvic and lumbar stabilization, and
recruitment and co-contraction of the core muscles.
2) BOTTOM LIFT WITH EXTENSION
 Primary Muscles Involved: Abdominals, hamstrings, gluteus maximus, and back
extensors
 Objectives: Mobilization of the spine and pelvic region, spinal articulation,
hamstring strength and control, hip extensor strength, pelvic and lumbar
stabilization, and recruitment and cocontraction of the core muscles
3) SUPINE ARM EXTENSION/ADDUCTION
 Primary Muscles Involved: Latissimus dorsi
 Objectives: Strengthening of shoulder extensors and develop trunk and scapular
stabilization and scapulohumeral rhythm.
EXTENSION
ADDUCTION
 TRICEPS
 Objective: Scapular stabilization.
• PEC- MAJOR AND MINOR
• OBJECTIVE: Shoulder
adductors
• RHOMBOIDS
• Objective: shoulder
abduction
• BICEPS
• Objective: Elbow
flexion
TITLE METHOD CONCLUSION
Feasibility and Efficacy of
Mat Pilates on People with
Mild-to-Moderate Parkinson's
Disease: A Preliminary Study
Objective: Balance( static and
dynamic), ROM, QOL
The participants carried out a
Mat Pilates program twice a
week for 12 weeks. Pilate
included spine twist, half roll
back, swimming, swan and
supermen exercises 3 to 5
repetation each.
Mat Pilates is feasible and m
ay be a beneficial rehabilitati
on strategy to improve fitnes
s and quality of life in people
with mild to moderate Parkin
son’s disease.
TITLE METHOD CONCLUSION
Effects of Pilates exercise on
balance in stroke: A
systematic review
Studies that involved Pilate’s
therapeutic exercise were
included. Any other exercises
combined with Pilates were
also included, excluding
studies when the modalities
are combined. RCT AND
Clinical trails were included.
Pilates exercise showed
significant changes in the
studies taken into account.
TITLE METHOD CONCLUSION
Effects of 8 weeks of mat-
based Pilates exercise on gait
in chronic stroke patients
8-week program of Pilates
exercise on gait in chronic
hemiplegia patient
3-D motion analysis with 8
infrared cameras was
performed
An 8-week program of Pilates
exercise had a positive
influence on improving the
gait ability of poststroke
patients, and the
intervention could be applied
to poststroke patients with
various levels of physical
disability by adjusting the
intensity of training
TITLE METHOD CONCLUSION
Effect of Eight-Week Selected
Exercises on Strength, Range
of Motion (RoM) and Quality
of Life (QoL) in Patients with
GBS
Quasi-experimental research
with single group pretest-
posttest design. Four cases of
patients with Guillen-Barré
syndrome (girls and boys
aged 6 to 18) were
purposefully selected and
assigned to one group as the
sample of the study. Before
and after eight-week selected
exercises (exercises with
theraband and physioball),
the strength, RoM, and QoL
were measured using manual
dynamometer, manual
goniometer.
This study showed that
selected exercises (exercises
with theraband and
physioball), have led to
significant improvement in
strength, RoM and QoL in
children suffering Guillen-
Barré Syndrome, so it can be
recommended for patients
with Guillen-Barré
Syndrome.
TITLE METHOD CONCLUSION
Pilates exercise improves the
clinical and immunological
profiles of patients with
human T-cell lymphotropic
virus 1 associated
myelopathy: A pilot study
Eight patients with ages
ranging from 39 to 70 years
old (2 males and 6 females), 2
wheelchair users and 6 with
compromised gait, were
evaluated. The patients were
submitted to 20 Pilates
sessions for 10 weeks.
OBJECTIVE: Pain levels ,
spasticity, motor strength,
balance, mobility, functional
capacity, quality of life
Favouring positive results in :
the decrease in pain,
improvements in the quality
of life, trunk balance in
wheelchair users, mobility
and static and dynamic
balance of patients with
impaired gait.
TITLE METHOD CONCLUSION
The Effect of a Selective
Pilates Program on
Functional Balance and
Falling Risk in Patients with
Parkinson’s Disease
EG- Pilates
CG- walking program
10 minutes of warm-up
exercises, continued with 45
minutes of taking 10 selected
Pilates exercise (standing
side reach, bow and arrow,
one leg stretch, oblique curl
up, knee fold scissors, knee
opening, shoulder bridge,
diamond press, prone leg
pull, torpedo) with the
purpose of increasing the
strength of body core muscles
and lower limb joints’ range
of motion and finished with 5
minutes
Given that Pilate’s exercises
involve both musculoskeletal
system and nervous system,
can be an effective
intervention to improving
balance and reducing falling
risk, especially in people with
postural control disabilities.
Pilates for Rehabilitation

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Pilates for Rehabilitation

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  • 3. Developed by Joseph Pilates . Definition: It is a system of exercises using special apparatus designed to improve physical strength, flexibility and posture and to enhance mental awareness. It is a form of exercise which concentrates on strengthening the body with an emphasis on core strength.
  • 4. It is based on the method of ‘Contrology’ Contrology is a complete co-ordination of body, mind and spirit. It developes the body uniformly, corrects wrong posture, restores physical vitality, investigates the mind and elevates the spirit.
  • 5. 1. Completely co-ordinate the body, mind and spirit. 2. Achieve the natural inner rhythm associated with all subconscious activities. 3. Apply the natural laws of life to every day living
  • 6.  From the three higher principles Isacowitz identified 10 movement principles that form a foundation of BASI ( Body Arts and Science International) pilates method. I. Awareness II. Balance III. Breath IV. Concentration V. Centre VI. Control VII. Efficiency VIII. Flow IX. Precision X. Harmony
  • 7. 1. AWARENESS  Change cannot occur without awareness.  Awareness of posture, incorrect movements. 2. BALANCE  Stability and Mobility.  Necessary to carry out tasks. 3.BREATH  Oxygenates the blood, Releases toxins, Improves circulation,  Calms the mind and body. Increases concentration, Provides a rhythm for movement
  • 8. 4.CONCENTRATION  Bridge between awareness and movement.  Provides more accurate movement.  Maintaining correct alignment and stabilization during exercise. 5.CENTER  Place in the body where ones center of gravity is located.  In pilates CENTER means CORE also termed as Powerhouse for movement. 6. CONTROL  Mind control over muscles.  Precise neuromuscular control of appropriate muscles to achieve a particular movement.
  • 9. 7. EFFICIENCY  Conservation of energy and use only the necessary muscles to achieve the functional task. 8.FLOW.  Involvement of whole body and mind. Every action is produced from the previous action.  Physiologically- The immaculate timing of muscle recruitment. (muscle firing or muscle activation sequence) 9.PRECISION  Exact manner in which an action is executed. 10.HARMONY  The way in which one interprets and integrates all principles into the practice of pilates.
  • 10.  Focuses on the centre or core muscles.  Pilates exercise emphasizes on both stability and mobility.  Includes both closed-kinetic-chain and open-kinetic- chain exercises.  Muscles works statically and dynamically (both concentric and eccentric contractions)  Functional exercises.
  • 11.  Importance on breathing appropriately. Adaptable for different patientpopulation. It is a mind body form of conditioning.
  • 12. 1) Spring Tension 2) Mat 3) Reformers 4) Cadillac 5) Wunda chair (Combo Chair) 6) Ladder Barrel
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  • 17.  CVA stroke  Parkinson Disease  Multiple sclerosis  GBS  Low back pain or neck pain  Piriformis syndrome.  Balance impairment  Poor flexibility  Scoliosis
  • 18.  Unstable Blood pressure  Herniated disk  Severe Osteoporosis  Thrombophilia  Spinal stenosis  Hip or knee replacement surgery
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  • 20. PELVIS 1. Pelvic curl  Primary Muscles Involved: Abdominals, hamstrings, and gluteus maximus.  Objectives: Mobilization of the spine and pelvic region, spinal articulation, hamstring control, pelvic lumbar stabilization, and recruitment and cocontraction of the core muscles
  • 21. 2) SINGLE-LEG LIFTS  Primary Muscles Involved: Abdominals and hip flexors  Objectives: Lumbo-pelvic stabilization, hip joint dissociation, and abdominal and hip flexor control
  • 22. ABDOMIN 3) SUPINE SPINE TWIST  Primary Muscles Involved: Abdominals (emphasis on obliques)  Objectives: Spinal rotation, abdominal control with oblique emphasis, and pelvic lumbar stabilization
  • 23. 4) CHEST LIFT  Primary Muscles Involved: Abdominals  Objectives: Abdominal strength and lumbo-pelvic stability.
  • 24.  5.1) PRE-HUNDRED PREP (LEVELS 1, 2, 3)  Primary Muscles Involved: Abdominals (emphasis on TrA)  Objectives: Abdominal strength, trunk stabilization, and lumbo-pelvic control  Level 1 (No Load on Lumbar Spine): Lie supine with the knees bent, feet on the mat parallel to each other approxi-mately hip distance apart, with the arms straight at the sides just hovering off the mat with palms down, and the pelvis in a neutral position (if tolerated andappropriate). Set the core and then pump the arms up and down in a smallmovement, exhaling for five pumps and inhaling for five pumps. Repeat upto 10 cycles.  Level 2 (Partial Load on Lumbar Spine): The starting position is the same as for level 1. Exhale to lift one leg to the tabletop position, then inhale and hold the position Pump thearms up and down for five breath cycles, as in level 1, then switch sides.  Level 3 (Increased Load on Lumbar Spine and Rectus Abdominis, and the Obliques Are Active) : Starting position is the same as for level 1. Exhale to lift one leg into the tabletop position. Inhale while holding the position. Exhale to bring the opposite leg to the tabletop position, ensuring that the neutral position can be maintained and there is no doming of the abdomen .If either happens, return to level 2 until the correct form can be achieved. Pump the arms up and down for 10 breath cycles as in level 1 and 2 (or less if unable to perform 10 cyclescorrectly).
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  • 26. 5. 2) HUNDRED PREP  Primary Muscles Involved: Abdominals  Objectives: Abdominal strength, trunk stabilization, and lumbo-pelvic control with an open-chain load
  • 27. 5. 3) HUNDRED  Primary Muscles Involved: Abdominals  Objectives: Abdominal strength and lumbo-pelvic stabilization
  • 28. BACK 7) BASIC BACK EXTENSION  Primary Muscles Involved: Back extensors and abdominals  Objectives: Strengthen back extensors, develop abdominal and scapular control, and cocontract core muscles
  • 29. 8) SPHINX (PREP FOR SWAN DIVE PREP)  Primary Muscles Involved: Back extensors, deep neck flexors, lower trapezius, and serratus anterior  Objectives: To retrain coactivation of the upper core (DNF, LT, and serratus anterior) and strengthen back extensors of the cervical and thoracic region.
  • 30. 9) GOALPOST (PREP FOR SWAN DIVE PREP)  Primary Muscles Involved: Back extensors, deep neck flexors,and lower trapezius.  Objectives: Retrain the upper core muscles and strengthen the back extensors.
  • 31. 10) SWIMMING  Primary Muscles Involved: Back extensors and hip extensors  Objectives: Back extensor strength, hip extensor strength, trunk stabilization, and cross-pattern coordination
  • 32. 1) BOTTOM LIFT  Primary Muscles Involved: Abdominals, hamstrings, gluteus maximus, and back extensors.  Objectives: Mobilization of the spine and pelvic region, spinal articulation, hamstring control, hip extensor strength, pelvic and lumbar stabilization, and recruitment and co-contraction of the core muscles.
  • 33. 2) BOTTOM LIFT WITH EXTENSION  Primary Muscles Involved: Abdominals, hamstrings, gluteus maximus, and back extensors  Objectives: Mobilization of the spine and pelvic region, spinal articulation, hamstring strength and control, hip extensor strength, pelvic and lumbar stabilization, and recruitment and cocontraction of the core muscles
  • 34. 3) SUPINE ARM EXTENSION/ADDUCTION  Primary Muscles Involved: Latissimus dorsi  Objectives: Strengthening of shoulder extensors and develop trunk and scapular stabilization and scapulohumeral rhythm. EXTENSION ADDUCTION
  • 35.  TRICEPS  Objective: Scapular stabilization. • PEC- MAJOR AND MINOR • OBJECTIVE: Shoulder adductors
  • 36. • RHOMBOIDS • Objective: shoulder abduction • BICEPS • Objective: Elbow flexion
  • 37. TITLE METHOD CONCLUSION Feasibility and Efficacy of Mat Pilates on People with Mild-to-Moderate Parkinson's Disease: A Preliminary Study Objective: Balance( static and dynamic), ROM, QOL The participants carried out a Mat Pilates program twice a week for 12 weeks. Pilate included spine twist, half roll back, swimming, swan and supermen exercises 3 to 5 repetation each. Mat Pilates is feasible and m ay be a beneficial rehabilitati on strategy to improve fitnes s and quality of life in people with mild to moderate Parkin son’s disease.
  • 38. TITLE METHOD CONCLUSION Effects of Pilates exercise on balance in stroke: A systematic review Studies that involved Pilate’s therapeutic exercise were included. Any other exercises combined with Pilates were also included, excluding studies when the modalities are combined. RCT AND Clinical trails were included. Pilates exercise showed significant changes in the studies taken into account.
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  • 40. TITLE METHOD CONCLUSION Effects of 8 weeks of mat- based Pilates exercise on gait in chronic stroke patients 8-week program of Pilates exercise on gait in chronic hemiplegia patient 3-D motion analysis with 8 infrared cameras was performed An 8-week program of Pilates exercise had a positive influence on improving the gait ability of poststroke patients, and the intervention could be applied to poststroke patients with various levels of physical disability by adjusting the intensity of training
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  • 42. TITLE METHOD CONCLUSION Effect of Eight-Week Selected Exercises on Strength, Range of Motion (RoM) and Quality of Life (QoL) in Patients with GBS Quasi-experimental research with single group pretest- posttest design. Four cases of patients with Guillen-Barré syndrome (girls and boys aged 6 to 18) were purposefully selected and assigned to one group as the sample of the study. Before and after eight-week selected exercises (exercises with theraband and physioball), the strength, RoM, and QoL were measured using manual dynamometer, manual goniometer. This study showed that selected exercises (exercises with theraband and physioball), have led to significant improvement in strength, RoM and QoL in children suffering Guillen- Barré Syndrome, so it can be recommended for patients with Guillen-Barré Syndrome.
  • 43. TITLE METHOD CONCLUSION Pilates exercise improves the clinical and immunological profiles of patients with human T-cell lymphotropic virus 1 associated myelopathy: A pilot study Eight patients with ages ranging from 39 to 70 years old (2 males and 6 females), 2 wheelchair users and 6 with compromised gait, were evaluated. The patients were submitted to 20 Pilates sessions for 10 weeks. OBJECTIVE: Pain levels , spasticity, motor strength, balance, mobility, functional capacity, quality of life Favouring positive results in : the decrease in pain, improvements in the quality of life, trunk balance in wheelchair users, mobility and static and dynamic balance of patients with impaired gait.
  • 44. TITLE METHOD CONCLUSION The Effect of a Selective Pilates Program on Functional Balance and Falling Risk in Patients with Parkinson’s Disease EG- Pilates CG- walking program 10 minutes of warm-up exercises, continued with 45 minutes of taking 10 selected Pilates exercise (standing side reach, bow and arrow, one leg stretch, oblique curl up, knee fold scissors, knee opening, shoulder bridge, diamond press, prone leg pull, torpedo) with the purpose of increasing the strength of body core muscles and lower limb joints’ range of motion and finished with 5 minutes Given that Pilate’s exercises involve both musculoskeletal system and nervous system, can be an effective intervention to improving balance and reducing falling risk, especially in people with postural control disabilities.