Monday, July 20, 2009

Pilates and Low Back Pain

This is an interesting article, but unfortunately includes some misinformation about Pilates and low back pain.
http://nursing.advanceweb.com/editorial/content/editorial.aspx?cc=202549&zz=0#AnchorPostComment

Below is my full comment on the article, please submit your own and weigh in on the conversation!

I would have to disagree with the statement that Pilates does not “deal with the problem at its core.” This is an ironic choice of words as core muscles are at the root of many low back injuries and pain, and core muscle strengthening is one of the most noted benefits of the Pilates method.
The Journal of Orthopaedic & Sports Physical Therapy published the results of a study showing that:

The results of the study support the hypothesis that an exercise therapy approach based on the Pilates method and directed at neuromuscular control mechanisms was efficacious in the treatment of a group of individuals with nonspecific chronic LBP. A 4-week treatment intervention was more efficacious than usual care in reducing average pain intensity and functional disability levels, changes were maintained over a 12-month period.

(Download the article here: http://www.jospt.org/issues/articleID.1140,type.2/article_detail.asp )

When you perform Pilates exercises correctly, you stabilize your pelvis using your own core muscles, rather than an external mechanism as the author recommends, doubling the results and benefits. Your body learns how to perform that stabilization on its own so that you are able to recruit and engage the muscles responsible for pelvic-lumbar stabilization throughout all of your daily movements. A skilled instructor guides their students to find pelvic stabilization, recognize what it feels like in the body, and learn to consciously recruit the appropriate muscles. This is why it is so important to receive instruction from a certified Pilates trainer, rather than working on your own with a DVD or book.

M. Tamsin Thoren, HHP


1 comment:

  1. Low Back Pain is the pain associated with the lower back area between the ribs and above the upper legs. The lower back is the crucial link binding the upper and lower body. Most of the times low back pain is the outcome of arthritis. One can use low or medium set warming pad. Avoid bed-ridden, overweight, jerky movements, one should invest in a good seating arrangement. For more details on lower back pain, refer Low back pain exercises

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