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Pilates for Rehabilitation in a Group Class Setting. Leigh A. Roberts, DPT, OCS L A R Physical Therapy Ellicott City, MD www.LarPT.com. OBJECTIVES. Pilates History Principles Review of Research Pilates Applications to Specific Patient Population Benefits of a Group Setting

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pilates for rehabilitation in a group class setting

Pilates for Rehabilitation in a Group Class Setting

Leigh A. Roberts, DPT, OCS

L A R Physical Therapy

Ellicott City, MD

www.LarPT.com

objectives
OBJECTIVES
  • Pilates
    • History
    • Principles
  • Review of Research
  • Pilates Applications to Specific Patient Population
  • Benefits of a Group Setting
  • Show exercise examples
history
HISTORY
  • Joseph Pilates (1880 – 1967)
  • Childhood - sickly
  • Adolescence - studied many types of fitness
  • Adulthood – Nurse, Posed for anatomical charts
  • World War I – developed assisted exercise
  • 1920’s – moved to United States
  • Today - Pilates no longer Trademarked
principles
Authentic Pilates

Breathing

Balanced Muscle Development

Concentration

Control

Centering

Precision

Rhythm

Polestar Pilates

Breathing

Core Control

Spine Elongation

Spine Articulation

Shoulder Girdle Organization

Lower Extremity Alignment

PRINCIPLES
review of stroke research
REVIEW OF STROKE RESEARCH

Constraint Induced Therapy (Forced-Use):

  • Neural plasticity and practice allows gains in function to occur long after spontaneous recovery

Liepert J, Miltner WHR, Bauder H, Sommer M, Dettmers C, Taub E, Weiller C. Motor cortex plasticity during constraint induced movement therapy in stroke patients. Neurosci Lett. 1998;250:5-8.

BACTRAC (Bilateral Arm Training with Rhythmic Auditory Cueing):

  • Training involved and uninvolved sides simultaneously

Whitall J, Waller SM, Silver KHC, Macko RF. Repetitive bilateral arm training with rhthmic auditory cueing improves motor function in chronic hemiparetic stroke. Stroke. 200;31:2390-2395.

Pilates Class for Stroke Survivors Pilot Study:

  • In 2004, following eight Pilates classes, five stroke survivors: Increased range of motion in shoulder flexion and hip extension, Increased strength in shoulders and hips, Improved balance
review of ms research
REVIEW OF MS RESEARCH

Multiple Sclerosis Longitudinal Study:

  • 611 subjects over 5-year period
  • Conclusions: Positive impact of exercise on long-term progression of functional limitation and quality of life

Stuifbergen AK, Blozis SA, Harrison TC, Becker HA. Exercise, functional limitations, and quality of life: a longitudinal study of persons with multiple sclerosis. Arch Phys Med & Rehabil 2006;87:935-43

why pilates for a specific patient population
Strengthens core to improve efficiency of extremity movements

Focus on control of movement

Improve functional activities, like walking and balance

Low impact

Minimal equipment

Can practice at home

WHY PILATES FOR A SPECIFIC PATIENT POPULATION?
benefits of group setting
BENEFITS OF GROUP SETTING
  • Visits not limited by insurance
  • Affordable
  • Group of peers
  • Wellness model
private sessions using reformer
PRIVATE SESSIONSUSING REFORMER

Supine Arms & Abdominals

Partial Weight- Bearing

private sessions using reformer12
PRIVATE SESSIONS USING REFORMER

Kneeling with Arms

Quadruped

class information pilates for stroke survivors pilates for people with ms
CLASS INFORMATIONPILATES for STROKE SURVIVORS; PILATES for PEOPLE with MS
  • Participants should be independent for ambulation, stairs and transfers from floor to stand.
  • Class size is limited to six people.
  • Fridays, 1-2 pm (Stroke), 2:15-3:15 (MS)
  • Sessions on-going, call for current dates
  • Cost is $96 for 8 sessions ($12 per class)
  • Baltimore Centre for Wellness in Ellicott City (near Circuit Court; plenty of parking)
thank you
THANK YOU!!!

L A R PHYSICAL THERAPY

Leigh A. Roberts, DPT, OCS

Physical Therapy

Private Pilates Instruction

Group Pilates Classes

CALL 410-381-1574

www.LarPT.com * email: Lar@LarPT.com