Rehabilitative Pilates APPI BedfordAs an osteopath I see a variety of problems throughout the week – headaches, shoulder pain, lower back pain, RSI’s – the list goes on! This is mainly due to repetitive work patterns combined with poor postural awareness resulting in poor body mechanics. I work to free restricted joints and tight muscles to allow the body to work normally again.

However, as much as I educate patients as to what they should and shouldn’t be doing to prevent the pain from returning, most find that as soon as they are pain free they forget about these handy little tips resulting in many patients finding themselves trapped in a repetitive cycle of pain.

To prevent this cycle I educate my patients how they should be using their body with the help of Rehabilitative Pilates.

I have trained with the APPI, a pilates course designed for therapists like myself to rehabilitate patients. It takes the main pilates exercises, enhances the beneficial aspects of each and eliminates aspects that can be detrimental to problematic joints, making this form of pilates very safe and beneficial for people with on going joint and muscular problems.

If you want to find our more or book a treatment contact us now:

Phone 07530 860 800

The Technical Stuff:

Research has shown that specific retraining of the Multifidus muscle reduces the recurrence rate of Lower Back Pain (LBP). Hides et al (1994) reported evidence of lumbar Multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute LBP. Further studies found that Multifidus muscle recovery is not automatic after the resolution of acute, first-episode LBP (Hides et al., 1996). In their study with LBP patients, Hides et al (1996) demonstrated that this deficit in Multifidus can be reversed with exercises that focus on activating the Multifidus muscle. Two to three year follow up studies found that the recurrence rate of LBP was reduced by 50% in patients who had performed specific exercises for activating Multifidus. An integral part of therapeutic rehabilitation following LBP is retraining correct activation of the Multifidus muscles which can be done using Modified Pilates.

The Transversus Abdominis (TrA) is the other principle muscle affected in LBP. Studies have found delayed onset of activation and poor activation of the TrA in LBP patients compared to healthy controls (Hodges et al, 2010, 2008, 1997). In healthy individuals the TrA activates prior to limb movements to provide postural support to the lumbar spine (Hodges & Richardson 1997). In LBP patients TrA activation occurs after the limb movement and therefore renders the lumbar spine unsupported during functional activities. A model for retraining motor control of the TrA is provided as a part of Modified Pilates.

The key elements of APPI Pilates method include retraining:

  • Neutral lumbo-pelvic alignment and activation of the key lumbo-pelvic stabilising muscles (LOWER BACK)
  • Correct ribcage/thoracic alignment (MID BACK)
  •  Scapulo-thoracic stabilisation (SHOULDER)
  • Deep neck flexor retraining to stabilise the cervical spine (NECK)

The repertoire of APPI Pilates exercises also include exercises to improve spinal mobility, flexibility of the key trunk and lower limb muscles groups, body awareness and postural awareness.