Introductions and Overview: Incorporating the Benefits of Pilates Across Rehabilitation Settings (12:54)
Pilates has been around for a long time. A large part of Pilates is giving cues. Physical therapists can work in acute care and with geriatrics.
History of Joseph Pilates and Definitions (09:57)
Pilates is a movement system that uses spring driven machines and floor exercises. This increases stamina, flexibility, and concentration.
Pilates Philosophy (17:20)
Pilates is an approach to life that addresses the whole person. The challenge with these exercises is that it is easy to start doing the movements and lose the mind-body connection.
Attaining Balance (08:14)
Pilates is about symmetry. Stroke patients have issues with balancing. Habitually bearing weight on one leg can throw a person's balance off.
Breathing Demonstrations (16:45)
Lateral breathing is a part of Pilates. Instead of belly breathing that pushes the stomach out, use the abdomen to pull the body core in. A Yoga squat incorporates holding in the abs.
Graceful Movements (17:35)
Joseph Pilates originally called his work “Controlology.” Taking control means having a person feel like they can manage their body and enter into a place where the body moves gracefully.
Controlled Mobility and Communication (19:40)
It is important to talk to clients when they are doing exercises; language is important. Instead of saying "grab the ball," a physical therapist should say, "reach toward the ball."
Pilates Certification (24:12)
There are many certification programs for Pilates. A weekend course consists of one hundred hours and includes mat certification. Equipment certification can be achieved in pieces.
Activity of Noticing (16:52)
Noticing what the body is doing is the first stage of becoming a witness of the mind. Ask clients to watch what they are attracted to. Use a color chart and ask patients what color they are drawn toward.
Sensory Yoga: Feeling and Mirroring (20:53)
Ask clients to remember something that made them happy. Neiman instructs the audience to find a partner and practice mind-full movements; the idea is to mimic the other person.
Locating the Pelvis and Spine (19:58)
Neiman instructs the audience to participate in exercises. They perform a slight tilt to feel the location of the pelvis and identify the space under their lower mid-back.
Stabilizing the Pelvis and Guided Imagery (20:57)
Slow exercise movements can be difficult to control. Have clients use their core for stabilization, making sure they feel their back is safe. Ask patients questions throughout the treatment.
Pilates and Yoga Crossover Exercises (25:25)
Every exercise will not be perfect for every client. Therapists work with people in wheelchairs. A quadriplegic teaches yoga classes for able bodied students.
Imprinting and Leg Lifting (18:55)
Connect with the breath before lifting legs. Stabilize by finding the spine, which is the neutral place. Allow clients to hold steady through the pelvis.
Basic Pilates Building Skills (20:12)
Pre-Pilates are a way therapists can help provide benefits to clients. The goal is learning separate steps. If a patient cannot lift his or her legs, have the patient lift his or her arms.
Leg Circles and the Bridge Exercise (20:05)
When performing leg circles, It is important to have a kinesthetic cue and start with hands on the hips. Avoid side to side movement while concentrating on the body core and then raise one leg.
Imaginary Patient Exercises (18:50)
Neiman divides the audience into groups and asks them to create a fictional patient that needs help. One group visualizes a senior citizen with Parkinson's disease.
Treatment on Imaginary Clients (17:35)
Describe how to teach finding the core. The Double V is an exercise that has knees bent and feet flat on the floor. Imagine water spilling from the triangle.
Bed Mobility Demonstration (18:42)
Knee sways help initiate movement. Many patients will try the log roll to get out of bed. They also reach with their arms when they should use their core and pelvis.
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