Posts Tagged ‘pilates rehab’

Pilates for those that Suffer from Chrondomalacia

Friday, October 17th, 2008

Chrondomalacia is an injury that affects the kneecap. It is an injury that is most commonly developed due to muscle weakness in and around the kneecap, as in weak hamstrings or quadriceps, a hard fall, or due to overuse, however depending on the age and specifics of the injury such causes can widely vary. For the younger sufferer, which is also the most common, overuse or a fall may be the likely culprit.

For the older demographic sometimes arthritis of the knee, or the simple matter of the aging process can play into the development of Chrondomalacia. Chrondomalacia can be described as “damage” to the articular cartilage of the kneecap, which is located behind the knee.

The cartilage that is underneath the kneecap is the working connector between the femur and the knee, which enables smooth flex between the two bones. If this cartilage is in working order, a certain “slickness” will be felt when the body flexes the knee.

If Chrondomalacia is a factor, there will be a rough response, which will result in agitation. Such a simple movement as flexing the knee, walking, running, and/or going up or down stairs etc., will be met with unduly friction between the bones and will cause minimal to monumental levels of pain, depending on the consistency of daily movement and the enduring nature of the condition.

While self-diagnosis is never recommended when suffering any kind of pain, symptoms of Chrondomalacia may help in pinpointing the condition, if you have assumptions that you may be suffering from it, or a physician has confirmed it.

Walking down the stairs will be one of the biggest determining factors of Chrondomalacia condition. A deadening pain will be felt from behind the knee, when doing so as well as getting up from a seated, cross-legged position, or climbing a flight of stairs, sidewalk, or walking on any steeply graded surface.

For those that are involved in an active lifestyle, you may want to consider discontinuing the sport until you can begin a rehabilitation program. This condition is most common in soccer players, bicyclists, runners (both long distance and sprinters), and in downhill skiers.

When searching for treatment most Chrondomalacia sufferers will be told to seek out low impact exercises that will prohibit further strain on the knees. Pilates rehabilitation is a great fit for those that suffer from this condition because it will strengthen the injured area as well as the surrounding muscles, all the while gently stretching and building up the muscles that can protect the damaged cartilage from further harm.

When choosing a Pilates rehabilitation instructor to help you with this condition, it is best to choose someone familiar with Chrondomalacia. While Pilates is an excellent form of gentle rehabilitation methods, it also has quite a bit of poses and positions that use the knees as the baseline for the body.

Someone who is familiar and well versed with Chrondomalacia will know that this is not an option for you, and will develop an effective Pilates Chrondomalacia rehabilitation program that can still strengthen the knees, through a series of Pilates work without putting added, and potentially dangerous stress on them.

Pilates Physical Therapy Los Angeles

Pilates for Fitness vs. Pilates for Rehabilitation- Part 2

Friday, September 19th, 2008

An interview with Lindy Royer, a professional physical therapist for the last twenty years, sheds a little light on Pilates for fitness versus Pilates for rehabilitation. She says,

“I think the big difference between Pilates for rehabilitation and Pilates for fitness is that the former focuses on getting an individual to a desired state of functional movement, whereas the latter focuses on general athletic or health goals.”

Pilates is a perfect match for those seeking rehabilitation because Pilates is very versatile. It can increase the strength and endurance of a professional football player, yet it can also bring an individual back to the world of functional living after knee surgery or a knee/hip replacement.

The Reformer, which is one of the most common pieces of equipment used in Pilates rehabilitation, can be adjusted to fit the specific needs of any rehab client. The Reformer is an active tool that physical therapists can use for clinical reasoning. They can apply a certain series of movements to a patient, and then adjust the “dose” accordingly upon recovery rate and injury improvement.

Not only does The Reformer improve and heal injuries, it acts as the ramp for those seeking whole body wellness in the long run. This is what makes The Reformer heads and shoulders above other rehabilitation equipment.

Because The Reformer has a potent power to increase overall fitness, this is happening simultaneously as the injury is gently and effectively being healed. The nature of the Reformer movements tone and incorporate all of the muscles of the body at the same time. The goal of all physical therapy is not only to heal the individual but also to reintroduce them to a life of activity much like, if not the same as their former lifestyle.

Since the focus of Pilates can be two-fold, fitness and rehabilitation, these will then become the body’s focal point and this balance of meeting becomes an inexorable force of restoration and vigor.

While moving the body parts simultaneously is a trademark movement in Pilates for fitness, it isn’t as commonly used in Pilates for rehabilitation in the beginning. In Pilates for rehabilitation the focus is on separate compartments of movement.

The body is then broken down into each area of movement that needs attention. As the body becomes more accustomed to that movement, then layers of motion are added to increase mobility within the injured joint and within the surrounding muscles.

Touching on the mind-body connection mentioned before, this is where the deep breathing patterns in Pilates act as the sewing string that binds the slow and controlled movement with the intention of focus. Pilates for rehabilitation and for fitness have many common denominators, but as the factors are separated out they can become two separate forms of Pilates training.

In time they usually can blend into one another creating an entire basis for health and injury, which becomes a cycle of rehabilitation and fitness improvement, a cycle that is not found in any other form of exercise

Pilates for Fitness vs. Pilates for Rehabilitation

Wednesday, September 17th, 2008

Pilates has a two-fold purpose. Its ability to meet a client right at the crux of their needs makes it a pliable, approachable, and effectual practice. However the pendulum of Pilates has a large range of swing, and its overarching benefits cover a huge plot of demographic terrain.

Celebrities and athletes can be found in one plain of the ever increasing Pilates interest, whereas a huge population of the injured, elderly, and even those who suffer from neuromuscular diseases such as Parkinson’s disease make up the other.

The methods of Pilates, whether it is applied to fitness or rehabilitation carry the same principles. Core stabilization, increased muscle performance, posture realignment, flexibility, and deep stretching and breathing.

These principles are not only unique to Pilates but are also found in other forms of physical rehabilitation and therapy. The question then begs to ask, what is the difference between Pilates for those seeking fitness and Pilates for those seeking rehabilitation?

Since they both integrate the same movements, and both implement the necessary control over those movements through the same series of exercises, how can it benefit such opposite audiences?

The answer can be found in an exploration of this verses that. Pilates for the fitness community uses the same equipment and standardized movements as those seeking rehabilitation, but the focus of the exercise is on increasing the length and strength of the muscles within the body to create that long, taut, lean body that Pilates is known to produce.

Increasing the worth of everyday movement is of extreme importance. Pilates for fitness encourages its students to become more aware of their everyday posture, gait, sitting and standing positions, and to use the findings as personal inventory to forge a barometer for improvement within the body.

The body desires to operate on the smooth rails of where our joints and bones are supposed to meet and collaborate. However, years of bad postural and health habits in concordance with improper purchases of movement can cause weight gain, depression, lethargy, and muscle imbalances.

This can make the relationship between bone and joint dysfunctional. When the body isn’t running the way it should it makes exercise difficult, and in some cases people abandon the idea that they can even take part. Pilates is gentle on the body and reintroduces common movement with light resistance.

It not only is a great exercise for beginners but it has such a wide range of challenge and difficulty, that it can take years to master some of the Pilates apparatus, and in most cases a lifetime.

Athletic improvement and general health progression is the main focus of Pilates for fitness. Reintroducing a state of ability and upward improvement changes the appearance of the body and marries the body to the mind making health and fitness not just a goal to achieve but a state of mind.

Focus is by and large the line in the sand that separates Pilates for fitness from Pilates for rehabilitation. This is the key we will use to unlock the entire reasoning behind Joseph Pilates staging of the Pilates mind-body connection.

The power of the mind to improve or heal the body comes from the same place of intention, whether that intention is just to look better or to heal serious injury.

Knee Injury Treatments

Monday, July 14th, 2008

For initial relief from a knee injury the best approach is what physical therapists and physicians refer to as R.I.C.E. This stands for rest, ice, compression, and elevation. Inflammation will be the first symptom of the injury that will need to be treated. Rest is also a bid factor in knee injury recovery.

Depending on the severity of the injury sometimes crutches may be needed, but trying to use the knee a lot less, especially in rigorous activity, will be of great importance in the healing process.

Physical therapy is also a great pairing in the recovery process with R.I.C.E. Having programs designed to improve the condition, with the focus being on active recovery, greatly benefits those will knee injuries in the long run. When the knee is prompted to engage in safe yet effective exercises it will be able to acclimate to normal activity much faster and with more ease than just rest alone can give. The goal of physical therapy is to reintroduce a person to their previous active lifestyle, without the injury continuing to get worse, or never fully healing.

Pillates-based rehab has also had much success as an added step in the process of healing knee injuries. Because of its gentle approach to healing, Pilates-based rehab allows for the entire body to be active while a patient may still be in recovery.

Muscular imbalances are one of the leading causes of knee injuries, and Pilates aims to retrain the body’s functionality to work as one cohesive unit. This provides an avenue for not only the injury to improve but also drastic improvements will be made in postural habits, quality of movement, mind-body connection, and core strength.

When it comes to specific conditions like Chrondomalcia, physical therapy and Pilates act as viable treatment options as well.

Physicians will often recommend low impact activity, such a cycling, swimming, walking, and Pilates and yoga. Surgery is of course an option, but if a holistic approach is preferred, since may patients wish to forego the invasiveness of a procedure these low-impact exercises will help improve the condition without surgery.

For torn ligaments such as the ACL, PCL, and LCL it is important to strengthen the muscles surrounding the injury. Since rigorous or weight bearing activity is strictly discouraged, it can be somewhat challenging to improve strength surrounding the injury without furthering the damage in the area of concern.

With the exercises and modalities that physical therapy and Pilates based rehab offer, a client can heal the injury and increase the overall health of their body at the same time. While the exercises, poses, and movements in Pilates and physical therapy are challenging to the body and build strength, they avoid the risk that more conventional forms of exercise and training may impose.

There are many causes of knee injuries, but proper alignment, heightened body awareness and core strengthening when balanced with low impact cardio, will result in a lower chance of a knee injury in an individual.

What Is A Bulging Disk

Sunday, June 29th, 2008

When it comes to signal health, a bulging disk is one of the biggest predators, not to mention one of the most common. Bulging disks usually develop overtime and are more common in the elderly. In the lower back a disk may shift out of its normal placement within the lumbar, and when this occurs a piece of the cushion that surrounds the vertebrae is compromised. The condition can even go unnoticed for periods of time, since it is usually only noticed when it pinches a nerve or becomes a herniated disk.

A bulging disk is therefore considered a secondary condition and is usually only identified through diagnostic image tests or routine magnetic resonance imaging (MRI). Postural imbalances can add to the potential of a bulging disk, and since Pilates based rehab is exceptional in realigning the spine and heightening body awareness it is a great alleviator of the condition.

Rudimentary movements that are executed improperly over time cause injuries. Steps need to be taken to rectify faulty postures, and to lubricate joints through increase flexibility exercises, and Pilates is one of those most important steps.

One case study from Rehab Management Journal found that a client who suffered from a bulging disc greatly decreased the severity of her condition once she introduced Pilates based rehab into her rehabilitation regime. Her pain level on a scale of 1-10 was a 7 at the beginning of her treatments, after 12 sessions she had lowered that pain scale to 4.

Pain limited this client’s range of motion and she was charted at only having 15% of her flexibility at the beginning of treatment. After the twelve sessions her range of motion around the area had increased 35 degrees. For her rehabilitation it was found that soft tissue work and joint mobilization greatly improved her condition as well as alleviated pain.

By engaging the whole body in a quest to address a bulging disk, an entirely new rhythm of everyday activity is found. Pilates based rehab introduces an energy efficient methodology of movement that will change the way you pick up a box or run a mile. Its wellness proponents are easy on the joints and especially on the lower back where a bulging disk may be occurring. This makes it a perfect addition to any lower back or spinal abnormality rehabilitation program.

The advantage to participating in a low-impact recovery program, like a Pilates based rehabilitation program, is that for a bulging disk the area may be inflamed and even be painful. Yet it can be addressed without adding to the level of discomfort that one may feel during the exercises themselves. The exercises found in Pilates based rehab highlight gliding motions, incorporate purposeful and effective breathing patterns.

Since the low back is found within the trunk of the body, it is essential for long term recovery that the core muscles are used and strengthened. When the muscles within the trunk of the body are weak that is when an individual is at the greatest risk for developing harmful and improper postural alignment and muscular imbalances, which can result in a bulging disk.

Back Pain Treatment

Tuesday, June 24th, 2008

Strengthening the back muscles and increasing the back’s flexibility is the best way to begin a rehabilitation program for a back injury. Pilates’ unique approach to muscle strengthening is perfect for those with injuries because its lengthening moves are easy on the body yet they require the utmost in muscle integration. Once the back can be reintroduced as a balanced component of the body’s musculoskeletal system, injuries are less likely to occur and will be much less painful if they do.

Pilate’s rehabilitation exercises focus on lumbar stabilization, which is achieved through a series of movements that incorporate The Core. The Core muscles include: Transverse Abdominis, The Pelvic Floor Muscles, and the Multifidus-, which is the deep muscles of the back. Some refer to the strengthening of The Core as tightening your body’s corset. This acts as a visual guide for those who don’t understand the concept of The Core. Once the corset around the spine is tightened it creates a safety cage for the muscles to move with ease and as a result remain protected from injury.

Pilates elongates the muscles in the back and engages them proactively with every pose. In other forms of strength training such as weight-bearing exercises, or weight machines, isolation of the muscles is encouraged. This however, increases the possibility of imbalance.

The goal of Pilates it to create a whole body approach to exercise, which can correct imbalances, realign bad postural habits, and strengthen the muscles surrounding the spine. Range of motion is also increased through Pilates, which allows for further flexibility in the body. Flexibility is key in keeping the joints limber and lubricated.

Postural education is one of the more unique factors implemented in Pilates based rehab programs. Pilates based rehabilitation instructors take the time to explain why certain movements change injury potential and work with you to master them. Pilates is not only a rehabilitation program, it is a great way for those with injuries to reestablish the quality of life they knew, pre-injury.

Instead of just trying to treat an abnormality in the body, Pilates physically recreates patterns of movement. If the back injury was a product of poor posture or spinal misalignment, or improper form in activity, Pilates aims to correct that.

Re-injuring oneself is of great concern in the rehabilitation world. Active recovery is one way to avoid that.  When you are actively using and strengthening the muscles that are involved in the injury, they have less capacity to be strained. The more a muscle goes un-used or un-trained, the higher the chances that their dormancy will lead to an injury again.

Whether a patient takes a Pilates Mat class, or a machine-based class both will challenge the back muscles. Machine Pilates based rehab pushes against spring-loaded resistance for an even glide of exercise. This enables people of all ages with back injuries to begin where they can, dependent upon physical ability. Pilates based rehabilitation is not only rehabilitation; it is a way to return to a whole life.