Spinal rehabilitation strategies widely advocate improved abdominal muscular recruitment and better movement patterns. Certainly, in order to reduce and prevent further episodes of low back pain.
For this reason, Pilates exercises are advocated during spinal rehabilitation. Exercises in Pilates are known to be “core-centric”. In other words, the emphasis primarily on recruiting the core, then working towards the periphery. The result is more efficient abdominal recruitment patterns, increased spinal stability and stronger and thicker musculature that is able to support the spine. In short, ideal for spinal rehabilitation.
The objective of spinal rehabilitation with Pilates exercise is to stabilise the give and move the restriction. Firstly, by stabilising weak and hyper-mobile spinal segments and mobilising restricted segments, better movement patterns can be achieved. In addition, it is thought that improved overall spinal mobility may help reduce pressure on hyper-mobile segments. Similarly, improving the freedom of movement overall for a healthy spine, just as in the links of a bicycle chain.
Evidence-based research suggests that a core strengthening programme may be beneficial in reducing pain scores, functional disability and reoccurrence of acute low back pain episodes.
The ROYAL COLLEGE OF GENERAL PRACTITIONERS advise people with low back pain to exercise*
- Consider offering a structured exercise programme tailored to the person:
- This should comprise up to a maximum of eight sessions over a period of up to 12 weeks.
- Offer a group supervised exercise programme, in a group of up to 10 people.
- A one-to-one supervised exercise programme may be offered if a group programme is not suitable for a particular person.
- Exercise programmes may include the following elements:
- aerobic activity
- movement instruction
- muscle strengthening
- postural control
If you are suffering from acute low back pain you must consult a medical specialist before starting any exercise programme.
Core Kensington offers osteopathic assessments prior to starting Pilates exercises for those participants who require a diagnosis before booking Pilates sessions.
*Low Back Pain: NICE full guideline (May 2009)