Pilates and Pilates Reformers in Physiotherapy Rehabilitation
As a physiotherapist, I work with clients of all ages dealing with orthopedic conditions, particularly back pain. Over the years, Pilates—and specifically Pilates reformers—have become an invaluable tool in rehabilitation. Originally developed by Joseph Pilates for strength and flexibility, Pilates has evolved into a highly effective therapeutic modality.
Why Pilates Reformers in Physiotherapy?
Pilates reformers provide controlled resistance through springs, allowing for low-impact, joint-friendly movement that enhances:
Core stability (critical for spinal health)
Muscle balance and coordination
Postural alignment
Controlled range of motion
Introduction to jumping after injury or surgery
Recent research supports the use of reformers in low back pain rehab, as they facilitate gradual progression from gentle movements to more challenging exercises while minimizing strain.
Pilates Reformer Exercises for Back Pain (With Home Adaptations)
1. Footwork (Leg Press) on the Reformer
Purpose: Activates deep core muscles while gently mobilizing the spine.
How to Perform:
Lie supine on the reformer, feet on the footbar, knees bent.
Press the carriage away by straightening legs, maintaining a neutral spine.
Slowly return to start, controlling movement with core engagement.
Home Adaptation (No Reformer):
Supine Leg Slides: Lie on your back with knees bent, feet on the floor. Slowly slide one leg out straight, then return. Keep the core engaged to prevent arching in the lower back.
2. Pelvic Curl (Bridge) on the Reformer
Purpose: Strengthens glutes and hamstrings while promoting lumbar mobility.
How to Perform:
Lie supine on the reformer, feet on the footbar, knees bent.
Lift hips into a bridge while pressing the carriage slightly away.
Roll down vertebra by vertebra with control.
Home Adaptation:
Glute Bridge with Slider/Towel: Place feet on sliders (or a towel on a smooth surface). Lift hips into a bridge, then slowly slide feet forward slightly to increase hamstring engagement before returning.
In my personal experience, reformer exercises can be just as effective, if not more, than heavy weight lifting at the gym.
Did you know that physiotherapists who incorporate pilates reformer exercises into their practice can still be billed under physiotherapy for extended medical purposes?
Final Thoughts
Pilates reformers offer versatile, adaptable rehab exercises that can be modified for all ages and abilities. For those without access to a reformer, simple home adaptations can still provide core activation, mobility, and strength—key components in managing pain.
If you're in Kamloops and dealing with back issues, consider integrating Pilates-based rehab into your recovery plan. Always consult with a physiotherapist to ensure exercises are tailored to your specific needs.
Would you like recommendations for other conditions (e.g., shoulder rehab, post-surgical Pilates)? Let me know—I’d be happy to cover more in future posts!
Stay active, stay strong!