Teaching Pilates for Healthy Backs: Interview with Rebecca Leone

Back injuries are the most debilitating and at the same time common injuries of the modern society. Poor body alignment, sedentary lifestyle as well as inefficient body mechanics contribute to the fact that about 80% of adults experience lower back pain at some point of their lives. Eliminating or preventing back pain is one of the top reasons why people start doing Pilates.

Modern research proves the efficacy of the Pilates method to treat and prevent back pain. However, findings published by Professor Stuart McGill of the University of Waterloo in Canada show that traditional core strengthening exercises that involve loaded spinal flexion can and will eventually lead to back injuries. To learn more about professor McGill’s teachings please read Pilates for Healthy Backs: Teach Safely, Work Out Wisely. That is why it is important to teach Pilates (or any other fitness modality for that matter) with safe spine flexion techniques in mind. This is the only safe way to gain all the benefits of Pilates and enjoy a pain-free back.

Today I am talking to Rebecca Leone, a Pilates educator whose mission in life is educating the Pilates community about safe spine teaching techniques. So open your scratchpad or Evernote and start taking your notes as you listen to this interview. There is a lot of information to digest!

In this podcast we will discuss the following questions:

  1. What makes Pilates a valuable tool in protecting the spine?
  2. How to teach Roll-Up (and other exercises with trunk flexion) safely.
  3. 5 best Pilates mat exercises to teach proper core engagement in a safe way.
  4. Exercises in the classical Pilates repertoire that should be eliminated completely to protect the spine.
  5. How to use the principles of safe spine teaching to strengthen and protect the spine.
  6. how to cue core activation without overengagement of Rectus Abdominis or Transverse Abdominis

Pilates for Healthy Backs: Teach Safely, Work Out Wisely

is it a wise Pilates move?
is it a wise Pilates move?
There are many benefits of Pilates but Pilates devotees definitely emphasize the core strength that can be developed through a consistent Pilates practice as well as the back-pain-relief qualities of Pilates.

For over a decade Pilates has been deemed a viable method for treating chronic lower back pain that can be compared in effectiveness with physical therapy. Several studies were focused around measuring the effectiveness of the method as compared to other forms of exercise or no exercise at all.

  • A Pilates-specific exercise program produced a significant decrease in lower back pain and disability as compared to usual care (visits to healthcare professionals and general recommendations) over a 12-month follow-up period (study published in the Journal of Orthopedic & Sports Physical Therapy, 2004)
  • Certain populations of people are more likely to benefit from a Pilates-specific rehabilitation program. The factors that might predict the effectiveness include the duration of symptoms, body mass index and range of motion of the trunk and hips (the Journal of Orthopedic & Sports Physical Therapy, 2012)
  • Clinical Pilates produced similar results in treating symptoms of lower back pain as general exercise (Medicine and Science in Sports and Exercise, 2012)
  • A Pilates-based rehabilitation program with the focus on body awareness, breathing, movement control, posture, and education is an effective way in treating and preventing chronic lower back pain (based on the responses of 30 Australian physiotherapists, published in the Journal of the American Physical Therapy Association, 2013)

There is still a lacking number of clinical studies that give a thorough overview of Pilates as a method to treat back pain. Some of the results are conflicting and it can be safely assumed that conflicts arise from the different styles of teaching Pilates.

However, if you go to any Pilates studio you will find a growing number of people who ascribe their back health to a regular Pilates practice.

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Pilates Video: Connect to the Core

This short Pilates workout is designed to help you connect to the deep core musculature. This connection is the cornerstone of a successful practice and a healthy injury-free body. No matter what your fitness level is, take 15 minutes to tap deeper into your core and find the mindful body-brain connection that will transform your practice and your body. This 15-minute Pilates workout will teach you to

  • engage all of your core muscles (and not just your abs),
  • do head floats (ab curls) without strain in your neck and shoulders,
  • strengthen your lower back muscles and protect yourself from chronic lower back pain;
  • use your core to correct muscular imbalances on both sides of your body.

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