Muscle Madness: designing the Pilates body
Pilates is as much a neuromuscular re-education program as it is a workout when taught effectively. As Pilates instructors, we teach with the understanding that our core (aka Powerhouse) is the most important link in the kinetic chain; creating our center of gravity, stability and power source for almost every movement we make. So, rather than teaching Pilates exercises as mere choreography, we teach an intelligent system of exercise designed to help people restore their posture and move more efficiently in their bodies. Although it's out of our scope of practice to diagnose, it's useful to have a general understanding of various postural imbalances, how they might present in a Pilates session and how to design a program specific to each client's needs.
Last week, we started a discussion on pelvic obliquity where 1 ilium rotates anteriorly and inferiorly; creating sacral torsion, functional leg length discrepancy and functional scoliosis in the lumbar spine.
The distortion of the lumbo-pelvic hip complex has a reciprocal effect on the muscles of our powerhouse; disrupting our center of gravity, our stability and our ability to move efficiently.
Functionally Long Right Leg
weak/ long/ inhibited
- iliopsoas
- adductor longus/ brevis/ longus
- piriformis
- quadratus lumborum
- ipsilateral (same side) obliques
- hamstrings
tight/ short/ facilitated
- tensor fascia latae
- abductors (glute medius, glute minimus)
- rectus femoris
Functionally Short Left Leg
tight/ short/ facilitated
- quadratus lumborum
- lumbar erectors
- adductor longus/ brevis, magnus
- iliopsoas
- ipsilateral (same side) obliques
- hamstrings
weak/ long/ inhibited
- gluteus maximus, medius, minimus
- internal obliques
- transverse abdominus
- multifidus
Pilates for Pelvic Obliquity
With pelvic obliquity comes the inhibition of the Multifidus and Glute Medius on the functionally short leg. What's so critical about this dysfunction? Well, the Multifidus is a major stabilizer of the lumbar spine; working as a synergist to the Transverse Abdominus. It helps us resist the compressive forces of gravity in walking, standing, unsupported sitting, extension from a flexed position and hyperextension in prone. Plus it's bilaterally active in rotation. If the Multifidus is inhibited, the Erector Spinae and Psoas are forced to work harder to create stability. This inhibits the Internal Obliques, Transverse Abdominus and the Gluteus Maximus.
The Glute Medius provides lateral stability of the pelvis, especially when standing on one leg. When the Glute Medius is weak, the Tensor Fascia Latae is forced to work overtime to create stability; a job it usually shares with Glute Medius. This leads to tightness along the Iliotibial Band which, in turn, effects the stability of the knee joint.
Other things you'll observe are:
- Ankle instability due to foot supination on the short side;
- Knee hyperextension on the short side and the knee flexed on the long side;
- Externally rotated leg on the short side; and/or
- Circumduction of the long limb.
Pilates for Pelvic Obliquity
As always, I start each and every client with the Classical Beginner System. It's a challenging workout and a great revealer of postural imbalances and improper muscle recruitment for me. It becomes the road map that leads me to the exercises most appropriate for each client as they progress. Additionally, it's designed to help clients discover their powerhouse and how to engage it in a series of exercises that range from supine to seated to standing. Will they be perfectly aligned? Initially, no. That will come once they know how to access their core.
Once clients can initiate movement from their powerhouse and maintain that connection throughout the workout, more specific cues about pelvic alignment can be added. Some exercises demand a lot more muscular control for clients with pelvic obliquity where the facilitated muscles tend to dominate. Effective verbal and touch cues will help them to find stability through proper muscle recruitment; training the mind to have mastery over their muscles.
Here are some tools that I utilize to help clients reclaim pelvic stability. I'd love more suggestions from you, too, because it's an on-going learning experience for me.
- Help clients use the apparatus for proprioceptive awareness. When supine, do they feel equal weight distribution on both sides of their pelvis, spine and shoulder girdle? When Seated, is there equal weight distribution on each hip? Are the ASIS bones square to the front? In rolling exercises, are both sides of the spine approaching the mat simultaneously?
- Focus on unilateral exercises that challenge the weaker side. The beginner system has plenty to start. Focus on keeping hips square.
- Mat - Single Leg Circles, Saw, Rollup (equal weight on both sides of the spine)
- Reformer - Side to Side, Twist, 1/2 Tree on the short box
- Reformer - Running
- Cadillac - Roll Down/ Back
- Electric Chair - Pumping (one leg), Going Up front
- Increase number of repetitions on the weaker side to increase strength.
The Pilates Method has thrived in the United States since 1926 when Joseph & his wife, Clara, began teaching it in NYC. I believe it's success can be attributed to the fact that it's a genius system that changes bodies inside and out.
Rock Your Powerhouse!
Kira
Recent Comments