This is Christi Tuck from Colorado Springs YMCA. I am a certified STOTT PILATES instructor and I have a question.
I have an inquiry from a possible student regarding some knee issues and if the reformer would be beneficial and are their any concerns. Basically they had surgery recently and the doctor informed them they have no cartilage around the knee. I believe they had the meniscus repaired.
My guess is the reformer would be helpful to strengthen the surrounding muscles and that starting at light resistance would be best. I welcome any comments or suggestions.

Hi Christi-
Thanks so much for your question. As far as your client’s issues are concerned; yes, the reformer would be very beneficial to her recovery. Doing footwork starting with lighter resistance is a great start. I would also do single leg pulses in a variety of positions–laterally rotated, parallel and medially rotated. Make sure when she is doing footwork or single leg that she is really using her quads to draw the kneecap up as she straightens the leg. VMO (vastus medialis oblique) is especially important for knee stabilization and it tends to be weak for many women. I find I really feel the VMO muscle more when doing lateral knee pulses, but that may vary from person to person, so check in with her to see if she is feeling that muscle. Strengthening the posterior leg muscles will also help to stabilize the knees, so make sure you are doing some glute and hamstring work as well.
Melanie Byford-Young has a great workshop on Knee Stabilization if you ever get a chance to take it! She created an exercise where you are sitting on the reformer carriage with no springs attached. One foot is on the floor between the rails and the other leg is lifted up supported by the hands or with a flexband around the thigh. If you have a rotational disc, place the foot on top of the disc and keep the ankle, knee and hip tracking as they slowly move the carriage out and in. This helps to stimulate and strengthen the popliteus muscle which is another deep knee stabilizer.
The more those stabilizing muscles are activated and strengthened, the less wear and tear will occur to the knee and the remaining cartilage. Eventually, you can increase the resistance as those muscles get stronger, but at the beginning we don’t want to overload those stabilizing muscles.
Let me know how things go or if you have any other questions.

SHARE PILATES is what we are calling our “in-house” educational workshops. Now we are opening them up to other instructors in the community! Come join us for a one-hour exploration about different pilates topics or issues related to movement.

Only $10 for each workshop!

These workshops range from a fun and innovative workout to an anatomy based review. Check out our upcoming listings below:

Ideokinesiology & Laban Movement Analysis with Jean Leavenworth
Aug. 15th 2:15pm-3:15pm

Dancing Without the Stars with Leslie Braverman
Sep 26th 12:15pm-1:15pm

Gyrokinesis with Melissa Framiglio
Nov. 7, 2:15pm-3:15pm

Foot Mechanics with Melanie Byford-Young
TBA, Winter 2010

Call or email the studio today to register or for more information!

(503) 292-4409 or info@pacificnwpilates.com

We thought others might want to join in on the conversation! We welcome your thoughts.

Here’s the original article:

http://well.blogs.nytimes.com/2009/06/17/core-myths/?emc=eta1

Comment #1:

That’s kind of confusing. What is he saying exactly? No transversus/no scoop? Yet, some of the exercises are like what we do. What’s your take?

My take on it is that having a stable trunk is far more complex and integrated then just asking someone merely to pull in their abs and do thousands of crunches a day.

He is not saying that we shouldn’t do them at all but says, “(i)nstead…a core exercise program should emphasize all of the major muscles that girdle the spine, including but not concentrating on the abs.” He points out doing exercises as plank and swimming prep (bird dog)- again exercises that require integrated stability in neutral positions. This supports everything that we already teach at our studio, and our mentors (Melanie, Greta and others) have been expounding for years. As we know, “the core” is comprised of not only the abs, but the deep psoas, multifidis and pelvic floor. The article does not go into these specifics, but instead, points out that “if you concentrate on strengthening only one set of muscles within the core, you can destabilize your spine by pulling it out of alignment.” This idea of balance in fitness is something that I think all of our teaching supports.

The only thing about this that could be bad is that it is not specific enough and some people will now believe that doing ALL pilates and personal training is bad for the them; those people that actually read it, with some knowledge base, that have done work with someone that doesn’t just give thousands of crunches, roll ups and imprinted back exercises sees that good exercise requires balance from all the muscles groups, will see the validity of the article. My take on the “pulling the belly button in” is the fact that most people can’t do this without flattening their back and putting undue stress on their discs.

That’s what I think anyway.

Comment #3

Thank you – this is very interesting. I hope we will have a “Share Pilates” about this and possibly other research and experiences that we are learning about that inform how we exercise.

Comment #4

Thanks, Leslie, for forwarding this article. It was interesting and, for me,affirming that the work we are doing with people is actually focusing on the whole of the body and the whole of the core muscles thruout. Pilates is helping their “abs”, their spines, their joints and their overall body alignment, symmetry, strength and flexibility.

On a positive note, I think there is always a place for modern movement applications and advancements in the understanding of functional anatomy to be incorporated and applied to health and fitness instruction. I would also agree with this author that the oversimplification of the Pilates Method (or others that attempt to address “core support” and functional movement) to simply telling people to do crunches and suck in their abs is one that has the potential to endanger people’s overall posture and make them injury-prone. I would also say too that it reduces and impoverishes the benefits/contributions that Pilates and others attempted to make to overall fitness and wellness.

However, I can’t help but respond to what seems to still be a good bit of nebulous understanding about “the core” that even the writers of this article seem to have….
Here’s a few i.e.’s from the article:

1. Transverse Abdominus is the only/primary core mucsle (leaving out the PF, rest of the deep abs and all the deep spinal muscles)

2. People who are working their core(per article TA) are getting 6-pack abs…that’s Rectus’ domain not the deep abs and, of course, they may hurt their backs that way.

3. Working the core in Pilates-type classes focuses only on the abs (I would agree this is probably the case in the gym format classes and people can get hurt). However, Joseph Pilates says several times that the uniform development of the muscles of the whole body and its balance is primary to his work and to moving well in the world.

There’s my off-the-cuff response to the article. Thanks for contributing to my brain working a bit today,

Comment #5

I had similar feelings…I thought the article was great in some respects, but the fact that some of it was vague would make a less-informed individual assume that all pilates could be bad. I think that the writer or person interviewed could have been more specific about what is considered “the core” too.

Comment #6

I agree with your take as well. Posting the conversations on the blog could be good. Makes me want to respond to the NY Times too.

 give you the tools and the techniques for a great workout at home or on the road! 

Each of these workshops involves a unique piece of equipment that will either provide resistance, challenge your balance or help release tension. Check out the listings below:

1. Wobble Cushion Workout with Melanie! June 27th 12pm-1:15pm
   $35 which includes the wobble cushion or $25 for just the workshop (must bring your own wobble cushion)
2. Flexband to the Max with Traci! July 25th 2pm-3pm
   $35 which includes flexband and STOTT PILATES DVD, or $25 for the workshop and bring your own flexband.
3. Yamuna Body Rolling Balls with Jean! Aug. 15th 12pm-1pm
   $35 which includes the Yamuna calf rolling ball, or $25 for the workshop and bring your own Yamuna Calf Ball.
4. Travel Workout with Tubing Kits with Leslie! Nov. 7th 12pm-1pm
   $60 which includes the J-Fit Tubing Travel Kit, or $25 for the workshop and bring your own kit.

Call the studio for more information and to sign-up.

Hi Leslie,

I have a client who is 25 and has two metal rods in her back, one on each side of her spine because of terrible scoliosis. She is not very mobile because of the rods, she can manage imprint and neutral but can only do extremely limited flexion and extension. The muscles in her lower back are obviously imbalanced, very strong on her right side and almost non existent on the left. What would you suggest for helping balance out her core strength considering her lack of mobility? Thanks so much!
Erin Whipp

Answer from Leslie Braverman:

Hi Erin:
Nice to hear from you. I hope things are going well!
 
Oooh, I have worked with a few clients that have had metal rods put in their back, and there is a lot you can still do.
 
My suggestion is to continue moving her spine only gently through ranges- mostly keep her neutral, but try to do as many things that challenge her torso strength as you can. Contralateral arm and leg work will be excellent, as well as doing things that challenge weight distribution and proprioceptive awareness. Here are some ideas:
 
1.) Sitting back and front rowing (on a box or platform if necessary to sit in neutral). Do one arm backrowing work preps to get the weaker side stronger. You could even sit her on am unstable surface (ie. a wobble cushion) to build spinal control and learn to control rotation.
 
2.) Side lying work will be excellent. One leg kick, side leg lift series- prop her hip on a small ball to build more strength on an unstable surface as she progresses. Make sure to keep her spine in neutral and avoid rotation or lateral flexion. Do more reps on the side that is weaker.
 
3.) Plank position exercises – push up, leg pull front- add things on a ball.
You can also do plank based exercises against a wall too- standing on a BOSU and/or with two small balls under her hands- again to challenge spinal control and build awareness of body in space. Add contralateral arm or leg work to build strength on one side of the back more than the other.
 
4.) Waiters bow- elephant position- (on or off reformer- use ligher weight) with one arm on the bar instead of two. or just practice going into waiters bow while standing on the floor and reaching one arm up by her ear- standing up with that arm by her ear will work her erectors and deep paraspinals on that one side, as well as challenge rotation and build glut strength.
 
5.) Contralateral prone work without extension- ie. swimming preps
 
6.) Standing on one leg while doing arm work, while high level, will help her build up strenth on one side more than the other.
 
Hope this helps and gives you more ideas. Let me know if you have questions. I can leave out your name if you like too.
 
Thanks Erin! Good luck.

My name is Hannah Walker and I’m a high school Junior interested in talking with you about teaching, your training, and your experiences owning a studio, to find out a little more about working as a Pilates instructor.

I am planning on coming to your studio for my Pilates certification and would like to learn more about your instructors as well as your thoughts on the STOTT PILATES method versus other teaching styles.

A little background about myself. I was a serious ballet dancer from age 4 until 15 and discovered Pilates through my dance studios. I stopped dancing ballet but have enjoyed taking some modern classes since then and I still continue with Pilates at Pilates Plus Northwest as well as Gyrotonic and Gyrokinesis at Center Gyrotonic. My objective is to obtain my Pilates certification before I graduate high school, and eventually obtain my Gyrotonic and Gyrokinesis certifications as well.

I know you are very busy, and don’t always have the time to meet with people. I thought that perhaps it would be more convenient if I emailed you some of my questions, and you can get back to me at your leisure.

Hi Hannah:

Actually, I didn’t choose STOTT PILATES, it chose me, and I am feel very fortunate about that. I decided to begin taking pilates classes after acquiring a dance injury (a stress fracture to my left tibia) that wouldn’t heal. It is a long story, but, in essence, I ended up missing nearly a year of my dance career while I was at Oregon Ballet Theatre. During that time, one of my co-workers (another dancer) suggested that I go with her to do pilates. The instructor had also been a dancer and she was a certified STOTT PILATES Instructor Trainer. Well, I had studied pilates in New York City many years before, so this particular style was unfamiliar to me, but as soon as we started going to classes, I fell in love it. I especially liked how anatomically- based it was. My teacher had been educated to work with injuries, and she worked very specifically with me on my imbalances and weaknesses; I began to realize that many of which may have instigated my injury. After I finally returned to dancing after being off for months, I was shocked at the amount of strength and over-all control I had gained. Even my co-workers were amazed.

It is difficult to find positions available that offer full-time work and benefits for pilates teaching only. Typically, in the United States, pilates instructors are self-employed. Nevertheless, those jobs do exist. At large gyms, clubs or resorts, you can find salaried or set hourly positions like this. Sometimes workers have multiple roles to acquire this employee status. For example, you may be a pilates instructor at a large gym and also do personal training or administrative work. At any rate, I think one of the benefits of pilates is that it can be taught in your own home. Because the equipment and initial investment is relatively low, compared to many start up businesses, a certified instructor can do really well. Also, many studios rent space and equipment to certified pilates instructors to run their own business within.

Depending on where you live, pilates can be very competitive or relatively unknown. Certainly, it is more popular than ten years ago, but that can also work to a new instructors advantage; the public does not need to be educated about what pilates is or its benefits like teachers had to do a decade ago. I think an instructor that is considering a career in pilates should do some homework about the region that they intend to work in prior to acquiring their certification. He or she should look seriously that the region’s demographics and if it can support a teacher. Also, I have seen excellent pilates teachers thrive in areas that are not typically supportive of a business like pilates, but because of the individual’s personality, talents and skills as a teacher he or she excels anyway.

Income varies widely depending on the region in which you live. An instructor that I know in Los Angeles makes over $80,000 per year. She doesn’t work at a studio but instead has built a business catering to the affluent people in that region. She requires her students to purchase STOTT PILATES equipment, and she teaches them in their homes. She is an excellent instructor and uses word-of-mouth referrals to gain new students.

I am not sure that this same kind of business could thrive in a city the size of Portland. There are people in this city with this same level of affluence, but compared to population there are fewer. Also, the Portland mind-set is completely different than L.A.

In a city like Portland, an excellent, hard-working, full time teacher (30-35 hours per week) can probably earn about $45,000-$60,000 per year, depending on their circumstances (if they are a business owner and how many hours they work.)

I think an Exercise Science Degree could be helpful to someone interested in pursuing a career in pilates. In fact, I have met many college students getting a degree in Exercise Science or Physical Therapy pursue the pilates training as a means to be employed while in school. Because of the ability to have a flexible schedule and be self-employed as a pilates instructor, it is a great job option that is complementary to their academic pursuits.
Business courses are definitely helpful to individuals considering opening a studio.

Yes, word-of-mouth referrals are the primary way that we acquire new students. Initially, when we opened our studio, we had to invest money into print advertising, conventions, and offer ongoing specials and discounts etc. After about four years in business, we found that most of our clients were finding us through referrals and on the internet. After seven years, we discontinued all of our print advertising. Having excellent instructors and keeping our clientele happy has been the best way to build loyalty and a consistently positive reputation in our area.

Thanks, again, Hannah, for contacting us. I wish you the best of luck, and I look forward to meeting you one day.

Thanks much,
Leslie

Hi Leslie/Melanie,

I love your Pilates Blog, and I have learned lots from it. I have attended Melanie’s workshop in Toronto; she is a great and skillful instructor trainer.
I have a few obese clients that come to take Pilates. What kind of cues or images would you give to them for engaging their Pelvic Floor muscles & Tranversus Abdominis? For clients with soft tissues around the waistline, would you be using imprint position most of the times for them to engage abdominal muscles?
I would like to hear your advice & comments.

Thanks
Jeff

Response from Melanie and Leslie

Hi Jeff:

Thanks for your great question. Melanie sent me some of her best cues, and I have added a few of my own. Here it goes:

When working with obese clients, it is important (as with all students) to give them lots of visual and sensory feedback. They can visualize drawing their abs and pelvic floor muscles in to a point in the center of their pelvic bowl or a couple of inches in front of the sacrum (S2). Advise your client that they should not feel any gripping or rigidity when they recruit their abs properly.

When first teaching them how to find and recruit the pelvic floor, try having the student sit on a stability ball. This way they may be able to feel the muscles of their pelvic floor in contact with something. In this position, they can lean slightly forward or back to feel either the anterior or poster muscles of the pelvic floor working more. This may be a good place to start them out. If the ball is too unstable, have them just sit on a chair and do the same thing.

In addition, you may be more successful sensing if they are, indeed, finding their pelvic floor and transversus abdominis by having them work in a four point (cat stretch, starting position). If you are able (and the client is comfortable), you can place your hands just on the inside of their hip bones (ASIS) to see if they are drawing those muscles inwards and flat. Because gravity is helping you to see if they are drawing up their abdominals when they are in a four point, cat stretch position, this may be a more successful way for you to help give them feedback and “see” what they are doing. They may put their elbows on a box if this is better for their wrists. Because of their own weight, often finding pelvic floor and transversus abdominis in supine is too difficult; the cat (four point) position will help you see (and feel) what their back is doing and help you determine if their muscles are working (i.e. if you see them lift toward their spine, away from the pull of gravity.)

The timing of recruitment is important. You may wish for them to completely relax (allowing their abdominals to “let go”). Then, cue them gently lift their pelvic floor (teach them how to do this sitting on the ball first, as mentioned before). You should see no change in their spine, pelvis or sacrum when they engage their pelvic floor. In addition, you should not feel their back get rigid. Also, when they engage their pelvic floor, ideally, you should see or feel (if you are able to palpate) that the lower abs gently lift in and flatten in the direction of the fibers. If they are very weak, you may, in fact, have to cue them to also think about gently using their tranversus abdominis– often it will fire properly if their pelvic floor is working. Check to make sure that they are not recruiting their obliques prior to their transversus abdomins by noticing if their back gets rigid or if you see them “cinch in” at the waist prior to flattening their lower abs.

Also, keep in mind that doing things in a closed chain position may really help. Give your student more feedback by having them do abdominal work while their arms are pulling down against resistance (i.e. midback work on the cadillac with their legs over an arc). This will do two things; help close the chain, and pre-tension their transversus abdominis to fire. Because the latissimus dorsi, obliques and tranversus abdominis all feed into the thoracolumbar fascia, this can be a great way to “trick” the abdominals into working. You can either have them pull the arm springs down as they do ab prep, for example, or just have them hold tension on the strap (hover arms above the mat with tension) while doing ab work. It is even a great way to have them pick one foot off the mat at a time with their head down, do hip release, do hip rolls etc. If the arm springs are too heavy, you can also tie the flexband around the cadillic upright bars instead.

As always, keep in mind that you will need to be very encouraging to these clients. Refer to the alignment of their bones when correcting them and try to give them a mental image of what by showing them pictures of the muscles and bones or showing them a skeleton. We find that students that are overweight often appreciate being educated about what is happening at an anatomical level. You will have to be aware certain cues may make them feel uncomfortable or seem insulting. For example, constantly telling them to just “pull their abdominals in” when they really don’t feel what you are talking about at a muscular level and, perhaps, already have a complex about their weight, will be very discouraging to them. I expect you are already keen to this, since you are working to find other ways to cue.

We hope these few ideas will be helpful! Thanks for reading our blog; we love the great questions and look forward to hearing if others have any great ideas too!

Thanks, Leslie and Mel

Hi! I teach STOTT PILATES at two great studios in the Chicago suburbs…The Pilates Body and Oak Brook Racquet and Fitness Club.

My question is about female teen athletes. I would like to develop a cross-training workout for this population: One that enhances their play and also protects them from injury (including, but not limited to injuries of the ACL and knee area).

What are your suggestions?

Many thanks!

Salle Huber

Answer from Leslie Braverman:

Hi Salle:

Thanks for your note. I think Pilates will be a great cross-training program for your girls. There are many wonderful STOTT PILATES workshops that you can take that will give you exercises and specifics for training with this unique population. I would recommend:

Functional Fitness for Racquet Sports on Mat and Reformer
Jumpboard Intervals
Athletic Conditioning on the Reformer and/or on V2 Max and/or on the Stability Chair
Mini Trampoline workout (this is new and not up on STOTT PILATES site yet)
BOSU workshops

You can find descriptions about these at:
http://www.stottpilates.com/education/cont-ed/index.html

All these workshops will help you enhance your skills as a teacher for working with athletes that play racquet sports. The golf conditioning workshops may be beneficial to you as well. The jumpboard, BOSU and trampoline workshops, listed above, will help you create workshops that promote balance, endurance and power for your athletes. This way you are helping them develop all the finesse that is required to be stable around their joints and providing them with workouts that “surprise” their joints so they can adapt to a variety of situations.

Melanie’s Lower Extremity Series in the month of May might also interest you. Of course, these workshops are not specific to working with athletes only.

Our studio is offering many of these workshops listed above. You can see the schedule for 2009 here:
http://www.pacificnwpilates.com/stott/5-workshops/home.htm

I hope this information is helpful. I am forwarding your note along to Jean, Melanie and Traci in case they have other things to add.

Best of luck,