To find out, talk with your doctor. If he or she says it’s OK for you, then
seek out a pilates program with knowledgeable instructors who understand any
limitations you may have with your arthritis. Some physical therapists
recommend specific pilates-based regimens to patients.
Because it was originally designed for rehabilitation patients, pilates can be
done even if you are out of shape, as long as you stick within your
limitations and don’t do anything causing pain. The system uses six
principles: concentration, centering, control, precision, breath and flow.
Participants do it in one-on-one sessions, group mat classes, or with
follow-along videos.
“Pilates is gentle enough to be done on a daily basis,” said Cathy Strack, a
physical trainer for the Jorgensen YMCA in Fort Wayne, Ind. “It’s designed to
increase flexibility and range of motion,” she said. “It improves strength. It
enhances stability, balance and coordination.”
Joseph Pilates initially called his system of exercises “Contrology” because
of the emphasis on the coordination of mind, body and spirit. The exercises
combine stretching and posture techniques with controlled breathing. The
program is designed to promote strength and flexibility without increasing
bulk. Many movements focus on the body’s core center of power: lower back,
abdomen, thighs and buttocks.
While pilates focuses on yoga-like stretching movements and the mind-body
connection, it is not a highly aerobic workout. By strengthening muscles and
creating more lean muscle mass, pilates may support weight-control efforts. A
full exercise program might couple pilates with walking or some other
joint-friendly aerobic exercise to get your heart and lungs pumping.
“I have had several patients who have been referred to me by doctors because
they can’t lift weights,” Strack said, “As our population ages, the people who
enjoyed exercise in the past are looking for alternative forms of exercise,
which includes pilates. Pilates is also good for people who are recovering
from injuries or who have limited range of motion. Also, pilates is good for
people who are finished with their physical therapy, but still need some form
of muscle movement. There is a lot of overlap between pilates and physical
therapy.”
Remember, before starting any new exercise program you should check with your
doctor. Only he or she can determine the appropriateness of the exercise
program based on your medical history and current medical condition.
