I have a possble client with a severe lumbar lordosis. Is there specific movements to try on her to correct/help/improve? Any certain ones to really avoid? I have a few ideas but I would love your input.

BBU Student

by Lesley Powell

When a client comes in with certain misalignments, I first observe throughout the lesson how the client organizes movements, what is tight and what is weak. Each client arrives in a certain posture for different reasons: some are structural, habitual, an injury, history of fitness and cultural.

I always go to the basics first, core support, observing what is mobilizing and stabilizing. Their patterns of posture will reflect in all the exercises even simple ones like cat & camel, bridging, basic abdominal training and back extensors training. Part of making change in a client is making them aware of their habits.

How do they lie on their backs? Is the tension of their backs hyperextending their ribs? If I have them stretch the back muscles, does that help? Sometimes just saying “let your back go” can make a change. We all have patterns how we all hold tension. Learning to relax is key. Breath is a great way to help relieve tension.

I always look how they use their legs. When the legs are weak, the back has to carry the load. When they are doing bridging, footwork, etc., what is initiating first; the legs or the back? For instance, observe how they do a neutral bridge. Are they arching their backs to get the pelvis up? Get them to initiate through the legs. Make the movement small until they understand to push from the legs.

Sometimes they are so used to lifting their legs from their backs, they feel pain. Work in small ranges of motion until they can move painfree. Lying prone and lifting their legs, they always feel pain. Take the exercise to a different position and see if they can initiate from the correct place. For example, bridging, Pilates footwork and leg straps or modified side leg kicks. How is their form? Can they differentiate the leg from a stabilized pelvis?

Remember to have patience. A posture is created from years of habits. Keep observing, problem solving and making sure the movement principles are within each exercise.  If a client is always in pain, make sure that they see a medical professional to rule out serious problems like disk herniations.

by Lesley Powell

“Abdominals come in many Flavors” Doris Pasteleur Hall

“I do have a question - on the KNEE STRETCH & KNEELING ABDOMINAL SERIES - why would you choose the rounded back vs the flat back — would it be for body type, body issues, difficult/easier, different focus? Could you explain.” Kris

For a healthy body, training the abdominals with the spine in many positions of neutral, flexion, extension, lateral flexion and rotation is very important. The core muscles coordinate differently for each position. Training core muscles for dynamic movement is essential. This kind of training supports the physicality for good posture and necessary for our movement loves. This will also teach clients how to use their spines without unhealthy compression. A healthy spine should be able to move through all planes: flexion-extension, lateral flexion and rotation.

Knee stretch is the preparation for Advanced Knee Stretch, plank pose, downward dog, Long stretch and Up stretch. It teaches the client the coordination of the all the limbs with the core.

Advanced Knee Stretch

Certain health conditions require modifications. With osteoporosis of the spine and disk problems, knee stretch in flexion is contraindicated. With Stenosis and spondylolisthesis (go to BBU’s Movement principles - info about neutral spine), knee stretch in flexion is a great exercise. As with Stenosis and spondylolisthesis, you might have the client perform a neutral spine with a imprinted spine or supported neutral.

by Lesley Powell, Director of Movements Afoot

Testimonials

This month I taught Balanced Body University’s Pilates Mat I-II. It was so wonderful to teach just the right amount of material for a weekend course and have the time for everyone to intellectually and physicality experience new materials. Sometimes courses are so jammed pack with information without enough time to experience the material on a physical level.

Students were really able to make changes in their own practice and practice new teaching techniques on their colleagues. They learned to problem solve teaching with the Pilates material on different bodies. When issues came up such as the spine was too tight to do a rollup, I was able to give information how to open the back and how the BBU’s movement principles can facilitate change.

We also talked about teaching. Teaching is a passion and a skill. To be a successful teacher, one has to understand how clients’ learn, how to cue well and lead different teaching situations from privates to group classes.

Dr. Martha Eddy once led a class on the nervous system and learning. We were to learn a simple hand phrase.

1. We copied her phrase
2. counted it
3. gave names/images to each movement
4. sounds to each movement
5. use tactile cues such as using the floor, wall or our bodies

Then we talked to each other which method helped us learn the phrase. Everyone had different answers! I am such a visual learner and assumed others were the same. This class really taught me to try to understand my client’s preferences for learning.

The students had to teach a 45 minute class to each other and then I was to evaluate them. How I wished someone helped me in my earlier years of teaching. How one talks, phrases their voices and organizes the class are essential ingredients to a successful class.

In the structure of Balanced Body University’s Mat courses, there is detailed information about teaching. How wonderful to go over these materials, talk about our own teaching experiences, dealing with different types of clients and how to improve teaching skills.

by Lesley Powell, Director of Movements Afoot

This is a series that I learned when I was doing the Franklin Method training. Eric Franklin’s Books

Rolling on the balls is like giving yourself a massage. Tight muscles are poorly functioning muscles. Tight muscles hold the bones in positions that are not always the design of how the body works. Getting bones to move in their normal range is another way to release tight muscles.

Foot Release

Pelvic floor Exercises

Psoas Release

Pelvic Tilts

by Lesley Powell, Director of Movements Afoot

How do you teach a Mat class for a multi-level enrollment of students?

One of the biggest mistakes of a beginner teacher is to rush into advanced material. Level I Pilates repertory is the foundation for all the advanced work. Without the foundations, clients will throw themselves into the exercises. Level I is a fantastic workout in itself. I practice Level I a lot.

So how do you challenge your clients and keep the mat class flowing
while you have a client with osteoporsis of the spine (no spinal flexion) and a dancer?

Let’s take Single leg stretch I

This version makes me concentrate how my lower abdominals connect. First do it slowly.

Make the client aware during the exercise;

• Are they hollowing or bulging the abdominals in the exersise?
• Do they feel their hip flexors easy? If not , are they substituting this for their core support?
• Is their back long? Do they feel the exercise in the back? Again if the back is working, the abdominals are not doing their job!

Then add Single leg stretch II for the advanced students. Do not allow the clients with osteoporsis to flex the spine.

Keep the class moving and holding positions longer. As they hold a position, keep them focusing on the essential concepts. Remember the mind connection is what will bring profound change in the body.

Start the exercise in level I. Then add a challenge in the exercise for your advanced movers.

• Flex the spine deeper
• Bring the legs lower in single leg stretch
• Repeat longer reps
• Throw the responsibility back to them. I.E. are they hollowing the abdominals in?

by Lesley Powell, Director of Movements Afoot

Our clients, who did Pilates through their pregnancy, believed it help with a more comfortable pregnancy and the childbirth. The workout should be supportive of the changes that happen to the body in pregnancy. The goals of the workout should not be progressive in making new gains in strengthen, endurance and mobility. A client should have permission from her doctor about her exercise program.

Pregnancy demands a different design of the workout. The following concepts should be intertwined through the workout:

• After 3 months, lying supine is contraindicated for long periods of time.
• It is important that the workout does not push flexibility.
• Stability training is important for the pressures of the growing baby on the spine.
• Do not overheat a pregnant client.

The weight of the growing baby in the supine position puts pressure on vessels that bring the blood supply to the baby. Possible variations for Pilates repertory.

• Footwork on the reformer, one could add a prop to have the clients half sitting (like she is in a lounge chair).
• Use of the long box to do a modified Stomach massage.
• Variations of Chest Expansion, sitting on the box or reformer, to help train the back and arms like in pulling the straps, the hundreds.

Pregnancy produces hormones that bring a new flexibility to a woman. This is preparing her body for childbirth. The pelvis needs to open to allow the head of the baby to pass through. Overstretching can affect the ligaments. This could affect the stability of the body long term. Once ligaments are overstretched, they do not return to the original length. Ligaments are not like muscles. Flexibility will return back to prior condition before the pregnancy. What is helpful is stretching the lower back due to the weight of the baby pulling the pelvis forward.

• Mermaid on the reformer or on the tower.
• Side stretches over the barrel or step barrel are wonderful.
• Cat and camel

Stability training is important. A lot of women have problems with back pain and sciatic pain. The baby puts a lot of pressure on the organs, pelvis, spine and muscles of the the hips. The psoas and the back muscles get tight with the changes in the woman’s body. Remember stability is dynamic. Alignment is changing due to the pregnancy.

• Pelvic floor training is important. It is a route to get to the transverse abdominal training.
• Training the legs to help support the spine.
• Training of the back muscles. Quadruped Exercises are great.

Ideas for training:

• Wunda Chair - leg pumps, side stretch
• Side leg springs
• Physioball

Photos of other ideas

by Lesley Powell, Director of Movements Afoot

They’re back… two December workshops with two great teachers.

John Chanik & Lisa Love return to teach at Movements Afoot this December.

Lisa Love returns with a workshop about assessment. Learning how to assess is about the art of seeing. Lisa Love, Ed.M., R.M.T., has an Advanced Master of Education in Motor Learning from the Department of Movement Sciences & Education, Teachers College, Columbia University with additional graduate studies in biomechanics and clinical
kinesiology at NYU. She has taught movement reeducation for over 20 years, and maintains a private practice in Pilates in NYC. She has been researching and working with MS clients for 15 years.

John taught this wonderful workshop 2 years ago about the spine. John brings his expertise as a trainer and a personal injury to his back lifting a dancer in his dance career. The Spine workshop this 12/18 is about understanding the function of the spine and the newest research about stabilization. 2 years ago we had a variety of students from those with back problems and teachers. I still use the material in all of my sessions with my clients.

by Lesley Powell, Director of Movements Afoot

When teaching clients with hip replacements, it is important to find out what kind of hip replacement did they have. At the moment, there are 2 different type of surgeries: the incisions are in front of the hip or in the back. Because of the incisions, this leaves the hip vulnerable to displacement due to weakness and the incision. I highly recommend that you and the client talk with their Doctor about their surgery and contraindications for training. With new advances in hip replacement, things are changing.

For instance, surgery from the back, movements of deep hip flexion is contraindicated. That means not to push hamstring flexibility by trying to bring the leg close to the body. Training the posterior hip is very important. Building strength of all the muscles of the hip and legs is important. In Pilates, diminished range of leg circles are great. Full short spine is not recommended. (Some of range of motion depends on their fitness before the surgery. Dancers have a unique range of motion.)

The most important thing to remember with hip replacements is not to push extreme range in the hip. Building dynamic strength is essential. Some clients, who tried to avoid surgery, developed compensation habits around the painful hip. Part of your teaching might be teaching your clients better function of using their legs.

by Lucia Cammarata, client at Movements Afoot

The Pilates instruction I have experienced at Movements Afoot has empowered me in more ways than I can possibly mention. It is exhilarating physically, emotionally, and intellectually. I find it goes beyond the mind-body connection, it plugs straight into the cosmos, the universe. This is essential for any true process of healing.

Pilates at Movements Afoot, taught me to enhance my somewhat limited walking capabilities (due to MS) through incorporating groups of muscles in synchronicity rather than the isolated ones I was using previously. Also, I was able to better identify slipshod shortcuts I was using in place of correct form in perambulation. Again this not only enhanced my physical ability and strengthened my physical core, but served to strengthen the crucially important psychological-spiritual core.

by Lesley Powell, Director of Movements Afoot

When a new client comes in for a session, I look at their alignment. I look at how their bodies organize around their pelvis.

I take them through simple movements of lateral shift, forward shift and standing on one leg to see how they organize their upper and lower bodies. Their alignment tells me a lot about how they use their bodies, their preferences, their strengthens, tightness and weaknesses. The alignment of the pelvis reflects how they use their legs. More photos of testing of alignment

Some poor postures are hereditary due to abnormal bone growth or health issues. For many, posture is due to habits. We do not use our bodies evenly. The best example is we either write right handed or left handed

The upper body organizes around the pelvis. If the pelvis is unleveled and/or rotated, the upper body compensates. Otherwise our upper bodies would lean to the side if we didn’t adjust our spines. Our nervous system tries to organize the head over the tail. When the pelvis is misaligned, the upper body compensates to get the head better over the tail. A good example is scoliosis.

When the pelvis is misaligned, the legs become unbalanced. Some of us stand not evenly on one leg. This causes muscular imbalances in the legs. The adductors can have a different quality of tone than the abductors. The legs could reflect different tightness-es.

By understanding their habits of posture, I direct the Pilates workout to address tightness, weakness, and to take them through movements/space not explored by the client. For instance, if a client is laterally flexed to the right, side-bending to the left is usually more difficult. I might take them through more reps of side bending to the left to improve range of motion. With this new practice, most clients improve the range of motion. This creates balance.