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Friday. 19 April 2024
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Classical Pilates mat exercises for various stages of rehab

This is an excerpt from Pilates for Hip and Knee Syndromes and Arthroplasties by Beth Kaplanek, Brett Levine, and William Jaffe.


Pilates Mat Tables

Table 3.1 shows the original classical mat exercises performed in the beginner, intermediate, and advanced levels designed by Joseph Pilates (Pilates Method Alliance 2005). This table is presented here because the classical mat work forms the basis for selecting Pilates exercises for the pre- and postoperative rehabilitation of the hip and knee, which are shown in tables 3.2 and 3.3. Today, many of the advanced exercises in the original classical order have been modified for the beginner and intermediate levels and variations have been added to the classical mat programs.

Table 3.1

Table 3.2 shows the classical mat order for the postoperative Pilates regimen for THA clients. Rather than organizing the exercises according to the beginner, intermediate, and advanced levels, table 3.2 organizes the exercises according to the postoperative timeline: 6 weeks to 3 months, 3 to 6 months, and 6 months and beyond. The client starts the mat series with a pre-Pilates warm-up, staying within the guidelines for postoperative ROM or specific syndrome precautions. All of these exercises (or modifications) are performed under the guidelines of the hip precautions recommended by the surgeon and dictated by the type of surgery. The exercises in table 3.2 are implemented based on the client’s uniqueness, capabilities, surgery type, and tolerances. The individual performing these exercises should advance to the next level only after demonstrating a strong sense of core stability, strength, and flexibility as tolerated.

Table 3.2

Table 3.3 shows the classical mat order for the postoperative Pilates regimen for TKA clients. Rather than organizing the exercises according to the beginner, intermediate, and advanced levels, table 3.3 organizes the exercises according to the postoperative timeline: 6 weeks to 3 months, 3 to 6 months, and 6 months and beyond. The client starts the mat series with a pre-Pilates warm-up, staying within the guidelines for postoperative ROM and specific syndrome precautions. All of these exercises (or modifications) are performed under the guidelines of the knee precautions recommended by the surgeon. The exercises in table 3.3 are implemented based on the client’s uniqueness, capabilities, surgery type, and tolerances. The individual performing these exercises should advance to the next level only after demonstrating a strong sense of core stability, strength, and flexibility as tolerated.

Table 3.3

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