Archives For Katy Bowman

It’s not normal!

February 10, 2018 — Leave a comment

From Cirque de Soleil’s ‘Ovo’

One of my favourite Katy Bowman-isms is that ‘No-one is out of shape.’ All of us are in exactly the shape that our environment and our behaviour has led our system to create. Another idea that I find very useful is championed by Robb Wolf, author of ‘The Paleo Solution’ and ‘Wired to Eat’, namely that if you want to understand anything relating to the human body, you need to view it through the lens of evolutionary biology. An idea that I heard Dr Andreo Spina expand upon: homo sapiens evolved as hunter-gatherers. Our ancestors spent hundreds of thousands of years evolving according to the demands of hunter-gatherer existence. Our bodies are essentially the same as those of our h-g ancestors and, therefore, are wired to expect the same kind of activities/inputs. So, if you want to understand dysfunction, or function as well as possible, identify the things that you do that are NOT h-g activities, and find ways to mitigate the impact that those activities have on your function.

I have to admit to taking perverse delight, from time to time, in being told by someone I’m teaching that the movement I’m showing them is ‘not normal’, or even better, ‘not natural’. Mostly I enjoy this because it gives me an opportunity to explore, with the person I’m teaching, what they mean by normal, or natural.

It appears that we are very good at normalising dysfunction. For example, it’s normal that my back aches in the morning; or it’s normal that I always get indigestion, and have to take pills to control it; it’s normal that I can’t look over my shoulder when parking my car; it’s normal that I wear orthotics in my shoes to stop my ankle hurting etc. etc. In other words, ‘normal’ is used as a synonym for ‘usual’, or ‘habitual’ – much in the same way that ‘not natural’ is used instead of ‘not normal’ or ‘unusual’. I’m very used to hearing, when demonstrating scapular circling on all fours, for example, that it looks weird, it doesn’t look natural.

I was fortunate to see a Cirque de Soleil show recently, which included many moments of disbelief at what we were witnessing – definitely a lot of ‘not normal’ physical feats on display. This got me thinking about what the capacity of homo sapiens truly is, what are our natural attributes without the interference of industrialised/post-technological revolution culture, and the language and mindsets of limitation and fear. Perhaps the Cirque de Soleil artists ARE the ‘normal’ humans, doing things that we absolutely evolved to do, and I think it looks extraordinary because their skills are way beyond mine, just as me circling my scapulae around my ribcage seems to be beyond some of the people that I try to teach it to.

I know that if I don’t routinely express the full range of movement of a joint, the soft tissues and muscles around the joint will adapt to the reduced range that I am making use of. If I don’t fully lengthen and fully shorten a particular muscle, my nervous system will calibrate accordingly. My system’s perception of full range will now be less than my physiological full range (and, of course, my nervous system is in charge), so it will take considerable retraining to re-callibrate my system’s perception of full range to my actual full range.

A few years back, when I was regularly teaching an open level Pilates mat class, I began to realise that over months, and years, of accommodating what appeared to be the typical available ranges of movement of the group in the class, I was adapting exercises and movements to fit them. After perhaps two years of semi-consciously modifying movements it dawned on me that I was no longer teaching what I set out to teach but rather I was teaching, in some cases, a modification of a modification of a modification of the exercise. You might argue that, in adapting things to the ability of the attendees, I was being a responsible and inclusive teacher. However, I now look back and think that I was actually resetting ‘normal’ for most of those people. Instead of showing them the possibility of more, and helping them to achieve it, I was actually helping to reduce their options. I never stopped intending to teach people to the best of my ability, I wasn’t being lazy, or uncaring – instead I think I’d lost sight of the difference between natural and normal, or between natural and usual, or most common.

It’s a terrible (and terribly true) cliche that the magic happens outside one’s comfort zone. I think that ‘normal’ is a part of fortress comfort – the very high walls of fortress comfort, in fact – concealing from us the possibilities that, rather than being bizarre or outlandish (‘women doing push-ups! ludicrous!’) were our birthright, as in, we were born to do them. Heck, why not call them ‘gifts’ instead of ‘abilities’ – we are given the gift of life, and part of that gift is a physicality that has astounding potential. As Ido Portal has said, of all the animals, we will never be the fastest runners, the best climbers, fliers, diggers etc. but we can do a bigger combination of these, and so many more things, better than any other animals can.

Ido Portal famously proposed that we should train ourselves in improper alignment, and I believe that this is another way of saying ‘reset normal’ or, better yet, ‘expand normal’. Functional training sounds very sensible and rational (though good luck with finding a clear definition) but, to use the most basic explanation of the term, training to make the activities of daily life easier doesn’t sound like it’s going to be pushing many boundaries. As the Mayo clinic suggests in their description of functional training, squats are great preparation for sitting down and getting up again – and I don’t think that they were trying to be funny… It appears that functional can be code for ‘normal’ – and functional training is to make you better at doing the stuff that you normally do. It’s almost completely at odds with Ido’s argument because, by definition, it doesn’t aim to expand on what is normal, for you. I have heard Jozef Frucek, of Fighting Monkey fame, argue that rather than ‘functional training’, we are better off doing non-functional training if we want to be better able to handle what life throws at us. (Fascinatingly, to me, he also suggests not to ‘do your best’, because that will result in you doing what you usually (normally) do, so trying something other than ‘your best’ instead.

To carry on quoting Jozef (I’m writing this just days after spending 4 days listening to him), “diversity breeds immunity”. To suit the point that I’m trying to make, I might twist this into “normality breeds vulnerability”. So if we’re presented with an activity, or an idea, that provokes a “That’s not normal” response, maybe we’ll be best served by pausing long enough to suppress that response, and discovering what possibilities, and potential benefits ‘not normal’ has to offer us.

 

 

 

More inspiration for me in the last week or so. This time, from this video by the always-thoughtful and provocative Joseph Bartz, and this blog by Oliver Goetgeluck (himself inspired by Joseph), pondering the meaning of ‘movement’ (though that’s a gross oversimplification. Also in the mix, and mingling nicely with these two are an excerpt of a Ted Dialogue with Yuval Harari, who has, for me, more profound ideas and insights than anyone else alive.

Whilst Joseph’s video seems to be more around semantics and the problems of ‘foreign’ words becoming part of one’s language, Oliver writes about the difference between movement, and Movement:

“I feel, today, that Movement is the contact we so desperately want to return to – and we want to return to it because we sense it is in some way inhibited, disturbed: we feel we are living way below our potential.” In this context, movement, with a small m, may or may not lead toward the big M movement that we crave.”

Having been easily seduced in the past by video clips of amazingly skilled movers performing beautiful, flowing sequences, more recently I’ve started to question the point of this kind of practice. I’m pretty sure that Ido would say “The point is that there is no point”, or something along those lines, which is fine, but perhaps not for me any more. (Of course, it may be that my exceptionally slow development of the kind of skill base required to ‘flow’ has prejudiced me against it….) I still love watching tricking videos, but, while I can enjoy the grace and control of someone doing what we might call ‘floor flow’ doesn’t move/engage me like it did once. I don’t know where it’s going, what it’s in service of. I can’t speak for Oliver, but maybe I’m talking about the big M that he refers to – does the ‘floor flow’ take us closer to the big M?

Ido’s 3 ‘I’s: isolate, integrate, improvise sounded fantastic to me when I first heard him talk about this concept, and I’m sure that it still has great value. However, I think that there’s a also the possibility that this approach may become about acquiring specific skills (perhaps a LOT of specific skills) and then finding ways to put them together. So the improvisation is no more than joining those skills together imaginatively. Dare I say that ‘movement practice’ could accidentally become exercise, using the distinction that Katy Bowman makes? As in, exercise is a patch, a pill – something that we’ve invented to try to compensate for the systematic sedentarisation of our culture, instead of reintroducing truly natural movement to our lives.

I think it’s safe to say that when animals play they are usually learning about interacting with others, either fighting or mating, on the whole. The concept of ‘animal flow’ as a human movement practice seems poorly named – some mating displays may be highly ‘ritualistic’ or follow a specific formula but I don’t believe that there are many examples of animals putting on movement displays in the way that humans are inclined to do. And I assume that this is because it hasn’t proven to give any kind of advantage, biologically/evolutionarily. In short, animals move in the ways that they do to survive and thrive, to be successful at life as whatever animal they are – to be the most wolf/chimp/rat that they can be. And I think that we have lost this drive, in many ways, including some of our movement practice. To borrow from Ido, again, we might be trying to be ‘homo motus’, rather than trying to be better homo sapiens.

So, if not to be more skilled, and more able to sequence multiple movements together in a graceful way, what do I train movement for? Over to Yuval Harari:

The feelings that people today have, of alienation and loneliness, and not finding their place in the world….the chief problem is not global capitalism, the chief problem is that, over the last 100 years people have been becoming disembodied, have been distancing themselves from their body. As a hunter-gatherer, or even as a peasant, to survive you need to be constantly in touch with your body and with your senses, every moment. If you go to the forest to look for mushrooms, and you don’t pay attention to what you hear, what you smell, to what you taste, you’re dead.

So you must be very connected. In the last 100 years people are losing their ability to be in touch with their body and their senses. To hear, to smell, to feel. More and more attention goes to screens, to what is happening elsewhere, some other time. […] if you’re back in touch with your body you’ll feel much more at home in the world.”

I suspect that this is the big M that Oliver refers to (I apologise if I’ve missed the point) – being more connected to the world, by being more embodied. Being more embodied may make it easier to perform a flowing sequence of acrobatic/gymnastic/animalistic movements, but I don’t think this works in reverse – I don’t think that learning to ‘flow’ means that you necessarily become more embodied. The goal of my training is to be more embodied, to know myself better, and it’s also why encountering Fighting Monkey last year was almost too good to be true, for me. Jozef talks about the point of FM being to become a better communicator, so that you can be a better friend, partner, parent – to become a better person. I think that this happens because the practice helps us to become more embodied. It may well be that many people following all kinds of other means and methods (including the Ido Portal Method) are achieving the same thing, perhaps by accident, perhaps by design – in which case there IS a point, acknowledged or not (and, according to Yuval Harari, that point might be as huge as saving humanity from itself!).

To me, Fighting Monkey is continuous awareness developing, and problem solving. Not ‘how can I transition from butterfly kick to cartwheel’, or ‘how can I open my shoulders more for my handstand’ but rather solving problems that I didn’t know were coming, problems that shift, like sand, as they are encountered in a different environment, with a different sparring partner. This is the kind of practice/learning that makes me feel that I understand myself, both ‘my structure’ and my psyche (as in recognising patterns in my reactions to situations/people/obstacles) a little bit better.

I’m not writing this with the intention of denigrating anyone’s practice, not least because, in the grand scheme of things, undoubtedly more movement>less movement. Instead, I think the colliding inspirations listed above helped me to understand (and maybe even articulate) something which I’ve been struggling to clarify for myself: why I am driven to attend workshops with Ido, Tom, Rafe, Tomislav, et al, and why Fighting Monkey feels, so strongly, like the logical next step in this pursuit.

Or, (very long subtitle) the niggle in your back/shoulder/hip/neck/ankle etc. wasn’t caused by something you did – it was caused by everything that you do.

Or, no-one can fix you, except you.

humancar

It might be tempting to think that my body is a lot like my car – I put fuel in my car and use it to get from A to B, and I put fuel in my body and use it to move from A to B, amongst other things, as well. When a warning light came on in my car recently, I took it to the garage for diagnostics and repair. It turned out that the catalytic converter had reached the end of its life and needed replacing.

Last year a warning light came on in my body, that’s to say, my knee started to hurt and wouldn’t straighten fully. I took it for diagnostics and it turned out that it needed (surgical) repair. Here’s the crucial difference – my knee joint hadn’t reached the end of its life, I’d simply not been using it as well as I might have done. And I don’t know when that happened. I may have been using it poorly for 2 years, or 20 years. I’ve done more sitting in the last few years that we’ve had a studio and I’ve been a manager as well as a teacher, and I used to run relatively high mileage with no understanding of good running technique around 17/18 years ago. Either or both of these things could have contributed but really my knee problem was probably a result of everything I have (and haven’t) done for decades.

I can drive too fast, take speed-bumps too hard, ride the brakes or the clutch and cause components of my car to wear out faster than they should. Then, if I’ve got the money, I can get those parts replaced and carry on as before. There’s no harm done, except to my wallet. I won’t have changed the structure of the chassis, nor altered the way that it processes fuel and oil, there won’t be scars left where parts have been replaced.

My body, however, is an organic, dynamic (on a good day) system. It’s continually responding and adapting to its environment.

en+vi+ron+ment: Ecology. the external surroundings in which a plant or animal lives, which tend to influence its development and behaviour. (We might simplify this to place and time).

Somehow environment isn’t a broad enough term – I like to think of inputs instead/as well.

in+put: Computer technol. a. the data fed into a computer from a peripheral device. b. the devices and operations involved in transferring the data.

In human terms there are some very obvious inputs, like oxygen, water and food. There are visual, auditory, olfactory and thermal inputs. There is the, largely, unfelt input of gravity. There are inputs of light, in addition to visual inputs – daylight, dusk etc. There are the inputs from my emotional response to place or time. And, with a significant nod to Katy Bowman, there are inputs of forces, or loads constantly being applied to our body, whether we are in motion or static. Even asleep, the surface you are sleeping on is a load on your body, and we are constantly adapting to our environment/inputs.

Current pain research also tells us that our memories of past experiences and stories we have heard also act, if not as an input, then as a filter through which certain inputs are passed. So they will influence the way we respond to those inputs. (Am I making the case for our bodies being quite different from cars yet?)

To paraphrase Katy Bowman, “No-one is ‘out of shape’. Everyone is exactly the shape that their inputs have caused their body to adapt to.” We are the product of everything that we do. And to paraphrase Kelly Starrett, “We do not randomly break”. If my knee cartilage wears out, it’s not because I carry the weak knee cartilage gene, its because of how I’ve used (misused) my knee. We could argue that there’s some luck involved, inasmuch as I may not have known I was abusing my knee, but I’m still responsible.

When the catalytic converter was replaced in my car, my car was fixed. End of story. On the other hand, the excellent surgeon, who trimmed my torn meniscus, did not fix my knee. He did the work necessary to allow me to fix my knee (if we can truly say ‘fixed’ in relation to bodies/body parts). Unfortunately, the Western model of health supports the idea that your doctor fixes you, strongly reinforced by the pharmaceutical industry. The chiropractor/osteopath/physiotherapist/Pilates teacher that helps you with your problem does not fix you – they help you to fix yourself. The magic comes from your own body, and your own nervous system. There is no external magic, however good your favourite therapist/teacher may be. THERE IS NO EXTERNAL MAGIC, THE MAGIC HAPPENS INSIDE YOU (perhaps with the guidance of your therapist or teacher).

You cannot take your body to someone else to get it fixed, you have to fix it yourself.

 

 

Are You Human?

March 4, 2016 — Leave a comment
Still from 'The Brain That Wouldn't Die', 1962.

Still from ‘The Brain That Wouldn’t Die’, 1962.

I’ve had conflicted feelings about civilisation for a few years – I enjoy the products of both agricultural and industrial civilisation as much as anyone AND I recognise that human civilisation has exacted a terrible price both on us and all the other species of flora and fauna on the planet. (It’s hard to read ‘Endgame’ by Derrick Jensen and stay blind to the negatives.)

There are a few fundamental factors that have driven our evolution as humans, including avoiding predators (see ‘Sculpted by Cats‘ by Frank Forencich – and buy the whole book, it’s great), finding food, managing environmental conditions, and gravity. Basically, moving about, and managing external loads and forces (thank you Katy Bowman).

I mention gravity in particular because it would appear, based on listening to an episode of the Tim Ferriss show recently, it appears that some smart people, from Stephen Hawking to Jeff Bezos, believe that the future of humanity will not be on the Earth alone. Not only will it not be on the Earth but that it would be most sensible to get away from gravity all together, so that human life would continue on space stations rather than on planets. Perhaps, like me, you find your internal alarm bells sounding at this – “What about bone density?”, “What about muscle mass?”. Further listening/research suggests that this might be a narrow view of the future of humans. Maybe the future doesn’t involve physical bodies at all. I love how science-fiction this becomes, because I like how sci-fi’s so often questions the nature of existence. Could it be that the future of humanity is as the gravity manipulating “intelligence” in ‘Interstellar’, who don’t appear to have a physical presence. It must be amazing to work in fields where this kind of thing is being contemplated.

Fascinating as this is, we remain physical beings for the moment, and at least for our lifetimes, shaped by our evolution and the factors mentioned before. Our physicality is central to our existence, and to our health. If you’re not utilising and enjoying your physicality it’s as if you’re preparing for this non-physical future that, if it comes, may be centuries or millennia away.

 

Is Pilates Really Enough?

February 5, 2016 — 9 Comments

This is a question that seems to crop up amongst teachers from time to time, with supporters on either side of the argument. Benjamin Degenhardt reminded me last year that what Joseph Pilates was interested in, was promoting, was overall health. He was concerned with a bigger picture than ‘core stability’, or ‘fitness’ in the gym-focused/endurance event sense (“She’s really fit, she’s run a marathon.”) that tends to be the dominant interpretation these days.

So does the regular practice of Pilates provide everything necessary to be considered fit, in a holistic sense? Perhaps the truth is that it depends. We might run into problems with definitions of the word ‘fit’. I’ve written about this before but, to save you reading more, I like: “greater tolerance to shifts in environmental parameters and biologically mediated challenges” (words by Suzanne Scott). I also like to think of fitness in terms of a capacity to express one’s full homo sapien potential – “are you human?”, if you like. Where being human means, to borrow from Kelly Starrett, that you can squat to take a pooh in the woods; and, to borrow from Katy Bowman, you can pull your own weight with your arms, which is to say you can do a pull-up. While they may not be very common, these are normal things for a human to be doing. (Please check in with yourself here – have you started making a list of reasons for not being able to squat/pull-up? or a list of people whom you know who have good reason to not be able to do one or both of these things? If so, why did you do that?)

Some other expressions of being human: walking, running, crawling, climbing, swimming, playing, dancing (the last two perhaps equalling physically engaging with other humans). And, beyond the realm of movement, to do what’s required in order to eat nutrient-dense foods from a variety of sources; to tolerate a range of temperatures (as in the definition of fitness above).

I got started in writing this because I sometimes feel, when working with teachers in training, and running a studio where a number of people teach, that I want those teachers to believe in more than teaching Pilates, or to see that their mission could/should encompass more than knowing the Pilates repertoire inside out, and being able to teach it to others (though this would be a good start).

In an interview last year Kelly Starrett said:

“Squat down, feet together, knees together, heels down. Can you do that? Yes? No? If you can’t do that you’re missing full hip and or ankle range of movement. That’s the mechanism for your hip impingement, for your plantar fasciitis, for your bunions, for your pulled calf. That is the £*@<ing problem, and you should be obsessing about it.”

You. Should. Be. Obsessing. About. It. You should be obsessing about it. Let’s hope you don’t have bunions or any of those others, nevertheless, if you’re not able to express your full range of movement, you should be be obsessing about it. Can’t squat to the floor? Obsessing. Can’t do one pull-up? Obsessing. If anything is less than optimal you should be doing something about it.

I’m sure it’s not to everyone’s taste, but I always enjoy the way Kelly expresses himself. If you have a look at what he’s involved with you will see that Kelly is clearly trying to reach a lot of people, and a ‘black and white’ delivery probably works best for that. I suspect that a lot of Pilates professionals are anxious not to judge, or be judged, which is nice but I don’t believe I’m alone in sometimes needing to be told “what you’re doing is not good enough”. Self-acceptance, as in not hating yourself, is surely to be encouraged; self-acceptance, as in ‘this is as good as it’s going to get’ should surely be discouraged.

I don’t believe that Joseph thought it was enough to do his exercises. After all, he left us with instructions for how to shower properly (I’m not sure that it’s on YouTube but if you look hard enough I’m sure you can find the film). Never mind the biologically mediated challenges – do you have optimal tolerance to shifts in environmental parameters? No? Then Pilates will be a good start, but you’ll need more.

 

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Perhaps this is a heretical question…. the importance of ‘good posture’ to health and well-being is so widely recognised that it is beyond question. Certainly, in the world of Pilates, it would seem to be doctrine. Jillian Hessel tells us that good posture is “essential to a healthy, well functioning body.” The good news is that Pilates apparently has a solution – Pilates For Posture’s website declares: “Evidence has shown Pilates to….improve posture…” (These are two examples out of many, and just happen to be near the top of my search results. See here, and here, for a couple more).

I accepted the importance of posture for years, as well as ‘postural optimisation’ being a reasonable goal for someone’s Pilates practice, and I was a little irritated by, for example, Todd Hargrove questioning links between posture and pain – why ask the question at all when we know that bad posture is bad for you? I started to be curious and question my own orthodoxy on this subject first when I noticed that people I was taking workshops with, in particular with MovNat and with Ido Portal, who were effortlessly wonderful movers, had (to my Pilates teacher, good posture obsessed eye) crappy resting positions. In other words, when they were relaxed, they were really relaxed, and clearly not trying to hold themselves well. To reiterate, when they wanted or needed to move they were graceful, supple and strong. When they didn’t need to move they did not seem to be controlling the form their body took.

thumb3_leopard_relaxing_in_a_tree_after_lunch

Needs some postural training?

More recently someone I was training with said “posture is reflexive”, which really got me thinking. It ties in with ideas of energy efficiency that I gleaned from basic evolutionary biology – as a species we are ‘programmed’ to use as little energy as possible; and with an idea I got from Katy Bowman: no one is ‘out of shape’, we are all in the shape that our brain/body thinks is best for us, based on the environment and inputs (nutrition, movement etc etc) we receive. So ‘posture is reflexive’ means that at any given moment your brain will organise your body according to the best (most energy efficient) strategy that it has available, based on the information it has received. You can consciously organise your posture, until your brain is occupied with something else – if your job is to sit or stand up straight that’s great, but if your life requires you to do anything else then postural organisation will quickly take a back seat. To say that your posture is a determinant of your health is putting the cart before the horse – your posture is a manifestation of your health, and ‘fixing’ your posture, however fleeting that might be, will not fix your health.

Problematic postures are only problematic when they indicate poor movement strategies. If someone’s default standing position is a swayback, and they have ‘glute amnesia’, the solution will be to teach them to move, not to teach them to stand. If someone’s sitting position appears to be causing them problems with their neck, shoulders, back, digestion, breathing etc. the solution won’t lie in teaching them to be better at sitting (just as a more ‘ergonomic’ chair won’t help), but might lie in helping them to sit less and move more. I understand, too, that someone’s posture can be a product of their emotional state. In this situation teaching posture doesn’t present a solution, and teaching movement actually might.

Assessing someone’s standing posture may be useful in terms of having quick/simple clues as to what kind of movement they have the most urgent need for, and perhaps there’s a movement assessment that will serve the same purpose, or do better. Beyond that, is there any point in teaching someone how to stand, or sit?

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She is NOT pulling her stomach in!

Regular readers (if you exist, thank you) will know that I’m a fan of Katy Bowman’s work. I’m particularly intrigued by her thoughts on compression garments, and how they may impact someone’s body while doing Pilates. For example, if one were to wear abdomen compressing ‘shape wear’ what impact might that have on breathing -diaphragm-ribs-spine etc? As Katy says, compressed innards don’t just disappear. They have to go somewhere. If you’re underwear is effectively shoving your abdominal contents up into your diaphragm what will that do to not just your breathing and movement but your digestion too. What if your ‘slimmer shape’ is actually  interfering with your food’s passage through your tubes?

“People’s shaping underwear choices have got nothing to do with Pilates!” I hear you say, and that’s true. But a recent podcast interview with Katy B got me thinking….. How many of us have taught people to pull their stomach in?

At the same time that I’m happy that ‘navel to spine’ seems to be gradually disappearing from the Pilates lexicon, I do think that some kind of ‘abdomen in’ cue may well be useful in certain circumstances. However, the trouble may arise when we, inadvertently or otherwise, help to create or reinforce the impression that good posture involves pulling your stomach in.  Let’s hope that we don’t, but if we do then we are in effect encouraging clients to be their own compression garments, and to use their muscles to squash their abdominal contents, thereby possibly interfering with digestion, breathing, continence, lymph circulation and so on. Spending your days trying to constantly compress your abdomen is not a good strategy.

‘Paleo Coach’ author Jason Seib introduced me to the idea that a fitness/exercise regime that is undertaken with aesthetic goals rarely works out. Instead, he advocates that the goal of any such programme should be health, and maintains that aesthetic goals will very likely be accomplished by achieving better health. That seems to be very much in keeping with Joseph Pilates’ philosophy, and the principle of Whole Body Health. ‘Flat Abs’ might be a short term selling point, but flat abs (or six pack abs, for that matter) don’t say anything at all about what’s going on ‘under the hood’ (your health, in other words), and they may well not be what a particular body needs.

Image from Disney's "Wall-E"

Image from Disney’s “Wall-E”

I’ll be the first to acknowledge, if I haven’t on this platform already, that I tend to like research that reinforces my beliefs, and to dismiss that which does not. I know that correlation does not equal causation, yet correlation can still be attractive if it seems to hint that a belief may really be the truth.

It’s always been easy to dismiss studies (I’m referring to studies on humans) whose results I might find inconvenient, because it’s so difficult to account for every variable in any human study, be it lifestyle, gender, size, weight, ethnicity etc. Then we have to consider the possible bias of the researchers, and possible massaging of the results to fit the desired outcome. So, ‘The China Study‘ may appear to show a correlation between plant based diets and reduced mortality rates, but it certainly does not provide proof of any such thing. It seems that, in general, interesting correlations are the best information that we can hope for from human studies.

I’ve recently had a debate, of sorts, via the comments section of a previous post, on ‘neutral spine’ in Pilates exercises, and the relevance, or not, of Stuart McGill’s research into low back disorders. Earlier this year I heard Ido Portal being summarily dismissive of this and other research, into diet for example, as having been conducted on ‘Homer Simpsons’. In other words, if the research subjects do not have a similar lifestyle or diet to his (and have not had for years), then what relevance would it have to him? Subsequently, I heard the excellent Katy Bowman articulating a similar position, in a little more detail.

Just as Erwan LeCorre refers to “zoo humans”, Katy describes us as humans “in captivity”. In effect, post-industrial lifestyles have made us captives of our own inventions. The comforts that have become so normal as to be invisible have robbed our bodies of the inputs that many thousands of years of evolution led them to expect. Many of us have feet that have not touched real ground in years, except through the (desensitising) cushioning of shoes. Frank Forencich wrote an essay that I particularly like, called “Sculpted by cats”. He writes of a time when big cats were far more widespread than they are now, and preying on our ancestors. Thus, those ancestors’ behaviour was in part dictated by sharing the land with their predators, and evolving particular traits or skills as a consequence. As Katy explains, we are now “sculpted by chairs” instead.

Nutrition inputs for most of us have changed almost beyond recognition from those that evolution led our bodies to expect. Simply, we don’t live, or eat in the way that humans have for millennia – we are almost a new species – homo sedentarien? Homo diseasus?. If you have seen ‘Wall-E’ you’ve seen this species depicted.
If you’re interested in being a Homo sapiens, and not being some sort of post-industrial, corrupted-by-comfort variant, then does research conducted on subjects that aren’t like you have much relevance to you? If you move and eat in a way that nourishes your whole body, if you avoid ‘foods’ that promote inflammation, will it fall apart on you? Do you need to be concerned that, like an IKEA kitchen drawer, your joints have a finite number of movements in them (dictated by your genetics, perhaps) before degeneration? Can science tell you much about how to live, eat, play or work if it’s looking in the wrong direction?

 

Epilogue

This post is really an acknowledgement of some of the ‘giants’ upon whose shoulders I endeavour to stand, to optimise my current world view:

Frank Forencich

Ido Portal

Katy Bowman

courtesy of Pilates Style

courtesy of Pilates Style

2013-09-24-HeidiPowellOvrheadPressPrego

Courtesy of Huffpost

One doesn’t have to look far to find many testaments to the value of Pilates during pregnancy. Though it has not received a specific endorsement from any UK health authority (RCOG for example), I doubt that there are many Pilates teachers who would tell a mum-to-be that Pilates wasn’t a good idea. Searching for ‘risks of Pilates during pregnancy’ doesn’t yield many results.

Equally, though perhaps less numerous, there are a number of women who will attest to the value of (appropriately scaled) CrossFit during pregnancy. Indeed there is a website, and social media pages and websites for ‘CrossFit Moms’. In this instance the doubters are a bit more vocal. While they may be largely lay people, photos of a heavily pregnant CrossFitter doing weighted squats caused a storm of controversy, with commentators declaring that she was endangering her baby, and that this activity should be regarded as child abuse.

I am an enthusiast for both of these exercise modalities, but recently I’ve had cause to reconsider my beliefs around pregnancy and exercise.

I’ve also had cause to wonder, prompted by social media threads in particular, about the prevalence of pre- and post-natal sacroiliac joint problems and symphysis-pubis dysfunction. Of course, the release of relaxin, not to mention hyper mobility, will have an impact on joint stability. We know that relaxin is released for a reason, yet it seems a very inefficient (thus unlikely) natural response if it causes lasting problems. I don’t believe in the ‘we just spontaneously break’ model of health that we generally adopt in the developed world. Something about our inputs, or our environment causes ill health – whether it’s joint problems or heart problems, for example. If we are (symptomatically) hyper mobile I suspect it’s because something in our diets, or parents diets (inputs) led to changes in collagen structure leading to lax connective tissues. There appears to have been a variety of research around the subject of diet and collagen (a protein), particularly in relation to caloric, protein, or cholesterol restriction – here’s a study on rats, if you fancy it. Thus, pelvic instability is not a random luck of the draw occurrence, but has an underlying cause. This is not an attempt to lay blame on anyone who has suffered with this problem – rather, to suggest that they have been unfortunate in their genetic inheritance and expression; or have not received the best guidance.

To get back to comparing exercise, first off, what are the most important exercises, or important muscles to be worked during pregnancy? Pelvic floor, right? You’ve got to do your pelvic floor exercises, for heaven’s sake! I’ve certainly done my fair share of teaching PF contractions to pregnant clients.

And then, last year, I watched Jill Miller’s webinar on CreativeLive, which featured the excellent Katy Bowman, as she put it, ‘dropping the Kegel bomb’ (Kegels is the term used in the US). She asserts that the most effective, and balanced way of keeping one’s pelvic floor toned during pregnancy is to squat, and to walk. We might say ‘practice natural human movement patterns’….Her argument is that, while they may be appropriate for some women, isolated pelvic floor exercises may lead to excessive pull on the inside of the sacroiliac joint and consequent imbalance/instability. Squatting would give more balancing posterior support, and both walking and squatting would help to keep tone in pelvic floor muscles.

And what are the issues around Pilates and pregnancy? We encourage pregnant clients at our studio to work with the apparatus, rather than doing mat classes. We’ve had great results and have had plenty of women coming to class right up to the end of their pregnancy. That said, during their second, and especially in their third trimester, a lot of their class doesn’t look much like classical Pilates. We don’t encourage participation in mat classes largely because of the restrictions in lying down (though I’d be the first to agree that guidelines on this are heavy handed, and that a woman’s body will most likely have a way of telling her to stop if lying down is causing vena cava compression), and herein lies one of the fundamental drawbacks of Pilates, especially in the classical practice – there’s a lot of lying down. I know of Pilates teachers who have had terrible problems of pelvic instability during pregnancy. There was a heated debated on a Facebook forum recently about the rights and wrongs of allowing a pregnant woman to participate in a Pilates mat class. Another recent post on the same forum was from a Pilates teacher in her third trimester, unhappy that her workouts feel incomplete because she can no longer follow the sequence that she’s used to. Advice from her responding peers ranged from suggestions for standing (Pilates) work, to taking walks and enjoying nature. Great suggestions, yet I fear that they may fail to address the problem of the lady’s frustration – her workout has to change completely. Is there an issue with the scalability of Pilates? Or the scalability of a ‘classical’ approach to Pilates? Mari Winsor’s book, ‘The Pilates Pregnancy’ is a case in point, with a number of reviews on Amazon commenting that the sequence of exercises varies little from one trimester to the next, and that she doesn’t offer much in the way of modification. In the third trimester she suggests the Hundred with bent knees and feet on the floor, or kneeling up if lying down is too uncomfortable.

Lying down isn’t just a problem from the point of view of possible restriction of blood flow, but also because it doesn’t train the muscles and soft tissues around the hip joints and pelvis to handle to take the increasing load of the growing baby. Indeed, would it not be better to be loading these joints (hip & SI) before conception, and in the early stages of pregnancy, in order to have a strong/stable foundation for the certainty of increasing load?

Here’s where the CrossFit mums-to-be that I know of step in. (Firstly, let’s be clear – I’m sure that many women have had happy and healthy pregnancies and deliveries with Pilates as their exercise companion). The wife of my first CrossFit coach is due in a matter of days, and still doing pull-ups. Another lady that my current coach is training, who is expecting twins in three months, is still deadlifting and squatting with weight – and maintaining that her back has never felt better. The beauty of the exercise methodology that they are following is that it can be scaled to fit their changing needs, without having to change the exercises themselves, and there are articles, in addition to the website mentioned above, to guide mums-to-be and coaches alike. In other words, they can squat throughout their pregnancy – the load and the range needs to change but the activity remains the same. High intensity workouts can be left ’til later, so there’s no need for any stopwatches, but there’s lots of scope for strength work (indeed, it doesn’t matter whether it’s called CrossFit or strength & conditioning). A lot has been written about the community aspect of CrossFit, and one of the benefits of this scaleability is that it means that pregnant women do not have to miss out on their fitness community, and the potential disempowerment of ‘I can’t do what I used to’.

I’m not really advocating that everyone pregnant gives up Pilates and signs up at their nearest CrossFit gym. I just wonder if there isn’t (sometimes) something missing from Pilates that needn’t be. Or maybe there’s a middle ground. I’ve never seen film or photographs of Joseph teaching a pregnant woman, and I don’t remember any reference to pregnancy in his writing. Perhaps he never intended pregnant women to use his method. If, like me, you believe that Pilates is about moving well then many activities can be approached with a Pilates sensibility, perhaps to the significant benefit of women both pre-conception and during their pregnancies.