Archives For Pilates

The Dirty Secret

April 4, 2015 — 12 Comments

Or, ‘Clinicians, what have you done to Pilates?’100910doctor

“We only hire experienced Physiotherapists trained in Pilates to teach in our Pilates studios: we dig the bloke that started it, but can’t understand how you’d let anyone who can’t relate your pain and pathology to your problem come anywhere near you!” 

(‘Clinical Pilates’, http://www.sixphysio.com)

There seem to be frequent scuffles in the Pilates teaching world (at least in the forums that I see) between ‘classical’ and ‘contemporary’ Pilates teachers. I’ve no interest in pursuing that particular debate here, not least because I think it may not be the right on to be having. Rather, I’m interested in the influence of physiotherapy and ‘clinicians’ on Pilates, and the profession of teaching Pilates.

It seems appropriate that, over the years, different teachers developed what may be termed ‘pre-Pilates’ exercises, to provide a kind of ‘on-ramp’ to the original work for those who may need it, for whatever reason. I guess that this is how some ‘contemporary’ Pilates developed. However, I suspect that ‘contemporary’ Pilates is routinely intermingled with ‘clinical’ Pilates, and the ideas that underpin the various ‘clinical’ Pilates brands (yes, there are lots of them) are increasingly exerting a pernicious influence on much of Pilates teaching.

Why the ‘Dirty Secret’ title? I was recently listening to an interview with Kelly Starrett, a physiotherapist particularly well know in the CrossFit community. In the interview he refers to what he calls the “dirty secret” of physiotherapy – the phrase “within normal limits”. He describes the tenets of physiotherapy training as getting the patient functional -‘can you do your daily activities’, and resolving pain. Clearly these aren’t bad things but, as Kelly says, “within normal limits” does not mean “full function”. So, allowing for the fact that this is a generalisation, and that there are many excellent physios in the world who are committed to their clients high achievement, the fundamental measure of a successful outcome for a physiotherapist might well be ‘can you walk to the shops without pain?’

Joseph Pilates wrote of his method: “You will develop muscular power with corresponding endurance, ability to perform arduous duties, to play strenuous games, to walk, to run or travel long distances without undue body fatigue or mental strain. And this is by no means the end.” His ambitions were a little higher than ‘can you walk to the shops without pain?’

The term ‘evidence based exercise’ seems to be increasingly popular, and probably underpins a lot of the colonisation of Pilates by clinicians. Clinical Pilates™ have a video on YouTube called “What is Clinical Pilates™” which makes reference to “recent research into spinal stability“. The APPI (The Australian Physiotherapy and Pilates Institute) website tells us that “Pilates focuses on building an efficient ‘central core’. In Pilates, ‘central core’ refers to the TrA, multifidus, pelvic floor and diaphragm. In Pilates, abdominal hollowing techniques are utilized to activate this central core.” (About Pilates, http://www.ausphysio.com) The Clinical Pilates™ video goes on to explain that “Some of the original exercises have been cut from the regime, as research cannot support their efficacy. What’s left over is a set of proven, effective exercises, now known as ‘Clinical Pilates’“. (What is Clinical Pilates™, dmaclinical pilates, YouTube). So, research tells us that we can prove the efficacy of certain exercises, but not others. Best practice is therefore to exclude anything that we cannot prove is efficacious. This may be a line of reasoning that appeals, but does it have anything to do with Pilates, or real life, for that matter? I’m in no position to question the merits of research, like Hodges’ & Richardson’s ‘A motor control evaluation of transverses abdominis’ (published in 1996), that concluded “The delayed onset of contraction of transversus abdominis indicates a deficit of motor control and is hypothesized to result in inefficient muscular stabilization of the spine.” In case you are unfamiliar with this, their research found that in healthy subjects – those without back pain – EMG readings showed that their TVA fired in anticipation of movement, whereas the back pain suffering subjects showed delayed TVA firing. I do wonder, though, about it’s application to Pilates.

This happened before my introduction to Pilates, but I imagine that, because Pilates was recognised to help people with back pain, it was then deemed necessary (by whom – who knows?) to incorporate conscious, isolated TVA contraction into Pilates. As APPI told us above, Pilates uses ‘abdominal hollowing techniques’, though I can’t find any reference to it in Pilates’ own writing. I recently had an online conversation of sorts with a former Pilates teacher and studio owner who described herself as a ‘master trainer’. The conversation started because she had blamed Pilates for her ‘weak’ rectus abdominis, and she explained to me that: “The pilates priciple of navel to the spine creates an imbalance in the abdominal muscles.” I have no wish to impugn the integrity or sincerity of this lady, presumably her view is a reflection of what she was taught herself. But where did it come from? I’d be very interested to hear if anyone who was trained by Romana, Kathy, Eve, Ron, Carola or any of the other first generation teachers ever heard a ‘navel to spine’ or abdominal hollowing cue. Again, Pilates himself never mentioned any such thing in ‘Return to Life’. I know from other exchanges that I’ve had on Facebook forums that, amongst plenty of teachers, the importance of cueing transversus, and the correct usage of transversus are, beyond question, fundamental to Pilates.

So, research appearing to indicate that transversus contraction is normally reflexive, we find that it is being cued nearly constantly in Pilates. The truth is that, having had a lumbar disc injury, I probably benefited greatly from some simple spinal stabilisation/hip dissociation exercises when I first started Pilates, but these were in preparation for doing Pilates, not central to it. In other words, these were pre-Pilates exercises that seem to have somehow morphed into what Pilates is perceived to be. Indeed, organisations like APPI and Clinical Pilates™ will teach their students that this is how Pilates should be – “The APPI Pilates Method provides Physiotherapists and equivalent degree therapists with a clinical and user friendly tool for retraining correct activation of the Multifidus, TrA muscles and pelvic floor muscles.“(The APPI Pilates Method, http://www.ausphysio.com) I should say here that, of course, physiotherapists do a very important job of helping people to be pain-free, and I am sure too that there are many great and dedicated teachers trained under these and similar methods. My concern is, to revert to the analogy above, that the on-ramp becomes the freeway, first in the perception of teachers trained in this thinking, and then in the public perception.

I’ve written recently about our willingness to believe that we understand bodies and movement better than Pilates did, and I assume this is the reason that Pilates teachers were apparently so willing to adopt clinical concepts in their teaching. The slightly bizarre thing to me is that at the same time some of those clinicians were busy declaring that physiotherapists are the natural bearers of the Pilates flame – that they are the people best qualified to teach Pilates. It’s an idea that is routinely promoted now -“Pilates instructors may be able to teach Pilates but are they qualified to give rehabilitation to someone who has an injury or medical diagnosis? We would suggest not. Physiotherapists can give full rehabilitation and can be taught to teach Pilates.” (The Benefits of Physiotherapist Led Pilates, http://www.pilatesandtherapy.co.uk) and, of course, in the quote at the top of the page.

Intertwined in this is the notion that actually Pilates is for people who are injured, or in pain. This brings us back to the ‘within normal limits’ outcome, and the idea that repertoire that hasn’t been validated by research should be discarded – “We don’t know for sure that this will help to resolve your pain, or increase the efficacy of your spinal stabilisation strategies, so you shouldn’t do it.” What was devised as a system is reworked (unsystematised, perhaps) and then, weirdly, appears often not to work. I have a strong suspicion that there are plenty of teachers who have arrived at Pilates after pain or injury, followed the unsystem approach and failed to enjoy the outcomes that Pilates intended. They’ve trusted the clinicians instead of the system, and thus find themselves ‘within normal limits’, when Joseph was trying to offer “godlike attributes” – what a compromise!

 

41HJGOjnmrL._SY344_BO1,204,203,200_Firstly, thank you to everyone who read Part 1 – something about this topic clearly resonated because more people have viewed that post than any other that I’ve written (no, it’s not saying much, but ‘from little acorns’ etc…)

Some of the comments that were made in response to Part 1 indicate that I didn’t do a very good job of arguing that there isn’t too much flexion, AND indicate to me that there are plenty of teachers who will happily declare that ‘there is too much flexion’, or ‘classical Pilates is mostly flexion’ as a gospel truth – as one of those things that’s so manifestly true that it needs no qualifying. When I asked for an example of a particular exercise that symbolised ‘too much flexion’ there were no examples forthcoming. The argument seems to go: “Just look at ‘Return to Life'”, and that’s exactly what I plan to do.

Before that I would like to quote Jean-Claude, from Bluebird Pilates in Munich, whose comment on the Facebook pilates-contrology-forum very neatly sums up what I believe:

“If you ask the question, if there is too much flexion in the Pilates Method and you generalise like followed: Roll Up = Flexion , Swan = Extension , I believe it is a black and white approach. 

Looking closely at the Roll Up for example, I can see an important part of extension, lying flat reaching you arms up and over you head without lifting your middle back, reaching into the two way stretch through your feet and finger tips. For me that is clearly an extension that most clients have to work on pretty hard.”

So, trying to see the original mat exercises in glorious technicolour, here we go. In case it’s not obvious, I’m assuming that the ‘too much flexion’ accusation refers to the spine, and not to other joints.

The Hundred

My understanding is that The Hundred is about breathing, and that it is about chest expansion (thank you Kathryn Ross-Nash, this was so helpful to me). I’ve argued elsewhere that the position of this exercise is essentially the gymnastic ‘hollow body’ or ‘dish’ position. A big part of which is hip extension – JP is pointing his toes in the pictures in RtL, which is (as Carl Paoli says) an expression of pushing. I would suggest that, if you are thinking of holding your legs up in The Hundred, then you are mistaken – you need to be pushing your legs down. The action of hip extension will help to centre your femurs well in your hip sockets, and assist a posterior pelvic tilt (which is different from tucking, of course) that will lengthen your lumbar and flatten it into the floor. Yes, there’s some lumbar flexion, but as always in Pilates, it’s coupled with elongation. For me, the component of hip extension is far more significant than lumbar flexion. It is my upper thoracic that really has to flex, meaning that I have to find some extension from my lower thoracic, which is where the chest expansion challenge comes in – can I flex my upper thoracic without closing the front of my shoulders? (Yes, if I really concentrate).

In short, not a flexion dominant exercise.

The Roll Up

The instructions begin “Lie flat with entire body resting on mat…” Yes there’s lumbar flexion to achieve that, but it’s about flexing to lengthen rather than flexing to curve, and the pelvis/leg relationship is the key, so the facility for hip extension is central again. I bet too that the thoracic extension challenge is significant for many to achieve the desired start position. I won’t pretend that the movement itself doesn’t in involve flexion, but the ability to move efficiently at your hip joints is the key. I saw it asserted on Facebook this morning that the 3 challenges to doing The Roll Up are: “the proportion of the body; the mobility of the spine; the strength of the abdominal muscles” No! If you can’t assume the start position – lumbar lengthened and hips extended (that slight posterior tilt will require you to be in hip extension). If you can’t dissociate at your hip joint your spine will have little chance of moving appropriately and this, I believe, is the usual reason for people to struggle with The Roll Up.

As I mentioned in Part 1, my understanding is that the eccentric (resisting force) phase of any exercise is at least as important as the concentric (applying force) phase. So you are always resisting gravity or, in the studio, the springs. Therefore rolling up from the floor is not the big challenge, rolling back to the floor is where the control really occurs, and this is when you have to be able to extend your hips, and your thoracic (see Jean-Claude’s observation above). The alignment of your spine is (pathology aside) a product of the orientation of your pelvis on the top of your legs. If we disagree on this we will probably disagree on most things movement related.

So The Roll Up is an exercise of hip dissociation, spinal flexion and extension.

The Roll-Over

This exercise is almost a reverse Roll Up, so many of the same ideas apply. Spinal control becomes more significant than hip control, because part of your spine remains the anchor to the floor, whereas in the Roll Up your pelvis and legs are the anchor. The eccentric phase is, as far as I’ve seen, always harder than the concentric phase (again, it’s Pilates – that’s how it’s supposed to be).

Of course there’s flexion, with elongation, and it’s working your hip extensors that will help to maintain that length (ie. Resist gravity) but the hard work comes in maintaining shoulder placement (there’s that chest expansion idea from The Hundred) and extending your upper thoracic, so that you’re not over extending your neck, on the way down – and then maintaining that while you extend your lower thoracic too.

So the shape looks like flexion but The Roll-Over is an exercise in controlling spinal extension.

The One Leg Circle

It’s the Roll Up start position again – there’s as much thoracic extension as there is lumbar flexion..

Rolling Back (Rolling Like a Ball)

Yes, it’s in flexion – I would say a (-curve, not a c-curve. As with earlier examples, it is hip extension that will help to maintain lengthened lumbar flexion – you push out against you own pulling in – that’s the opposition that creates length in the shape and gives you dynamic control. If you’re rolling and only pulling in then balance is going to be more a matter of luck than control.

So it is flexion but you’d better not be just thinking about flexing.

The Leg Stretches

Just like The Hundred, the lumbar flexion is really about elongation, and once again hip extension, and the capacity for deep flexion at your hip joint. And there’s the chest expansion element again – can you keep that as your draw your knee(s) in?

They looks like flexion exercises, but maybe that shouldn’t be the focus if you’re doing them well.

The Spine Stretch

In truth, I’m not thrilled with JP’s start position in RtL – it looks like there’s a bit too much posterior tilt to be able to really maintain length while going into lumbar flexion….

Here the flexion happens on the eccentric phase, so you work hard to lift into flexion against gravity wanting you to collapse. The concentric phase is all extension and, for me at least, this is one accession when it’s just as demanding as the eccentric part – to really sit up without hinging at my lumbar-thoracic junction, to really extend my thoracic, takes a lot of concentration and control.

It’s another exercise in both flexion and extension – the middle position of any Pilates exercise rarely tells you what the exercise is all about.

With just a few exceptions, I’ve already written about the exercises that follow, or (hopefully) they obviously don’t involve spinal flexion to any significant degree.

Rocker with Open LegsThe Seal, The Crab = Rolling Back (and The Crab gives me the most fantastic upper thoracic stretch, in the area that so few exercises reach).

The Corkscrew, The Jack-Knife, The Control Balance = The Roll-Over, and you’d better be using your hip extensors to organise and lengthen your spine.

The Saw, and the spinal articulation component of The Push Up = The Spine Stretch.

The Teaser is The Roll Up but with less feedback, and a harder involvement of your hip extensors (yes, they have to work to help organise your spine and maintain the length in your lumbar).

It’s tempting to say that, if anything, there’s too much hip extension in Pilates, because your hip extensors need to be working in (borrowing a generalisation) ‘pretty much everything’. This is where the idea that when Joseph Pilates devised the system people had different lifestyles and needed different things (which is often the underpinning of the ‘too much flexion’ argument) seems to fall down. In my experience everyone could have more efficient hip extensors, and I guess that JP had this worked out.

To try to summarise, many exercises, seen in a snapshot, appear to be flexion biased but we do the whole exercise, not a snapshot. Inevitably, how we think of an exercise, our perception as we approach the movement, influences what we do and feel. If you believe that Pilates is flexion biased then that will probably be your experience. What happens if you allow your perception to change?

ef968f90d366b4532cfa664a2f58a743Related to, and along with “we now know more than Pilates did“, ‘too much flexion’ seems to be another observation/statement about the original Pilates repertoire that frequently goes unchallenged. To be clear, this seems to invariably mean ‘too much spinal flexion’. This may well be coupled with a faith in the research of Stuart McGill (yes, this is a favourite topic of mine), which may be taken to mean “never flex your lumbar spine under load of any kind”, or worse, “never flex your lumbar spine, ever”.

Brief digression – if you apply load (compression, for instance) to a cell, it will react, perhaps by adapting to that load. The cell is alive, it breathes, it responds to stimulus. If you kill a pig, remove its spine, put that spine in a vice and repeatedly apply load to it in one direction it will only reliably teach you about what happens when you do EXACTLY that. It will not tell you much at all about what happens to a living spine, made of living, breathing, adaptive cells, human or porcine. So we do know one thing about ‘Safe spines’ for sure: don’t allow anyone to remove your spine from your body, put it in a vice and apply repeated uni-directional load to it. Excellent.

So, there’s lots of flexion in Pilates, right? Everyone says so, not least The Pilates Nun: “It’s true that in the repertoire there are way more spinal and hip flexion exercises than extension, side bending or rotation, inward or outward rotation. By “way more,” I mean a ton more, tens of percentage points more, or, put another way (and to properly use a double negative) almost none are not flexion based.” I have only singled out The Pilates Nun because her website was one of the first hits in my Google search and because she states it so vehemently. She’s by no means alone in making this assertion, as you can see here, and (oh dear) here.

(Disconcertingly, The Pilates Nun explains this flexion dominance by stating that we are ‘flexion biased’ creatures, and goes on to claim that: “humans move forward through hip flexion and our bones are set up to facilitate that. If our legs moved as easily backward or to the side as they do forward, we’d be far less stable, less powerful and nowhere near as fast.” Is it wrong to be profoundly alarmed that someone who may be regarded as an expert in our field believes that it is flexion that propels us forward? Pilates teachers often seem to regard themselves as having greater understanding of movement than other fitness professionals but I imagine that the most novice strength and conditioning coach will tell you that hip EXTENSION propels us forward, and more powerful hip extension makes you faster).

My purpose here is not to write about how safe it can be to do lots of flexion, when done properly – you can read about that on The Vertical Workshop blog (though I still take issue with the writer’s willingness to go along with the ‘Pilates is lots of flexion’ dogma). Instead my intention is to suggest that when we look at exercises and classify them as ‘flexion’ we are only seeing half the story, and sometimes even less.

Do we see the shape at the mid-point in the exercise, and then categorise it based on that shape? If so, we forget about the process of arriving in that shape, and then returning to the start position. There are only a few isometric holds in Pilates. I habitually tell clients who are new to Pilates (in slightly different language) that we are as, if not more, interested in the eccentric movement of an exercise than we are in the concentric movement. Are we seeing concentric flexion and forgetting about eccentric extension? Or just as likely, seeing eccentric flexion and forgetting about the concentric flexion? The whole movement counts, and the exercise isn’t finished until you’ve returned to your start position.

In the simplest instance, if you do The Spine Stretch you return to upright to finish the movement (ideally a little longer than when you started, of course), so is it really an exercise of flexion?

Could it be that a position that appears to be one thing is actually about another? How often is a position that looks like flexed spine and flexed hips actually about an action of hip extension to maintain a robust connection of the legs to the spine, and at the same time organisation of the spine itself?

To avoid writing an epic, I plan to write Part 2 of this by looking at each of the classical mat exercises in terms of their movement patterns and objectives, to try to reinforce this point. In the meantime, I’ll be glad to hear what you think. If you usually think of an exercise as ‘flexion’, try thinking of it differently when you next do it, and see what happens.

Thanks for reading.

 

Part 2 is now available here.

 

The Pilates System (?)

February 11, 2015 — 4 Comments

imagesAs seems so often to be the case, the convergence of two sources at a similar time has got me writing. Soon after I saw this from Andrea Maida’s blog, I also saw this piece, written by Joanne Elphiston. Wildly different, you might say – one is an attempt to define the original order of Reformer exercises, as determined by Pilates himself (no doubt a demanding piece of research in itself), and the other is a critique of (what may be) the prevailing thinking around stability training and injury management.

To stray from these for a moment, after spending 4 days last year learning from Ido Portal, I felt that my concept of movement, and teaching movement had been blown apart. For the first few hours it was mildly traumatic as I wondered how on earth I could go back to teaching what I then recognised, as a result of what I’d just seen, heard, tried etc.,  as the relatively narrow approach of Pilates. What saved me was recognising that, like most if not all movement disciplines, Pilates only makes sense as a system, and what I needed to do was to keep exploring the new material and ideas, integrate them into my teaching as appropriate, and teach in a systematic way. I hope that prior to this my teaching hadn’t been haphazard, but there was definitely room for more of a systematic approach. (It may be worth mentioning that I have become much better at the kind of record keeping that insurance companies recommend as a consequence).

Naturally then I’m drawn toward articles like Andrea’s, because it helps to reinforce a system. Not to mention that, as well as laying out a sequence, she does a great job of rationalising the order that she offers (and with humour – so much nicer than dogma…). There are other orders laid down for the Reformer – Whereas in Andrea’s list the Long Stretch Series comes after the Long Box, in the Romana Legacy Series DVDs the Short Box appears immediately after the Long Box – I don’t think these distinctions are important because there is an underlying system to both.

What of Ms Elphinston’s thoughts? In case you haven’t read it yet, she begins: “We see a lot of injured physiotherapists and Pilates teachers in our clinic. Many of them have turned to Pilates in order to address their own back pain, and it initially gave them a sense of control over their situation. However, they nevertheless still have back pain.” And she goes on to ask why this should be. Partly because I have seen this scenario many times (or at least it feels that way), I am willing to bet that the Pilates teachers whom she refers to have not pursued the system – have not treated it as something that you keep working to progress within. My guess is that they discovered, through Pilates, the exercises that they feel help them (which can feel like a miracle), and they get repeated over and over (“I know what I need.”), but the idea of Pilates as a system to progress in gets lost. Or maybe it was never there in the first place. I began Pilates at a studio where there was a clearly defined warm-up sequence that most clients learned sooner or later. There were ways to modify or layer things but the basic movement patterns were the same. Over the years things changed – my guess is that teachers got drawn into playing therapist, or got bored and added their own ‘creativity’, or simply lost faith/interest in the system. If you go there now you may be hard pressed to find a teacher who expects that the clients will adhere to a system.

There may always be debates around whether or not you can teach exercises that you cannot do yourself. Leaving that aside, I suspect that we tend not to teach the exercises that we don’t do ourselves. Or that we don’t effectively teach the exercises that we don’t do. I’ve been here before – if we entertain the idea that there’s Pilates repertoire that we needn’t aspire to, then why bother with any of it?

It seems that a lot of continuing education in the UK Pilates world relates to other disciplines, or to approaches to specific pathologies and, therefore, modifications. (Why should, for example, Pilates for Golfers, be substantially different from Pilates for non-golfers? Is there repertoire that’s contra-indicated for golfers, and other repertoire only suitable for golfers?) This, coupled with an absence of goal-setting and diminishing expectations, means that it’s easy to ‘do Pilates’ and actually only scratch the surface. The system itself can act as goal-setter, and inspiration (me, I’m working on nailing Balance Control/Step Off this year), and means that you don’t avoid the things that you don’t like. It’s now a running joke/accepted law in our studio that everyone hates the things that they need the most (and I do NOT love Breaststroke…)

Ms Elphinston’s writes “we remember that stability arises from systems, not muscles. This requires variety and variation in our programmes, working our way up to variability in order to foster robustness and a range of solutions to meet the challenges in our work, play and general environment.” Hah, Systems! I know that she is not referring to systems in the same way that I was above, yet it seems that these ideas dovetail nicely. The Pilates system is about developing stability not by focusing on muscle recruitment but by developing a range of movement patterns with ‘variety, variation and variability’. The mixture of midline stabilisation and hip/shoulder dissociation with spinal articulation fosters robustness – not, God help us, ‘Safe Spine Pilates’.

If you’ve spent any time in a health club then I’m sure you will have seen those people who dip in and out of things – a bit of treadmill, some shoulder presses, a bit of a stretch, the cross-trainer, maybe the leg press etc. Perhaps you’ve felt sorry for them and their lack of structure in their workout, and maybe thought that if only they had some more method to their session that they may see more progress. The Pilates studio (or mat class) is just the same – the magic’s in the system.

 

 

Who Is Your Teacher?

November 2, 2014 — 4 Comments

or The Trouble With Virtual,
or even I’m So Lucky

I really enjoy the opportunity to have dialogue with people that I have never met (and may never meet) that Facebook affords. The streamed classes that services like Pilates on Demand, Pilates Anytime and Pilatesology are a fantastic resource for students and teachers alike, too.

I’ve also read what both Frank Forencich and Mark Sisson have to say about the kind of social groupings that we have evolved to flourish within. I’m sure they are just two of many people commenting on the very novel (and who knows how ‘harmful’) phenomenon of superficial connection with hundreds, even thousands of people, rather than a ‘tribe’ of maybe 20-30 with whom we have a face to face and more intimate connection. Still, if you are able to have both then there are many potential advantages to a broad scope of opinion and experience that something like a Facebook group can offer.

The reason that I consider myself to be very lucky is that I live with one of the best teachers that I’ve ever encountered, with both a broader movement background, and many more years of practice than me. In other words, I always have a teacher on hand – someone who will give me feedback about both my own practice and my teaching, and whom I can go to for advice.

One of the drawbacks of the kind of qualification (in the UK) that will sanction someone to teach Pilates in health clubs and local authority facilities is that it can be gained without having a teacher yourself. I have met a teacher with this qualification who had never been to a Pilates class – all her own practice had been done following a DVD or online class. I imagine this will seem utterly bizarre to the majority of teachers reading this, and yet I suspect that, once qualified, it’s not so hard to get into a similar situation. Classes cost money, and take up time that you could be using to earn money – it’s an easy trap to fall into. Would anyone disagree that we all need a teacher (or teachers)? That there is any substitute for having someone in the room with you, watching you move, using the x-Ray vision that Pilates teachers (perhaps all teachers of movement) seem to develop? In fact, isn’t it essential to have a ‘live’, present teacher in order to develop those kind of skills?

Again, it’s an amazing resource, to be able to post a question in an international forum on Facebook, and to get feedback from teachers around the world with hundreds of years of experience between them. Truly this is one of the great benefits of the Internet. Then, sometimes, a question appears that makes me think ‘this is a question for your teacher’, hinting at the possibility that this person doesn’t have a teacher. If I wasn’t married to a teacher this might be me, and in writing this I’m reminded that I could be spreading my own net wider. Will I be more successful as a teacher if I don’t develop? Will I really develop as a teacher, if I don’t have one myself? So having a teacher isn’t expensive, it’s an essential investment.

Neutral?

October 18, 2014 — 13 Comments

This subject may have been done to death, but the last post that I wrote garnered reaction from a number of people, specifically in relation to my writing that “I may have uttered the phrase ‘neutral spine’ at some point in my life” (as if that were a bad thing). So, it seems like something worth addressing, and having done some hunting in books and via the internet, there is plenty of (at least) potentially conflicting information available.

Neutral posture is defined as one “where the joints and surrounding soft tissues are in elastic equilibrium and thus at an angle of minimal joint load”.

(sorry, I’ve seen this quoted repeatedly but cannot find the original source).

If you’re going to be lifting weights, whether a barbell or bags loaded with a weekly shop, neutral is a fantastic place for your spine to be. There will be load on your spine, because it is the transmission from your arms (carrying the weight) to your hip joints, which should be moving the weight, but the load will be distributed evenly through the joints. If you are a Pilates teacher, or enthusiast, you probably know what Joseph Pilates believed about spinal flexibility – he wrote, in ‘Return to Life’ “If your spine is inflexibly stiff at 30, you are old. If it is completely flexible at 60, you are young.” In the lifting example though, the facility to maintain stiffness in your spine is very valuable.

One of the foremost proponents of spine stiffness is Prof. Stuart McGill (the link is to an article that he wrote) who has spent years researching spines, and apparently gathered lots of evidence that supports his theories.

I can’t disagree with a lot of what Prof. Mc Gill says in the video (and what right, as a layperson, would I have anyway?), especially in relation to the importance of lifting with the hips and not simply bending your knees. I heard recently of research on dancers showing a strong correlation between poor hip hinging (the ability to hinge the trunk around the hip joints without spinal articulation) and both back and knee pain – back pain especially. There would seem to be a strong case for making sure that the people we teach understand how to hip hinge (to powerfully extend their hips, you might say.)

Are there exercises in Pilates that involve the spine acting as a static transmission of load from one extremity to another? Absolutely. And there are also, of course, plenty that require us to sequentially articulate our spines, or to maintain spinal flexion. I suspect that the work of Prof. McGill has caused some teachers to believe that we should be avoiding lumbar flexion (it seems to be regarded as more sinister than thoracic or cervical flexion, presumably because the majority of disc injuries occur there). If you look you can find video online (try “the Pilates Nun”) of the Rollup being taught with a neutral lumbar spine, so as to keep it safe. If you peruse Professor McGill’s ‘Ultimate Back Fitness and Performance’ book you will see that he particularly advocates exercising with lumbar in neutral for people who have had back injuries or back pain: “Generally, for the injured back, spine flexibility should not be emphasised until the spine has stabilised and has undergone strength and endurance conditioning – and some may never reach this stage!” (page 47). This is not at all the same as never, ever flex your lumbar spine, yet this is what some people have taken from his work.

As a concept, neutral spine seems to be predominantly taught lying supine, which is curious to me because it seems to be the one position where neutral has least value or application. Under what circumstances, when lying down, do you need to maintain a neutral spine? If the only answer is ‘during exercise’, then we have to wonder what the purpose of the exercise is. I’m referring to mat based exercise, Footwork on the Reformer, and similar exercises with straps/springs being an exception, because you are applying force from your hip joint against mechanical resistance – they are mimicking deadlifting and squatting while supine. There is not a single exercise in ‘Return to Life’, beginning from a supine position, that calls for neutral spine, so it would seem reasonable to say that any pre-Pilates exercise (that is truly progressing toward an actual Pilates exercise) would not call for it either.

You might want to encourage a neutral spine in standing, in which case this is entirely dependent on the leg/pelvis relationship. If that is well organised – pelvis neutral – then cues related to axial elongation will surely help to achieve an appropriate spine position. After all, as Shari Berkowitz writes in her blog post ‘Neutral Pelvis and Neutral Spine: What are they and why do we care?‘, neutral spine is not a specific shape but unique to each individual. And, with that reference, ‘neutral pelvis’ rears its head.

Neutral pelvis, defined by Ms Berkowitz in her article as: “ASIS and pubic bone in line with each other in the Coronal Plane”, seems to me a more appropriate thing to be talking about than neutral spine, but do we really need to talk about it at all? Yes, it may well be a helpful cue to some, and my discomfort with the term may be a little irrational. (I’m much happier talking/thinking about organising one’s pelvis on the top/end of one’s legs..) Once again, I have to wonder if the term has a place in Pilates – particularly the matwork?

maxresdefaultMany gymnastic exercises involve the hollow body, or ‘dish’ position, and it seems to be central to gymnastics foundational strength programs (Gymnastic Bodies, for example). Having been introduced to the hollow body position it became apparent to me that this was the basis for a number of Pilates exercises – The Hundred; Single & Double Leg Stretches; and even The Push Up (ask any gymnast – push ups aren’t done in ‘neutral’). In fact, the second picture accompanying The Double Leg Stretch in ‘Return to Life’ is identical to the picture above. According to gymnastics coach, and author Carl Paoli, the hollow body is fundamental to learning to control your lumbar spine against the natural tendency to excessive flexion. It seems entirely natural to me that Joseph Pilates would have adopted this idea from gymnastics, which was particular popular in Germany.

One of the most valuable elements of the hollow body position for me was the understanding that my spine is organised by my glutes. My abdominals can then go to work to help to sustain that organised position but, under load, my glutes (the auto spell check is determined that I use my flutes to organise my spine…) are paramount. In a supine position this has the effect of lengthening my lower back into the ground, rather than jamming it down, and it becomes a much more sustainable position than it used to be for me. I would go as far as to say that my abdominals depend on the efficient functioning of my flutes (see?) to be able to function efficiently themselves. This does not equate to neutral pelvis.

Aside from it not seeming to be what Pilates himself was teaching, the problem with ‘neutral pelvis’ is that, once you take yourself away from either vertical or horizontal, the term has no meaning, except in relation to your spine. So, when a teacher calls for a variety of exercises from the original repertoire to be performed in ‘neutral pelvis’, I suspect that what they are really saying is ‘lumbar neutral’. If that is what’s intended, why stop there? If you flex your thoracic but not your lumbar then one would think that there would necessarily be significant intervertebral compression in the lower thoracic. If it is truly important to keep the lumbar in neutral, then why not the thoracic and the cervical? Where does that take us? Everything neutral in the sagittal plane only allows us to include The Twist, Side Kick Lying and Kneeling, and The Leg Pull (if you’re careful).

Under those circumstances, Pilates, as an exercise method, is dead – killed by the creeping influence of physiotherapy and disc injury and rehabilitation research. If you think that gymnastics may not hold all the answers to sound movement then I’d agree – practiced at an elite level it’s probably not fantastic for your health. That doesn’t mean that the basics haven’t been worked out over a long period of time – at least a century more than Pilates has been around. Gymnastics, like Pilates (I hope) is also very much concerned with having control over one’s body in movement. Can the same thing be said for the advocates of ‘neutral’?

 

 

 

 

 

 

IMG_2043Spoiler alert! What follows necessarily involves generalisations, and is in no way intended to disparage any individual(s).

I’m a little surprised to find myself writing this, and perhaps it’s in part a reflection of conservatism increasing along with age. Within the Pilates world it seems that the arguments over the merits, and legitimacy of “classical” and “contemporary” Pilates go on and on. Not long ago I may have found the dogma of the classical followers a bit hard to take. I may even have referred to some of the die-hard adherents to the classical form as ‘fundamentalists’, which I admit has some unpleasant connotations these days.

More recently, and as a result of various experiences, I’m starting to think that teachers (here’s generalisation No.1) in the UK have done Pilates a terrible disservice. Actually, not just the UK (a video from a well-known Australian teacher contributing to my dismay) but this is the region that I’m best placed to observe. One of the mantras that gets repeated in the argument in favour of a more contemporary approach to Pilates is that, because of advances in science, biomechanics, kinesiology etc, we understand movement better than Joseph Pilates did. If we believe that then it’s logical to apply the fruits of this deeper understanding to Pilates’ system.

Inevitably, as my understanding has shifted (up, down, sideways – who’s to say?) my teaching has changed. I’ve been seduced in the past by ideas and information that have complicated my thinking when teaching, and encouraged me to try to teach something in a more complicated way. I hope I can truthfully say that it’s been a long time, but I suspect that I’ve uttered the words “neutral spine” in the past. I’ve come to realise, too, that in trying to be inclusive of everyone in the class, I’d habitually compromised a movement to the point that I’d forgotten what the movement was supposed to be in the first place. I’ve worked to try to make people comfortable in an exercise at the expense of actually doing the exercise. I believe that we have done this sort of thing over and over, until the intention of the original exercise has been lost completely. There are apparently many people in the UK that believe Pilates is boring, and I’m inclined to believe that it’s because many of them have been taught some pale (wan, iron-deficient, malnourished) imitation of the real thing.

Part of the responsibility for this may be the prevalence of Pilates mat classes taught in health clubs, where the teacher has very little control over who attends the class. The lowest common denominator will often set the tone. Interestingly, the government approved qualification for Pilates teachers, that many health clubs require, is more geared toward the teachers ability to include everyone than in the teachers understanding of Pilates’ system. This is a relatively recent phenomenon, but the ‘dumbing down’ of Pilates has been going on for a lot longer.

It’s still shocking to meet teachers, who have been plying their trade for perhaps 10 years, that were not taught the original mat exercises during their training. It’s almost laughable. Imagine: “I’m a maths teacher, but I don’t teach multiplication or division because my trainer didn’t believe that it was suitable for the general public.” There’s a whole strain of ‘creativity’ – teachers finding new things to do with or without equipment, that may have roots in another discipline, or not (“Can I do that exercise with the foam roller and the rotating disc when you’r holding the push-through bar?”) that may deserve a separate post. More disconcerting is the idea, it appears many teachers have, that Pilates is full of relaxation. I think this comes in part from the world of somatics, and disciplines like Feldenkrais, which are great in themselves but maybe not applicable to the practice of Pilates (unless perhaps none has a particularly vivid understanding of how to move well). The other part of the relaxation dogma, I suspect, comes from trying to help people who are challenged in some of the original work by, for example, poor hip dissociation (see, I can’t stop the modern science creeping in). This seems to me to be one of the fundamental skills of good movement, and therefore Pilates too. Here’s an example: someone can’t Roll Up, or back again, without their legs leaving the floor. Could it be that we have encouraged the notion of relaxing the inhibited muscles, instead of actually teaching those people where to work from so as to overcome the inhibition – working toward correcting a faulty pattern? (Work the right muscles, so that the ‘wrong’ muscles get the chance to return to natural function).

In similar territory, have we pursued that things that feel ‘nice’ in our own practice, and for our clients? The practice of starting a class with side-flexion seems strangely prevalent, and mostly because it “feels nice” – or stretches muscles that the teacher perceives to be tight. The logic of working on central support to give some relief to overworked superficial muscles, instead of just trying to stretch those muscles, seems to have escaped us. Pilates didn’t need to spell this out, he just put centring exercises at the beginning of the sequence (and now modern science has taught us better, perhaps?) How have we got to a situation where what feels nice is the key determinant for exercise choice? It’s true that Pilates often makes me feel good, but that’s typically a response to my body working hard, rather than doing things that feel relaxing, or nice. The lasting benefits always seem to come from working hard, and it still amazes me when clients have that ‘Oh, this is hard!’ reaction to Pilates. Was it ever intended to be anything else? The idea of working just as hard as you need to is very appealing, and one of the seductive things about Pilates is that it probably takes decades of practice to reach the point at which the really difficult things begin to feel like they don’t require maximum effort.

I am not advocating a ‘one size fits all’ approach, as seems to be the view of some teachers – that if you want to hold true to the intent of the original exercise you are trying to force square pegs into round holes. My wife attended a workshop with Kathryn Ross-Nash a while back, and one of the nuggets that she passed on to me was the idea that every Pilates exercise has a single purpose. Several objectives, perhaps, but a single purpose. Adding to that the idea that exercises should not be adapted or modified, but rather broken down into their constituent parts, in order to work towards the whole. I suspect that I will do Ms Ross-Nash a disservice if I try to paraphrase any further, and the best advice may be to seek her out in person, or here, for example. To me, her thoughts seem to tie into what I wrote earlier, about adapting an exercise to accommodate everyone, to the point that the original exercise, along with its purpose, is a distant memory. Teach people what they need to know/do, in order to do the exercise, instead of reinventing it.

I know that there are many teachers in the UK to whom what I have written does not apply and, as I tip my hat to all of them, I’m trying hard to be one. I’m not sure that the system that Joseph Pilates devised is perfect, but I think it’s almost certainly a good deal better than has often been allowed for by teachers (and teacher trainers) in the UK.

If it’s not too late, what is to be done about this sorry state of affairs? Here are a few ideas:

Sweat more (and don’t tell others that Pilates doesn’t make you sweat). There’s a reason that Pilates believed it wasn’t necessary to do a lot of repetitions, and quite often that’s because, if you’ve put your whole body and mind into the exercise, 5 or 6 is all that you can manage.

Relax less – that’s what sofas and television were invented for, not Pilates. (Oh, and don’t get too comfortable either – very few useful adaptations are derived from comfort).

If you’re a teacher – take more classes. Unless you think that you’ve learned everything by the end of your teacher training.

And please accept my apologies if the tone of this is especially hectoring. Conversations, social media postings and the stars have aligned in such a way that writing this felt imperative.

 

 

 

I’m not warmed up yet

August 10, 2014 — 2 Comments

html5-canvas-thermometerWhen approaching a maximal effort (or close to max effort) challenge like a one rep max dead-lift, something imposing an endurance demand like running a 10K race, or maybe a CrossFit type ‘metcon’ it’s almost certainly a good idea to have some kind of warm-up. Something to literally warm you up – raise your body temperature, begin to elevate your heart rate, dilate your blood vessels etc. I doubt that there are many professional athletes of any stripe that don’t have some kind of warm-up prior to an event that will likely require their maximum effort.

We may disagree about this, but I don’t believe that Pilates is something that should or does impose this sort of physical demand. Rather, if we consider it only as exercise, I think it is a program for general physical preparedness. I’m not saying that I find the entire Pilates repertoire easy (some exercises remain beyond my reach), and much of the repertoire makes me work hard. Sweat, even. As a teacher I’ve always instinctively felt that I (and by extension Pilates teachers in general) should be able to demonstrate any exercise at any given moment that the job requires. (I accept that there are excellent Pilates teachers who may not be able to demonstrate certain things for good reason – spinal fusion, for example. I am not writing about them.) I don’t know exactly why I felt that way, I just know that it always seemed a bit daft to me on the many, many occasions that I’ve heard a Pilates teacher saying that he/she cannot demonstrate a particular exercise for their client/s because they were “not warmed up”.

This feeling, or instinct was brought into focus for me recently, when attending Ido Portal‘s ‘Movement X’ workshop. In the context of talking about mobility vs flexibility (An interesting discussion. I’d suggest researching his thoughts via his blog posts, or videos.) Ido asked us to imagine a Taekwondo practitioner being assaulted in a bar, and asking his assailant to wait for a few minutes while he warmed his hip joints up, in order that he could kick him back. In other words, what is the point of a physical practice if the fruits of that practice aren’t available to you all the time?

If a particular Pilates exercise is valuable, worthwhile, then it should be available to you at any time. If its not available to you, without a warm-up first, is there really any point to it?

I do Movement

August 9, 2014 — 14 Comments

If I’m truly honest, I like to think of myself as a reasonably competent mover. That’s to say, I think that I’m fairly co-ordinated and able to move with a bit of control and grace. This is important to me not least because I believe, as a Pilates teacher, that my job is to teach people to move well. I consider that I’m on a journey to a better understanding of human movement and I’ve developed some strong (I was going to write ‘fixed’ but that would be inaccurate) opinions along the way about what ‘good’ movement looks like. (It turns out that I’d barely scratched the surface…) Anyone who is on a similar journey will most likely, sooner or later, come across the name Ido Portal, or more likely a video of Ido Portal doing something(s) extraordinary.

I started to follow Ido on Facebook a couple of years ago, and while I was amazed by his physical prowess, I was also struck by what seems like an uncompromising attitude that bordered on the obnoxious. One post seemed to aggressively dismiss (i.e.. don’t waste my f***ing time) anyone who was interested in online coaching but couldn’t commit less than 24 hours per week to the process. Wow! As someone who believed that my life makes it hard for me to find one hour per day to commit to exercise for myself (even though it’s my job) this appeared to be both crazy and elitist.

Nonetheless, something had piqued the interest of both my wife and I, and  I began to look out for workshops that we could attend. Back in January this year I saw two workshops scheduled back to back, in Finland. ‘Movement X’, and ‘The Corset’. Places on Ido’s workshops fill up fast, and I hadn’t seen many instances of 2 back to back, so we booked. If I try to crystallise what my overarching goal is, from a lifestyle, nutrition and fitness perspective then you might say it is to become ‘bulletproof’, or as bulletproof as possible. From this perspective ‘The Corset’ sounded particularly interesting, and as August got closer my anticipation grew. Just a couple of weeks before Ido was a guest on the Londonreal video/podcast, describing his philosophy, and what attendees of bios workshops might expect.

This definitely heightened my anticipation, but still didn’t make me feel much clearer about exactly what the workshops would entail. The main thrust of Ido’s description seemed to be “not what people expect”… It was interesting then, when telling clients and friends that we would be away doing this, to try to describe what ‘this’ would be. “I’ll let you know when I get back” becoming the stock answer. One thing that the interview did suggest is that Ido is less brash than I might have imagined, and not particularly interested in being a leader, “Walk beside me, not behind me” being a motif of the interview. Additionally, he is very clear that he does not want anyone in his workshops to feel stupid, inadequate or humiliated – so I was less concerned about my lack of gymnastic prowess.

Finland proved to be a beautiful, warm and sunny destination, and Crossfit Box 100 was an ideal venue. There was a nice mix of diverse backgrounds in the group for the first two days (we didn’t do intros in the 2nd workshop) and it was great to find that the big strong guys weren’t too gung ho when it came to the practical work. I’ve not always found this to be the case, and maybe it’s a sign that you have to be a certain kind of individual, or to have resolved some issues before signing up for this.

Ido warned us out the outset that there would be a fair amount of talking, and though there was a lot of talking there was never a moment in 4 days when I wished that we were moving more and listening less – for me, at least, he’s got the balance just right. One of the first things he asked of us was to call him out on his ‘bullshit’, on the basis that we can all grow more from this. It became evident though that Ido has done a lot of homework, and I mean really a lot. Between my wife and I we have a lot of books related to anatomy, physiology, exercise, movement disciplines, injuries etc. but I suspect we’re just scratching the surface of what he has studied, from an academic perspective. He is, as he says ‘The Movement Guy’, so he’s practised a lot of different disciplines – martial arts, capoeira, yoga – as well as weight lifting and gymnastics, and he backs up his physical ability with theory. Aside from a comment about Pilates, in relation to advising against abdominal hollowing, which suggested that he has been exposed to Pilates as influenced by physiotherapy, rather than Pilates as Joseph taught it, Ido made sense relentlessly.

I don’t want to turn this into a catalogue of the movements or exercises that we did, but rather to try to explain the experience overall. As much as anything else, writing this is to help me make sense of what felt like a transformative experience. I was sceptical when, in the London Real interview, Ido talked about receiving emails from people who’s lives had been changed by attending his workshops but I have to admit that, in opening a doorway to a bigger universe than I had previously perceived, he has changed my life.

We were lucky to have Odelia (whom he describes as his ‘right hand’) working alongside Ido. Their interaction bought something very special to the experience, like the embodiment of yin and yang. There is a pent up energy about Ido and on the few occasions that he demonstrated a movement it was as if this was a release, whereas Odelia is the epitome of focused calm (though super strong and ready to demonstrate anything, anytime). Their mutual respect is obvious, and the way that they work together adds to what they’re teaching. It feels slightly invasive to dwell on their relationship (which is none of our business), but as someone who works with his wife it was both a lesson and lovely to see.

I’ve just deleted several sentences that I’d written to describe Ido’s manner and teaching style – they were too long/too much. His teaching style is simple and clear, warm and funny, and sharp when necessary – but that was not the key for me. The London Real interviewer makes reference to Ido having a cult-like following, that he is seen as a Guru. Ido to idol, it’s an easy step. Now this is an area in which I have to watch myself, as it’s easy for me to raise people that I admire onto a pedestal. I found that, somehow, Ido does not invite this. It’s not that he says that he doesn’t want to be seem as a guru, rather it’s that he succeeds in being a messenger, instead of being the message. Perhaps this is why Odelia was there to demonstrate the movements. He is ‘the handstand guy’, but we don’t get to see him doing many handstands. He might also be the one-arm pull-up guy, but equally we don’t see much of this. Instead, he is ‘the movement guy’, and movement is the guru, if indeed there is one. One of the phrases that he used repeatedly was “You have abandoned movement, my friend.” And it’s true, I discovered that I had abandoned movement. Many of us were struggling with some of the wrist work “because you don’t touch the ground enough”, and again, it’s true. I can’t deny it – I had abandoned movement. So instead of Ido becoming guru (he remains the teacher), movement becomes my guru – I now worship at the alter of movement. It’s in me, it’s my heritage, or birthright, and actually what I think Ido does most effectively is to point out, over the course of the workshop, that this is the case. That I have the potential to be more human than I have been, to be much more alive, and to feel the same.

This is the life-changing thing that I hadn’t anticipated. I’ve had a few days to process things, and the fact that I can write this many words means that it’s becoming clearer. What I felt immediately after our four days with Ido was something like Fight Club. I knew that friends and colleagues would be asking me about the workshops, but I felt that I couldn’t talk about them. You could make a list of the drills, protocols and movements that we learned, but those are simply the tools. It seemed to me in that immediate aftermath that you just had to be there to understand what I’d seen for myself. Again, with a few days to mull things over it’s a bit clearer to me – the universe of movement is vast, way bigger than I had allowed myself to imagine previously, and it’s mine! With patience and dedication I can go far beyond the narrow confines of my primary discipline (however GPP I thought it was), toward my real potential. I won’t worship Ido, but I will remain eternally grateful to him for opening that door, and encourage anyone who hasn’t yet to take the same journey.IMG_1976 IMG_1978

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.