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Physio Pilates – an excellent method for rehabilitation


why physio pilates can help you to improve you physcial health & wellbeing

Physio Pilates for rehabilitation – Part 1

The Pilates Method is a well known physcial exercise program in the fitness and welbeing area. But what makes Pilates a good method for rehabilitation? Part 1 of this serie dives into the origine of Pilates and why it is an ideal method for rehabilitation of several physcial injuries. 

Lets start with a little history lesson so we know the origine of Pilates and how it became a rehabilitation method in the Physiotherapy Clinic.


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The Origine of the Pilates Method

We know Pilates is a form of physical exercise that focuses on posture, core stability, balance and control, strength, flexibility, and breathing. This whole method was developed by Joseph Pilates (hence the name “Pilates”).

Joseph Pilates was not born in Greece, but in the early 20th century in Germany. He invented his method of training, when he saw the soldiers at the hospital during World War One, in the UK. He believed that exercise would improve their health and wellbeing. And yes, he was totally right about that! You could say he was far ahead of his time. It took some years to finetune his method.

But it took a long way to finally became well known and used in fitness and healthcare centres all over de world. And it took even longer to be implemented as a rehabilitation method in physiotherapy clinics.

He focussed on training the “Powerhouse”, which is the local abdominal muscles, the diaphragma and pelvic floor muscles together. This helps to stabilize your whole body and posture in different positions.

The Origine of Physio Pilates

Physio-Pilates is a specific form of Pilates, for patients with multiple injuries, like backpain, neck- and shoulder issues and hip irratibility. This healthcare form of Pilates ensures good programming by a physiotherpaist:

The physiotherapist identifies key issues to focus on and carefully selects exercises to increase local joint and muscle health, as well as global mobility and stability.

Your Powerhouse

The focus will always be on re-training the PowerHouse and finetune the coordination of the Pelvic Floor muscles, Abdominal muscles, and Back Muscles and your hip muscles.

Diaphragma: But the base of it all is your diaphragma. This is the reason why you will always start with breathing exercises (to activate a good diaphragma function) and by looking the Neutral Spine (which activates the local abdominal and pelvic floor muscles).

Tailoring your Physio Pilates Program

Before applying these exercises, the physiotherapist will get a throughout medical history to ensure better selection of exercises, and therefore better outcome of the physio pilates sessions. The physiotherapist then will tailor the exercise program for the patient and focusses on individual needs and goals, discussed and set during the intake.

The Physio Pilates Principles

There are 6 basic Pilates principles that need to be applied to all Pilates exercises to ensure maximal benefit. These include:


1.     Concentration

Focus on correct performance of each Pilates exercise and the specific muscles involved.

2.     Centering

Focus on achieving neutral spine and activating the core stabilising muscles (pelvic floor and transversus abdominus) to support the lower back and pelvis.

3.     Control

Maintain optimal posture and control with all movements.

4.     Flowing Movement

Work smoothly and efficiently with all movements.

5.     Precision

Perform each Pilates exercise with attention to detail to ensure correct technique.

6.     Breathing

Maintain relaxed, normal breathing throughout all Pilates exercises. Do not hold your breath.

Physio Pilates

an excellent method for rehabilitation

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Correct Physio Pilates Performance

to ensure correct performance of all Pilates exercises,  it is essential that you are able to achieve “Neutral Spine” (optimal posture) and activate your deep stabilising muscles correctly (Transversus Abdominis & pelvic floor).

Learning these Pilates principles prior to commencing Pilates exercises and applying them to each exercise is vital to ensure maximal benefit.



Finding your Neutral Spine

Neutral Spine refers to the position whereby your spine is in optimal posture and alignment. Generally, neutral spine can be obtained by ensuring the following:


  • There should be a straight line from your ears, to your shoulders, to your hips
  • Your shoulder blades should be back and down slightly
  • Your upper back relatively straight
  • Your chin should be tucked in slightly with your eyes and nose facing forwards.
  • There should be a slight curve in your lower back
  • Think about maintaining a tall, long spine with minimal effort

Program design

We believe in tailoring our exercise program to your personal needs and goals, and will encurage you to set you goal high. Our program is designed to do twice a week, for six weeks in total. This is the only way to ensure good outcome and better health benefits.


“Consistancy will increase your resiliency”

ArenaFysio 2020

Setting the Physio Pilates goals

Most people have set goals like “moving pain free”, or “be able to work and walk without pain”, when they consult a physiotherapist. But at ArenaFysio we like to focus on higher goals, as we believe in our vision: Movement as Medicine.

Movement, or exercise will help you to increase your health and wellbeing. And Physio Pilates is an execelent tool in our program of rehabilitation of (chronic) low back pain patients, or patients who suffer long term muscle- and joint problems.

Benefits of Physio Pilates @ ArenaFysio


There are numerous benefits to be gained from performing Clinical Pilates exercises. Some of these include:


  • Improved posture and core stability
  • Increased muscular strength and flexibility
  • Prevention of injuries
  • Aiding rehabilitation
  • Restoration of normal movement patterns
  • Enhanced breathing control
  • Increased co-ordination and muscular control
  • Firmer and flatter stomach muscles
  • Improved overall body tone and fitness
  • Improved balance

Last words from our specialist

We hope you enjoyed reading this blog and got informed about our sevice Physio Pilates. Please let us know if you want some advice.

Part 2 of this blog serie, will be focussing on the first few, basic exercises, so you are able to start practicing Physio Pilates at home during these quarintine days.

We hope to see you at our clinic in the near future! Please, contact our physio’s when you suffer an injury at the moment, or any other question.

Would you like more information or advice?

Contact our specialist Mayra de Boer


Orthomoleculair Therapeut

Fysio Pilates

Disclaimer: This information is carefully sepected. But the information might not fit your circumstances. Therefore we advice you to contact our physiotherapist or your doctor if any questions rise.

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