Case Studies

I have been using pilates to compliment my other rugby specific training since 1999. in this time I have found it extremely beneficial in strengthening my " stabilizers ". These range from the rotator cuff muscles in the shoulder, my upper and lower leg muscles as well as my abdominal region. I believe this has aided me in injury prevention as well as enhancing my strength training.

You need to be focused and ready when you turn up to these sessions because all movements require great control both mentally and physically. It is challenging but also rewarding.

- George Gregan

Case History 1

A 29 year old male client who is a nurse, Andrew, suffered a traumatic incident at work 7 years ago. He ended up with a disc bulge at L4 with slight impingement on the thecal sac. He managed his condition semi successfully, able to put up with the almost constant dull pain. 5 years later he suffered a flare up which left him in constant pain. Andrew swam a lot in his teens and had kept himself very fit. He went surfing on a regular basis. After the flare up he rarely went swimming or surfing and found he had to be cautious while playing with his young son.

We started him on a basic programme of core stability as well as some basic Pilates exercises always being aware of core control and correct muscle patterning. Having always been active and now having been in pain for so long, Andrew was determined to be healed. He applied himself extremely well. Even though he was mostly only able to come once a week he diligently did his homework exercises every night. This paid off immediately. From the first session he felt an improvement within himself. After a week he felt generally stronger. After 15 sessions he went surfing again!

After 20 sessions his back pain is almost a distant memory. He continues to do Pilates and we continue to challenge his core stability and general strength. He feels like a new man!

Case History 2

A 50 year old Architect who was also a keen bushwalker and was running for up to 1 hour every morning before work, presented with a grade 2 inversion sprain on the ® ankle and a cast on the (L) leg for a fractured tibia and fibula. He had fallen while bushwalking. As well as having physiotherapy treatment, he was very keen to keep exercising and keep the rest of his body strong while the cast was still on.

Pilates provided an excellent programme as he was able to continue abdominal and back work, upper body work, hip and leg strengthening within the confines of the cast on the (L), right leg and ankle strengthening progressively as the inversion sprain improved. This helped him maintain his lumbar spine where he had a tendency to chronic problems, which may have been aggravated due to compensating for using crutches and having an uneven gait for quite some time.

Initially, he was only doing reduced weight-bearing exercises on the right side and non weight-bearing exercises on the left until the cast was removed. Flexibility work is also an important part of the programme and he was able to do this for all the major muscle groups except the left calf.

His ankle injuries have long since healed but he remains a regular Pilates client doing 2 sessions per week. He feels stronger, more flexible and more aware of his body now and he has not had any further problems with his back.

Case History 3

A 35 year old flight attendant presented with a 5 month history of severe low back pain with pain referring into the left posterior thigh. Diagnostic procedures had shown a bilateral pars interarticularis defect at the L5/S1 level with an associated grade 1 spondylolisthesis, and at the L4/L5 level a central posterior to left lateral disc bulge with narrowing of the left neural canal. She had initially injured her back lifting at work and had been unable to work for the last 2 months.

She generally had very low tone muscles with no gluteal or abdominal strength to support her back and pelvic area. She also had very tight hip external rotators which meant she was pivoting more at the L5/S1 segment to compensate and her pelvic control was very poor.

Therefore, she was an excellent candidate for Pilates as we were able to focus on good abdominal stabilisation and pelvic control. She was started off very gently with all work done in a supported lying position and using a pressure biofeedback to help her understand and learn how to use her abdominals correctly. All lumbar flexion work was avoided and the back extensors were initially strengthened in co-contraction with the abdominals in a neutral spine position. Not alot of emphasis was placed on flexibility except for the hips as the main need was for improving her overall muscle tone and particularly her stabilisers to support her joints.

After 6 weeks on the programme, we were able to introduce work related exercises to prepare her for the pushing and pulling activities, which she would be required to do.

She was able to return to work full-time after 3 months on the Pilates programme and had no further problems. She continues to do Pilates for maintenance.


Last Updated: 29 August 2008.