The Real Pilates Standards of Training are distinguished by our focus on 4 key elements. Your weekly assignments are designed to develop your skill in each of these areas as well as your Anatomy, History and more.
WEEK 16 ANATOMY
Anatomy Course Overview:
Now that you have your overview, we’re going to work through some hypothetical cases you’re likely to come across in your career as a Pilates instructor. You will be given a list of muscles related to the injury and some resources to check out. Feel free to use your own-- there are several apps and websites with basic anatomy information. Remember your general rules from the first four weeks, it’s always better to work from logical rules and make inferences rather than memorize lists. That being said, anything that gives you a visual idea of how the specific muscles fit together, and basic attachment points and actions is a good resource to work with. You are encouraged to do your own research regarding the conditions in the case, just remember all resources are not created equal. Always consider your source!
CASE 1 BACKGROUND
Cynthia is a 35 year old office worker with chronic back pain. An ardent gymnast as a child and teenager, she has always been hypermobile, particularly in spinal extension and flexion. Beginning in her mid-twenties, she started having mild-to-moderate back pain that has intensified over the years. The pain has been much worse in the last few months, so much so that she went to a Sports Medicine doctor to investigate the cause. Cynthia tells you she was diagnosed with Isthmic Spondylolisthesis, and told to strengthen her “core” so that her spinal column has more support. She notices that her pain worsens after she has been sitting at her desk for extended periods and that when her pain is severe, picking things up off the ground exacerbates her pain. She sometimes has pain that radiates down the backs of her legs.
VIDEO: Spinal column video
VIDEO: Pelvis video
VIDEO: Abdominal Muscle Video
VIDEO: Intrinsic Back Muscles (Doesn’t include transversospinals, but does include motion)
Isthmic Spondylolisthesis Resources
VIDEO: Brief overview
ARTICLE: Broad Spondylolisthesis Overview
Part “C” of your Pilates session is “what the body needs”. Cynthia has a forward slippage of a vertebrae. Is her spine in more flexion or extension as a result? Based on your answer which movement range is largely contraindicated?
Design a first session for Cynthia. Include:
AT LEAST 3 different apparatus (Must use Mat and Reformer, and one other apparatus)
Reasons for including or excluding certain apparatus/exercise
Which muscle(s) would you make a priority for stretch? For strength?
NOTE: THERE WILL BE NO ANSWER KEY FOR THIS NEXT WEEK.
HAVE A GREAT WEEK!