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 20 ANATOMY
Anatomy Week 9 - CASE 3
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 3 BACKGROUND
Rose Tyler is a longtime pilates practitioner and avid swimmer in her late twenties. Three months ago, she noticed pain in her right shoulder, which would ache during the day and worsen at night, especially when she slept on her right side. After trying to carry her heavy grocery bags home from the store, she noticed that not only was the pain more severe but her right arm actually felt weak and unstable at the shoulder joint. After consulting with her doctor and physical therapist, she was diagnosed with supraspinatus tendonitis. She has been working with her physIcal therapist for about a month and is now returning to Pilates with instructions to maintain and develop her shoulder mobility and strength.
Supraspinatus Tendonitis Resources
WEBSITE*: Definition
*some of this is outside the scope of practice of a pilates instructor (massage, clinical tests, etc.) but good to know as a complete picture of the condition and treatment.
Bone/Muscle List
Bones
Ribcage
VIDEO: Ribcage, Sternum, Thoracic Vertebrae
Scapula
Clavicle
VIDEO*: Scapula and Clavicle
Humerus
VIDEO*: Humerus
Cervical Vertebrae (these will be an attachment site for some muscles)
*These videos are INCREDIBLY detailed! The point is to get a sense of the bones and how muscles layer over and attach to them.
Anterior Thoracic Wall Muscles
Pectoralis Major
Pectoralis Minor
Serratus Anterior
Subclavius
VIDEO: Anterior Thoracic Wall
Posterior Shoulder (Extrinsic Back) Muscles
Trapezius
Latissimus Dorsi
Rhomboid Major
Rhomboid Minor
Levator Scapulae
VIDEO: Posterior Shoulder Muscles
Rotator Cuff Muscles
Subscapularis
Supraspinatus
Infraspinatus
Teres Minor
VIDEO: Rotator Cuff
Upper Arm Muscles
Biceps Brachii
Brachialis
Coracobrachialis
Triceps Brachii
Anconeus
VIDEO: Upper Arm
ASSIGNMENT:
Part “C” of your Pilates session is “what the body needs”. Rose has a compromised tendon in her shoulder girdle. Given the information here, what kind of a Pilates program would best facilitate a strong, mobile and stable shoulder? Be specific.
Design a session for Rose. 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?
Remember, Rose is a STRONG INTERMEDIATE CLIENT, not a beginner. Design your session appropriately.
HAVE A GREAT WEEK!