Potential of Pilates Exercise Therapy for Spinal Disease

DOI
  • Fujitani Junzo
    Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Sairyo Koichi
    Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School

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Other Title
  • 脊椎疾患に対するピラティスによる運動療法の可能性

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Abstract

<p>Exercise therapy is an important treatment option for low back pain, as indicated in the Guidelines for the Treatment of Low Back Pain 2019 (Revision 2). In recent years, the effectiveness of Pilates, based on the motor control concept, has received increasing attention. Based on Joint by Joint Theory, the concept of Pilates is to reduce and disperse mechanical stress on the spine by improving mobility in the low-mobility thoracic spine and hip joint and stability in the hypermobile cervical spine and lumbar spine.</p><p>Pilates exercise therapy is based on a constant awareness of the draw-in and bracing of the trunk musculature with breathing, axial elongation of the spine and limbs, spine articulation, isolated movement of the limbs, and whole-body integration. In addition, the approach differs depending on the disease. For example, in the case of lumbar spine kyphosis, the mobility of the thoracic spine is improved and the stability of the lumbar spine and pelvis (core) is worked on. On the other hand, in the case of postoperative lumbar disc herniation, the first step is to stabilize the core to prevent recurrence.</p><p>Currently, we are promoting Pilates exercise therapy based at our hospital in collaboration with related hospitals. In the future, we would like to continue to study Pilates therapy to make it the gold standard of exercise therapy for patients with low back pain.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 14 (6), 869-877, 2023-06-20

    The Japanese Society for Spine Surgery and Related Research

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