Pilates for Rehabilitation Flashcards

A client with hip replacement surgery (total hip arthroplasty) should avoid which movement combination in early rehabilitation Pilates?

Answer: Hip flexion beyond 90 degrees combined with adduction and internal rotation

Post-hip replacement precautions typically restrict the hip flexion past 90 degrees combined with adduction and internal rotation to prevent dislocation of the prosthesis.

Scapular stability exercises in Pilates are most important for clients with:

Answer: Shoulder or neck dysfunction and rotator cuff issues

Scapular instability frequently contributes to shoulder impingement, rotator cuff dysfunction, and neck pain, making scapular stabilization a priority for these client populations.

Which Pilates exercise is commonly used as a rehabilitation tool for sacroiliac (SI) joint dysfunction?

Answer: Single Leg Stretch and exercises that promote pelvic stability and symmetrical loading

Exercises like Single Leg Stretch that promote pelvic stability, neutral alignment, and symmetrical loading help stabilize the SI joint without increasing joint stress.

For a client with multiple sclerosis (MS), which Pilates consideration is most important?

Answer: Managing exercise intensity to avoid overheating (Uhthoff's phenomenon) and fatigue

Clients with MS are susceptible to Uhthoff's phenomenon, where elevated body temperature worsens neurological symptoms, requiring careful intensity management and a cool environment.

In Pilates rehabilitation, proprioceptive training is beneficial because it:

Answer: Improves joint position sense and neuromuscular control, reducing re-injury risk

Proprioceptive training on unstable surfaces or through single-limb exercises enhances joint position sense and reflex stabilization, which reduces re-injury risk after musculoskeletal injuries.

The 'first do no harm' principle in Pilates rehabilitation requires instructors to:

Answer: Always modify exercises to stay within safe parameters and refer out when beyond scope of practice

Pilates instructors must modify exercises to safe parameters and recognize when a client's condition requires referral to a healthcare professional, as diagnosis is outside their scope of practice.