Clinical Pilates


Clinical Pilates is based on Joseph Pilates’ original work. It carefully combines the understanding of injury and activity modification with the extensive work of Joseph Pilates. It combines the principles of his early work with current research into muscle physiology, muscle function and dysfunction, local and global stability and biomechanics to create a safe, clinically effective programme for rehabilitation.

The practice is a conditioning exercise program that targets the deep postural muscles of the abdomen and spine to improve overall central core stability and posture. The mind and body are brought together to achieve these aims through the following eight sound principles: Concentration, centering, breathing, isolation, routine, precision, control and flowing movement. It utilises the same aims and principles but which have been adapted by physiotherapists to make them more suitable for patients recovering from injury or managing a condition or injury.

It can be practiced by all ages and fitness levels and is particularly beneficial for those with back pain, poor postures, neurological conditions, sports injuries, whiplash, arthritis, stress related illness and before and after pregnancy.

This provides physiotherapists with a clinical and user friendly tool for retraining correct activation of muscles around the back, pelvis, and neck that have been shown to be significantly weaker in population groups with for example lower back pain, neck pain and whiplash. It consists of a progressive repertoire of mat based exercises designed specifically for Physiotherapists to teach to the clinical population.

Clinical Pilates

The key elements include retraining:

  • Neutral lower back and pelvic alignment and activation of the key lower back and pelvic stabilising muscles
  • Correct ribcage and mid back (thoracic spine) alignment
  • Shoulder blade and mid back stabilisation
  • Neck muscle (deep neck flexors) retraining to stabilise the neck

For more information on clinical Pilates and physiotherapy:

The Australian Physiotherapy and Pilates Institute (APPI) Link to website please