Clinical Pilates in Practice: Knee Joint Biomechanics in Transtibial Amputees (May 2022)

 

This study looked at knee joint biomechanics in a young, healthy population with no activity restrictions, with a focus on energy storage and return (ESAR)  prostheses. The authors recognise that the study had a small sample size, and discuss potential sources of error for their data collection, but are confident about the clinical application of their findings.

 

Orekhov G, Robinson AM, Hazelwood SJ, Klisch SM (2019) Knee joint biomechanics in transtibial amputees in gait, cycling, and elliptical training. PLoS ONE 14(12): e0226060.

 

KEY POINTS: KNEE BIOMECHANICS FOR TRANSTIBIAL AMPUTEES

  • There is a high prevalence of joint pain and osteoarthritis (OA) in unilateral transtibial and transfemoral amputee populations.
  • Transtibial amputees are more likely to develop OA in the intact knee.

 

Abnormal gait biomechanics include asymmetric ground reaction forces, muscle activation patterns, and knee joint kinetics between limbs.

 

  • ...
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Clinical Conversation: Footwork Options for Pregnancy (March 2022)

This transcript includes highlights from the live, interactive session of our Clinical Conversation: Footwork Options for Pregnancy.

If you missed the live webinar, you can read about some of the biomechanical changes during pregnancy, as well as footwork options for your clinical Pilates practice below. 

Please join our next live event, where you can participate in our Case Study discussion and Q&A session. 

Check out our upcoming Clinical Conversations here

 

OUR FEET AS OUR FOUNDATION

  •  Pilates sessions traditionally begin with footwork and other strength work to set a foundation for movement.
  • By spending time building strength through the feet, you can help to support a stable and dynamic support for standing, and for upright movement.
  • This is an incredibly functional place to begin, and it's no different when working with a pregnant body.

 

 CLINICAL PILATES EMBODIED ANATOMY: FOOTWORK...

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Clinical Pilates in Practice: Toe Flexor Strength & Mobility (March 2022)

 

This study sought elucidate the influence that foot posture has on the relationship between toe flexor strength and functional performance in older adults. The authors recognise the study's limitations: the study cohort was limited to women, and did not measure body kinematics or muscle activity.

 

Kusagawa, Y., Kurihara, T., Imai, A., Maeo, S., Sugiyama, T., Kanehisa, H., & Isaka, T. (2020). Toe flexor strength is associated with mobility in older adults with pronated and supinated feet but not with neutral feet. Journal of foot and ankle research13(1), 55. https://doi.org/10.1186/s13047-020-00422-y

 

KEY POINTS: TOE FLEXOR STRENGTH & MOBILITY IN OLDER ADULTS

  • Both pronated and supinated foot postures influence rearfoot frontal plane motion, plantar pressure distribution, and muscle activity in the lower limb during gait.
  • Individuals with pronated feet require increased intrinsic muscle activity to stabilize the...
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Clinical Conversation: Axial Elongation (February 2022)

 

This transcript includes highlights from the live, interactive session of our Clinical Conversation: Axial Elongation. 

If you missed the live webinar, you can read about how to use axial elongation in your clinical Pilates practice below. 

Please join our next live event, where you can participate in our Case Study discussion and Q&A session. 

Check out our upcoming Clinical Conversations here

 

WHAT IS AXIAL ELONGATION?

  • Many Pilates courses extol the virtues of axial elongation, and teach this principle as an elongation of the spine: creating space between the vertebrae.
    • Axial elongation opens space between the joints, and thus creates space for movement.
    • This space between the joints helps to decompress joints and rebalance the soft tissues around those joints. 
  • Axial elongation can also be used along the axes of the long bones, or between any other joints in the body.
    • Wherever there is an...
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Clinical Conversation: Ehlers Danlos Syndromes (February 2022)

 

This transcript includes highlights from the live, interactive session of our Clinical Conversation: Ehlers Danlos Syndromes. 

If you missed the live webinar, you can read about Ehlers Danlos syndromes and clinical Pilates below. 

Please join our next live event, where you can participate in our Case Study discussion and Q&A session. 

Check out our upcoming Clinical Conversations here

 

EHLERS DANLOS SYNDROMES VS HYPERMOBILITY SPECTRUM DISORDERS 

  • Ehlers Danlos syndromes are a group of genetic connective tissue disorders that affect many body systems, and which share several clinical features.
    • Soft, extensible skin.
    • Hypermobile joints.
    • Abnormal wound healing.
    • Easy bruising.
  • Hypermobility spectrum disorders.
    • Symptoms of hypermobile joints +/- skin hyperextensibility.
    • Joint and muscle fatigue and pain may or may not be present.
    • No other diagnostic criteria for EDS.

...

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Clinical Pilates in Practice: Prediction of Motor Learning (February 2022)

 

The authors of this paper used an ethological approach to test the hypothesis that practice-related refinements of multiple behavioural features would be independently predictive of motor learning.

 

Perry, Christopher M., Tarkeshwar Singh, Kayla G. Springer, Adam T. Harrison, Alexander C. McLain, and Troy M. Herter. "Multiple processes independently predict motor learning." Journal of NeuroEngineering and Rehabilitation 17, no. 1 (2020). doi:10.1186/s12984-020-00766-3.

 

KEY POINTS: PREDICTION OF MOTOR LEARNING

  • Motor learning results from neural adaptations that produce refinements of behavioural features of motor tasks.
  • Motor learning can induce changes in visual processing that are associated with the refinements of skilled limb movement.
  • The interactions between skilled limb movements and visual search lead to coordinated patterns of the eyes and limbs (ie., hand-eye coordination).
  • Experts with different visuomotor skills have...
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Clinical Conversation: What is a Neutral Head Position? (January 2022)

 

This transcript includes highlights from the live, interactive session of our Clinical Conversation: What is a Neutral Head Position? 

If you missed the live webinar, you can read about neutral head position and how to integrate it into your clinical Pilates practice below. 

Please join our next live event, where you can participate in our Case Study discussion and Q&A session. 

Check out our upcoming Clinical Conversations here

 

WHAT DO WE MEAN BY NEUTRAL? 

  • The optimal alignment of a joint.
    • A position of efficiency.
  • The position of a joint where the bones that make up the joint are placed in the optimal position for maximal movement.
  • The midrange of a joint, where there is the least amount of load on the ligaments and non-muscular tissues around the joint.
    • Stabilizing muscles are working...
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Clinical Pilates in Practice: Hip-Spine Syndrome (January 2022)

 

This narrative review explains the mechanism by which abnormal hip pathologies contribute to low back pain in patients without hip osteoarthritis.

 

Anthony N Khoury, Munif Hatem, Joshua Bowler, Hal David Martin, Hip–spine syndrome: rationale for ischiofemoral impingement, femoroacetabular impingement and abnormal femoral torsion leading to low back pain, Journal of Hip Preservation Surgery, hnaa054.

 

KEY POINTS: HIP-SPINE SYNDROME

  • Hip abnormalities limiting hip flexion and/or extension require compensation from the pelvis and lumbar spine for the lack of sagittal movement at the hip.
  • Between 13.1% and 37.5% of the total hip flexion is provided by the pelvis through sagittal movement at the lumbopelvic area.
  • Abnormalities at the hip joint contributing to low back pain include flexion deformities, osteoarthritis, developmental dysplasia, and limited hip range of movement.
  • The bony overgrowth of a cam impingement produces shear forces resulting in...
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Clinical Conversation: Integrating Objective Assessment Tools (December 2021)

 

This transcript includes highlights from the live, interactive session of our Clinical Conversation: Integrating Objective Assessment Tools. 

If you missed the live webinar, you can read about how to integrate objective assessment tools in your clinical Pilates practice below. 

Please join our next live event, where you can participate in our Case Study discussion and Q&A session. 

Check out our upcoming Clinical Conversations here

 

WHY USE OBJECTIVE ASSESSMENT TOOLS IN CLINICAL PILATES PRACTICE?

  • In the same way that we use objective assessment tools in other facets of clinical practice, we want to integrate these into our clinical Pilates sessions to:
    • Collect baseline data.
    • Assess current status.
    • Determine treatment planning.
    • Monitor changes over time.
    • Track client progress.
    • Be able to communicate with other healthcare practitioners.

 

CLINICAL PILATES: OBJECTIVE ASSESSMENT TOOLS

  • Goniometry: AROM...
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Clinical Pilates in Practice: Visuomotor Adaptation & Passive Movement (December 2021)

 

This study examined the lasting effect of passive training on visuomotor adaptation within a 24-hour timeline.

 

G. Tays et al. Consolidation of use-dependent motor memories induced by passive movement training. Neuroscience Letters 732 (2020) 135080.

 

KEY POINTS: VISOMOTOR ADAPTATION & PASSIVE MOVEMENT

  • Adapting to a sensorimotor environment requires complex and dynamic systems that can adjust to the environment within minutes, resulting in long-term performance changes.
  • Adaptation is driven by two primary learning mechanisms:
    • Error-based, model-based, or algorithmic learning; and
    • Use-dependent, model-free, or instant-reliant training.
  • Use-dependent learning occurs both during active and passive movements.
  • Passive movement training has the capacity to facilitate subsequent visuomotor adaptation.
    • Results showed improvement after one-hour and 24-hour delay conditions.

Use-dependent learning alongside passive movement training enhances the...

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