Pilates

Who Me? How I Became a Pilates Instructor

Polestar Educator Cindy Kneiser explains how a new career in Pilates worked for her! Who me? The question came toward the end of a private Pilates session with the instructor that I had been working with for about eight years. We were almost done and I was doing mermaid on the reformer.  I knew she had asked me a question, but it seemed so out of the blue that I couldn’t process it. Thinking I must have heard her incorrectly I asked her to repeat her question. Maybe I did hear her correctly. That is when I asked, “you think I should become a Pilates teacher?” I had been working in technology sales for more than ten years and was getting very bored. My current position was winding down and I hadn’t started looking for anything else. At the same time, I was seeing a career psychologist to help determine what I should do next. Just the same it never dawned on me to leave the corporate world. Then, a personality profile that I had completed with the psychologist showed that I would make a good teacher. Of course, I thought. You don’t work in technology sales without being able to teach clients why the new expensive tech solution is something they need when none of their competitors are spending money on it. But, did that mean I could teach people why Pilates could help them stay strong and flexible while enhancing their ability to do just about any other activity they were interested in doing? Light bulb in a handWeeks passed and I kept going to my two private Pilates sessions every week. My instructor brought it up again. I questioned her about why she thought I would be good. It turned out she was seeing the same things that the personality profile showed. I started to connect the dots and thought this might be something to consider. I did a little research into different teacher training programs and quickly decided that if I was going to do this I wanted to be comprehensively trained from a school that qualified for PMA certification. I wanted to make sure that I was well qualified to teach; I was going to do this right. Sidewalk chalk that says "You Got This" on asphalt. Even though I live in Philadelphia, a major metropolitan area, there were not many options. I had long believed in the therapeutic healing properties of Pilates. It made sense to me that a school founded by a physical therapist would take a scientific approach to Pilates. My logical mind liked that. This led me to Polestar. It was also the school that my teacher had been trained by. I considered other schools and really wanted to find an option that would not require a hotel or long drive. In the end, I chose Polestar and took the training in Burlington, VT. It was a long drive, but it was also where my husband grew up and his parents still lived there.  In the end, I did have a long drive, but I would not have a to stay in a hotel. The training was intense.  I was surprised by how much there was to learn.  After all, I had been doing Pilates for 8 years.  I thought for sure I knew how to do the exercises.  Turns out it takes a lot more than knowing the exercises to be a Pilates Instructor.  In addition to learning how to cue and formulate a workout, Polestar takes the time to make sure you understand why you are doing what you are doing not just how to do it.  A lot of time is spent prompting the student to think through their decision-making process to ensure that when they graduate they can work with people in an effective manner that helps them reach their fitness goals. The educators and mentors truly care about the students in a way that makes you feel like family.  As I planned my Pilates career and determined that I wanted to open a studio I knew that I also wanted to work with Polestar to bring Comprehensive Teacher Training to the Philadelphia area. In the fall of 2017 it became a reality. Now I am the instructor asking my clients to consider becoming Pilates teachers. Surprisingly I have not missed the corporate world.  It used to be that every couple of years I would get bored with my job and start looking for something new or different.  Now, I truly believe that I have found what I was meant to do.  Several years have passed and rather than becoming bored, I have become more obsessed and engaged with Pilates and the Pilates community. Visit our Course offerings to explore how you can become a Pilates instructor! Click here for Course offerings Learn more about Polestar Educator Cindy Kneiser and her studio at WashCrossPilates.com

Pilates is for Every Body

When you imagine a Pilates aficionado, you probably think of a young, thin, healthy and physically active human. I am none of those things.
Please Allow me to change that preconceived and incorrect notion.  Pilates, also known as Controlology, was actually designed to be rehabilitative. I’m 50 years. I am obese. I exist with an autoimmune disease called myasthenia gravis, which causes severe muscle weakness. I have had this disease since I was 14 years old. As you can see I am not your typical Pilates aficionado. I was introduced to Pilates by my physical therapist, Emelia Brogna. She felt Pilates was a perfect fit for me because of the reformer helps you complete movements which is a real issue for me because I have a hard time completing the movement because my muscles get so weak and fatigued. I had no cell memory of certain movements because my body has had this condition for so long. As my physical therapy sessions were coming to an end, Emelia suggested I meet Arica Bronz, who is one of the amazing Pilates instructors at All Wellness.
Together, Amelia and Erica designed a program for me to start with very simple stretching and range of motion movements. In discovering how my muscles worked, we were able to design a program that would help improve my core strength and my balance. Emphasis on balance because I have been known to fall and I am not able to get up without help.
In 2015 I started a clinical trial drug that helped increase my muscle strength. We all knew it was a temporary fix. we seized the opportunity to try to make the most of this new strength and build up as much strength and muscle as possible while we had the chance. Use of the reformer, the Trap table, some stretching with bands and sitting on a Yoga ball has increased my flexibility, strength and endurance in ways you cannot imagine. I am a person that couldn’t even sit up from a laying position. I can now do a modified Pilates program. There are things I can do that were unimaginable for me two and a half years ago. My posture is much improved. My breathing is easier. I have better range of motion. The flexibility I have gained is immeasurable. What I am trying to say in this rambling statement is simply this, Pilates is for all abilities, all sizes, all ages. Programs can be modified for your physical needs, if need be. Think outside the box and you may just discover your body can do things that were once unimaginable.

~ Roseanne Lathbury, All Wellness Client and Lover of Pilates

Originally posted at All Wellness, Polestar Host Site, Physical Therapy and Pilates Studio. Roseanne Lathbury shares her experience with Polestar Educator and Physical Therapist Arica Bronz.

Do you have a Polestar Pilates Success story or Testimonial?  We would love to share it! – Email: info@polestarpilates.com

Running into Runner’s Knee? The Science Behind Injury, Prevention and Treatment

Discovering the science behind the injury and how to prevent and treat PFPS.

Many of our online followers have been asking us about patellofemoral pain syndrome (PFPS), more commonly known as runner’s knee.  What is it?  What exercises can prevent it?  What exercises can treat it?  With the abundance of conflicting information on the internet, finding answers to these questions can feel like a wild goose chase. We called on Juan Nieto, Polestar educator and co-founder/master trainer of Runity, to shed some light on the science behind runner’s knee and what you can do to prevent and treat it. Among runners, lower extremity injuries are very common– up to 79.3% of runners will experience these injuries, about half of which occur in the knee (Van Gent et al., 2007).  Patellofemoral pain syndrome, also called anterior knee pain syndrome or runner’s knee, describes an overuse disorder that occurs in the patellofemoral region and results in pain behind or around the anterior knee.  The causes of PFPS can vary widely due to the complex interactions between intrinsic anatomic and external training factors (Collado et al., 2010).  In other words, runner’s knee describes the symptoms of a painful knee injury, not the cause of the injury.  The cause is subjective and depends on the runner’s anatomy, strategy, and training. Searching the internet to find specific exercises for your runner’s knee will produce a mixed bag of results due to the subjective nature of the injury.  Depending on whether your injury is associated with vastus medialis/vastus lateralis imbalance, hamstring tightness, or iliotibial tract tightness, the best exercises to treat it will vary.   What can you do to prevent runner’s knee?  According to Juan, there’s no standard set of exercises to prevent the injury since it depends on the person and their movement strategy.  When choosing exercises, it’s important to pick exercises that bring relief and do not flare up pain.  The only true method of prevention is to make sure that the tissue capacity of the runner is bigger than the workload.  In other words, the runner has to be fit enough to run the distance they want to run and allow the appropriate resting periods in between to let the tissues recover.  Additionally, technique retraining could reduce the amount of ground reaction forces that the runner is receiving, meaning they can run the same volume but reduce the workload for the tissues. If you already have runner’s knee, what can you do to treat it?  Again, there’s no magic routine to treat the condition because causes vary.  The best thing you can do is see a movement specialist who can conduct a proper assessment and use sound clinical reasoning to design an exercise plan, test it out, and modify it as necessary to settle on a final selection of exercises that create gradual, positive adaptation (strengthening) without irritation.  If you have runner’s knee, it’s important to remember to avoid irritative exercises and to try to resist running too much too soon.  Most importantly, KEEP MOVING!  Movement heals and having positive movement experiences throughout the body will quicken the healing process for your injury. Want to learn more about efficient, pain-free running?

Can Pilates Help with Incontinence?

No one would argue that problems surrounding incontinence and leaking are embarrassing to talk about. Even Polestar® instructors have reported leaking during classes and chuckle it away as best they can. Why does this occur? How can Pilates professionals remedy these leaks? Brent D. Anderson and Christi Idavoy sat down for Pilates Hour to discuss their research on movement for incontinence. In this context, we are referring to stress incontinence; when you leak as a result of pressure on your bladder from exercise, sex or other strains. This intra-abdominal pressure is regulated by the pelvic floor. You can train it with more than just Kegel exercises. By identifying certain patterns, the pelvic floor can be conditioned to protect against untimely leaking. Unfortunately, many are confused on how the pelvic floor ought to contract. There are 3 main types of contractions:
  • Volitional Contraction – deliberate contracting of the pelvic floor and surrounding tissue.
  • Mechanical Contraction (Elasticity) – Contractions resulting from the pressure of regular breath.
  • Spontaneous Contraction – the pelvic floor’s natural elevation when standing.
Pressure measured on Pilates routines
In one study, researchers found that out of 45 women observed in the resting supine position, 45% (20) of participants pushed the pelvic floor down rather than up. By skillfully using an intra-vaginal pressure transducer they were able to measure the pressure being applied to the pelvic floor. Brent and Polestar graduate Hadar Shwartz also found about 45% of participants applied the same pressure to the pelvic floor when they observed over 250 women in the supine position. When asked what to do about relieving tight pressure in the area, Christi said to relax. She recounted that she had too much tone in the pelvic floor, and as a result, was not able to have a vaginal birth. Her colleague Pamela Downey, adjunct professor of Physical Therapy at the University of Miami, recommended her a particular squat exercise. First, assume a deep squat with the support of a pole or door frame. Slide down into the squat while holding your support. Next, allow your pelvic floor to relax as best it can without forcing it. All the while you visualize slow release of that tension. Brent stresses that our patterns of behavior can routinely fool us into applying pressure or support in places where there ought not to be. For example, how the pelvic floor may be hypertonic from a lack of support on the anterior abdominal wall. To simulate that missing pressure he suggests using Kinesio Tape to pinch and crease the wall to simulate that missing pressure. You can do the opposite by performing diaphragmatic breathing, relieving and dispersing the pressure. You may not admit it, but we can learn much about movement when we address the less sanctified functions of our bodies. Above all, remember it is perfectly natural. How often do your clients report incontinence issues? Have you had success cuing clients on pelvic floor movement? What do you recommend for stress incontinence? Let us know on social media with #IamPolestar and #PelvicFloor.

Helping Children with Scoliosis in Africa

Many therapists and instructors are compelled to apply their knowledge of movement in different ways to benefit society. Hagit Berdishevsky is one such person, whose passion for health has lead her to cooperate with FOCOS (Foundation of Orthopedics and Complex Spine) foundation in Africa. World-renown orthopedic surgeon Dr. Baochie-Adjei founded FOCOS with one goal in mind – provide life-changing, spinal surgeries to children in his home country of Ghana, and in other developing nations in Africa. Hagit applies her extensive knowledge in working with scoliosis to aide in the recovery of these children.

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Dr. Boachie-Adjei is known globally for his extensive knowledge of spine deformity and special expertise in the treatment of scoliosis, kyphosis, and spine reconstruction in adult and pediatric patients.  Originally a group a 250 volunteers, FOCOS set to work on administering hundreds of free spinal surgeries to patients in the region. In 2008, Dr. Boachie-Adjei and his team moved from their humble clinic, Watson House, to the FOCOS Orthapedic Hospital. It was constructed with over $20 million in donations, boasts state-of-the-art medical equipment, and treats patients from all over the globe. They are committed to sustainability, education and research on spinal injuries in these developing nations. Some of the rarest, riskiest surgeries are performed by FOCOS – surgeries many other surgeons wouldn’t dare touch. Almost 50,000 patients have been treated worldwide, with conditions ranging from complex spinal deformities to knee prostheses. If you are curious about the different surgical interventions, videos of Dr. Boachie-Adjei performing these surgeries are on YouTube.
Video courtesy of FOCOS Hospital
Hagit’s background as a physical therapist makes her perfect for her role in the patients’ recovery. Over fourteen years ago, she graduated a Physical Education and Sports Science program with a focus on Postural Defects Cultivation in Israel. In 2010, she earned her certification as a Schroth Method Therapist by the Asklepios Katherina–Schroth Clinic in Germany and uses this method with the recovering children. Hagit is one of 5 Schroth Method professionals in the United States. She is incredibly passionate about her work. Hagit and Polestar Educator Lise Stolze have combined their knowledge of how best to treat patients with Scoliosis in the course: Pilates Adaptations for People with Scoliosis. This is a course for conservative care of idiopathic Scoliosis (IS). In this course they incorporate breath techniques and modify Pilates mat exercises for Scoliosis. You can learn Pilates adaptations for Scoliosis patients, based on the Schroth Method, from Hagit and Lise. Join them in our upcoming courses in Allen, TX.  You can make an impact on world health by learning new skills like these. In fact, any way you choose to make an impact makes a difference.

The Art of Communication

As a society, our daily practice of emailing, texting and small-talk requires us to make room for focused intention and study of how we communicate as movement instructors. As health care professionals we are tasked with speaking with very diverse clients concerning intimate subjects, their bodies.

 Polestar’s communication model is based on neuro-linguistics, and we are fortunate to work with two physical therapists who are also NLP practitioners, Alastair Greetham in London and Dr. Helen Masin in Miami. We recently invited Dr. Masin to discuss how best to connect to your clients through meaningful communication during our monthly webinar series, Pilates Hour.
Naturally, you modulate your speech differently when speaking with friends versus colleagues in the workplace. Reflect on the last time you visited your doctor. Whether a good or bad exchange, think of the language your doctor used to understand your reason for visiting. What, besides language, did he use to connect with you? Do you feel like he listened to you?
Connections require that you build rapport with your client, ensuring a smooth, respectful conversation. Certain non-verbal forms of communication are best utilized here. Posture, tonality, speed, pacing, and use of silence help establish a relationship with the client. Let the client know that a nonjudgmental, patient audience is hearing them. This then lays a better foundation for two-way communication. If a patient tells you he is having “trouble with back pain,” you may want to use that same language when you confirm what they said: “so you’re here because you have trouble with back pain?”. Allow them to go deeper in detail with how they are experiencing it. Ask for clarification when you need to.
“listen with three ears”
Dr. Masin says to “listen with three ears” when you are with a client. This skill, active listening, calls for attention not only to what is being said, but also to what is not. The inflection in someone’s voice, their gestures while speaking, and their manner of speaking all factor into building rapport. If your client is soft spoken, it may help ease them to adjust your volume to theirs. If they are sitting, you should sit. By empathizing with the client in this manner, you are also showing the client that you understand their ailment as they experience it.
Creating a meaningful connection with someone could be tricky depending on his or her background, which is why active listening and rapport building is crucial to effective communication.
Another way to ensure rapport is understanding cultural diversity. This runs the gambit from ethnicity, to sexual orientation, to religious beliefs, and so forth. Above all, avoid assumptions! The simplest way to assure you’re addressing your client appropriately is with an introduction.  You can play with what you say so long as you provide them the space to answer and then to confide in you. Remember not to negate what your patients say, listen and build rapport with them. Done correctly, these methods help break down some of the walls people instinctively place between each other. You may make mistakes, but you will get better at it with practice.
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