Polestar Pilates

Pilates for Hip Osteoarthritis: A Guide for Instructors

By: Beth Kaplanek

As a Pilates instructor, you play a pivotal role in helping clients manage various conditions through targeted exercise programs. One common condition you may encounter is osteoarthritis (OA) of the hip. Understanding how to tailor Pilates exercises to support clients with hip OA can make a significant difference in their quality of life. This blog post will provide you with valuable insights and practical tips for working with clients dealing with hip osteoarthritis.

Understanding Osteoarthritis of the Hip

The hip is a ball-and-socket joint bathed in synovial fluid. The hip is one of the largest weight-bearing joints in the body with a large degree of range of motion in all planes. It relies on congruency and alignment to maintain its architecture and nourish the articular cartilage; a smooth, slippery substance that protects and cushions the ends of the bones and enables them to move efficiently.

Osteoarthritis (OA) is a degenerative joint disease affecting the articular cartilage of the joint. It is a form of arthritis that occurs in people over 50 years of age but can occur in younger people, too. One in four individuals may experience OA of the hip in their lifetime.

It is considered to be a wear and tear disorder whereby microscopic pits and fissures begin to affect the articular cartilage that overtime left untreated can create bone surface changes, cartilage thinning, joint space narrowing, leaving bone rubbing on bone and creating osteophytes (bone spur formations). The synovial fluid that bathes the joint becomes irritated and loses its consistency and ability to nourish the cartilage efficiently.

Osteoarthritis develops slowly and the pain it causes worsens over time. Factors such as aging, genetics, obesity, previous injuries and developmental dysplasia can contribute to hip OA development.

Symptoms to Watch For

  • Pain in the groin that can radiate to the buttocks or knee.
  • Difficulty navigating stairs.
  • Antalgic gait – abnormal walk that causes a limp to avoid loading the joint.
  • Decreased range of motion.
  • Morning stiffness that decreases after an hour of movement.
  • Difficulty with prolonged sitting, driving and painful squatting.
  • Pain that worsens at night.
  • Decreased activities of daily living: dressing, lifting and chores.

The Role of Pilates in Managing Hip OA

Pilates is a low-impact exercise that focuses on whole body movement that enhances adaptability and control. It provides strengthening, increases endurance, improves posture, flexibility and stability making it an excellent choice for clients with lower extremity OA. A growing body of research suggests Pilates can significantly improve pain, function, and quality of life in individuals with hip osteoarthritis.

Here’s how Pilates can benefit your clients:

  1. Strengthening Muscles: Pilates focuses on building core stability and control, which helps stabilize the hip joint and alleviate pain. Strong muscles around the hip can reduce the load on the joint itself.
  2. Improving Flexibility: Gentle stretching exercises in Pilates can increase the range of motion and reduce stiffness in the hip.
  3. Enhancing Balance: Improving overall balance through Pilates can help prevent falls and further injuries, which is crucial for clients with compromised hip joints.
  4. Reducing Pain: Low-impact movements in Pilates provide a safe way to manage pain and improve joint function without causing additional stress to the hip.
  5. Promoting Posture: Proper postural alignment alleviates unnecessary stress on the hip joint, contributing to pain relief and improved movement patterns.

Key Pilates Exercises for Hip OA

Incorporating the right exercises is essential to ensure the safety and effectiveness of your Pilates sessions. Below you will find some exercises particularly beneficial for clients with hip OA.

  • Pelvic Clock
  • Bent Knee Fall Opening
  • Bent Knee Internal Rotation
  • Bridges
  • Side Kick Series – Short Lever and Long Lever
  • Hip Capsule Guides
  • Single Leg Circles Modified

Contraindications & Modifications

Not all exercises are suitable for everyone. It’s crucial to avoid exercises that may aggravate a client’s hip pain. Always try to create a movement experience with no pain.

Modifications are key. Each of the key exercises can be modified to cater to different pain levels and client abilities. Work within a range of motion applicable for the client and creates a positive movement experience.

Tips for Working with Clients

  • Consultation: Always ensure clients have consulted with their healthcare provider before starting a Pilates program.
  • Proper Alignment: Emphasize correct alignment and hip disassociation as tolerated with all movements.
  • Gradual Progression: Start with basic exercises and gradually increase intensity based on the client’s comfort and ability.
  • Use of Props: Incorporate props like resistance bands, balls, towels, soft rollers and Pilates rings to assist and modify exercises for added support as needed.

Conclusion

As a Pilates Practitioner, your expertise can significantly improve the lives of clients with osteoarthritis of the hip. By incorporating tailored exercises and focusing on strength, endurance, flexibility, balance, and proper alignment, you can help your clients manage their condition effectively and enhance their overall well-being. Remember, the goal is to create a supportive and adaptable Pilates program that addresses the unique needs of each individual by giving a positive movement experience while promoting long-term health and mobility.

Learn more about hip osteoarthritis by joining us on a 3-hour online workshop with Beth Kaplanek where you can earn 3 NCPC Credits.

About the Author

Beth A. Kaplanek, RN, BSN, NCPT is a Practitioner of Pilates for Rehabilitation. She is a post-rehabilitation specialist at the Polestar Pilates headquarters in Miami and works as an educator for Polestar Education. She is serving on the education committee for Bone Health Osteoporosis Foundation. Previously, Kaplanek served for more than 20 years as a registered nurse working in various capacities within emergency room care, operating room care, intensive care, drug counseling, rehabilitation and hospice care.

After undergoing her first hip replacement in 2001, Kaplanek began using Pilates as a form of low impact exercise for strength and flexibility training. She has been teaching Pilates for 23 years and has had the opportunity to see and demonstrate the positive impact that the Method can have on individuals in both the pre-habilitation and post-operative rehabilitation stages.

Beth teaches, shares, and showcases her techniques and work in her course,” The Pilates Teacher’s Perspective of Lower Extremity Pathologies and Joint Replacements.”

Follow Beth on Instagram @bethkaplanek and join her on her online workshop to better understand hip osteoarthritis!

Watch Beth on the Pilates Hour here!

How The Spinefitter Empowers Pilates and Physical Therapy

By Alexander Bohlander

Elevate Your Practice and Empower Your Clients: The Spinefitter Advantage

At Polestar Pilates, we understand the dedication Pilates instructors and physical therapists have to their clients’ well-being. We’re constantly seeking innovative tools to enhance your practice and empower you to deliver exceptional results. The Spinefitter by SISSEL – a revolutionary tool to enhance Pilates and physical therapy sessions – stands out as a versatile and effective tool, celebrated for its ability to improve spinal health, core strength, and overall client progress. 

As proven by SISSEL’s 2022 case study, spine mobility, pain, and tension were significantly improved in participants after incorporating the Spinefitter into their practice.

Here’s how the Spinefitter can revolutionize your Pilates or physical therapy sessions:

  • Enhanced Spinal Alignment and Mobility: The Spinefitter’s ergonomic design cradles the natural curvature of the spine, promoting better posture and improved mobility in your clients. Consistent use can increase flexibility, reduce stiffness, and contribute to a healthier back – a fundamental goal for many clients. 
  • Targeted Muscle Activation and Relaxation: The unique structure, featuring rows of massage balls, delivers deep tissue stimulation, promoting muscle relaxation and recovery. It’s particularly adept at activating hard-to-reach muscle groups, ensuring a well-rounded and effective workout for your clients. 
  • Effective Therapeutic and Rehabilitative Support: For clients experiencing back pain or recovering from injuries, the Spinefitter offers a gentle yet effective approach to pain relief and rehabilitation. Its design facilitates safe, controlled movements, making it ideal for therapeutic settings. 
  • Unleash Versatility in Your Sessions: Suitable for beginners and advanced clients alike, the Spinefitter integrates seamlessly with various exercise levels. This adaptability ensures dynamic and engaging sessions tailored to individual needs, a must-have for any instructor or therapist. 
  • Boost Client Body Awareness: Utilizing the Spinefitter can heighten a client’s body awareness, particularly regarding spinal alignment and movement. This amplified awareness is crucial for mastering Pilates techniques and achieving long-term benefits for your clients. 
  • Seamless Integration into Group or Private Sessions: The Spinefitter adds value in both group classes and private sessions. It allows for synchronized group activities or personalized routines, making it a perfect choice for all Pilates and physical therapy environments. 

“If your spine is completely flexible at 60, you are young.”  
— Joseph Pilates

Ready to Take Your Practice to the Next Level?

Are you interested in incorporating the Spinefitter into your Pilates or physical therapy sessions? Visit Polestar Pilates to discover specialized training that will equip you to master this tool and maximize client results. We currently offer a course on the Spinefitter and registrations are open! To acquire your own Spinefitters, head over to the Balanced Body store

At Polestar Pilates, we’re committed to providing the tools and knowledge to empower you to elevate your practice and empower your clients. The Spinefitter by SISSEL is just one example of how we can help you achieve optimal client health and peak performance. Join us and unlock the transformative power of Pilates or physical therapy with the right tools at your fingertips! 

About the Author:

Alexander Bohlander, a dedicated Osteopath, PT and Polestar Pilates licensee in Europe who has gained experience and extensive positive results over the last 4 years using the Spinefitter by Sissel. In his 6 health centers, Pilates studios in Germany the Spinefitter is used for: 

  • Chronic back pain conditions 
  • Fascial restriction pathologies 
  • Scoliosis treatment 
  • Athletic conditioning 
  • Spinefitter Pilates group classes 
  • Spinefitter  Pilates equipment combinations. 

The Polestar Pilates meets Spinefitter curriculum is taught worldwide with unseen success. Alexander has filled courses in China and Australia in 2024 with enthusiastic students, reporting of almost unlimited success with clients and patients. 

Follow Spinefitter on Instagram and be part of the global movement. 

Advice On Cueing The Core: More Muscles Than You Imagined

Brent Anderson and Shelly Power discuss the muscles that comprise “the core” – and it may be more muscles than you thought! Join us LIVE on Thursdays at 3 PM eastern to participate in the discussion in our #PilatesHour webinar. Watch #PilatesHour Episode 124 “Optimizing Cueing of The Core” Here.


BA:  How do we think about cueing the core? For starters, the “core” muscles also include the muscles that connect the extremities to the core.  I always say that “core control is the appropriate amount of stiffness for the anticipated movement”. Oftentimes in everyday activities, and in Pilates, the load to our core comes from our extremities. With the exception of putting weight directly on your chest, most core load comes from the extremities; head, arms, and legs.

We could then put a significant number of muscles into the category of “core control muscles”. Everything from the hip extensors, psoas muscles, hip abductors and adductors to pectoralis and latissimus muscles. All of these muscles are related to controlling and contributing to core control.

THE MYTH OF THE “CORE WORKOUT”

One thing we really want to debunk is the concept that core control is governed by the rectus abdominis. I get scared when someone says “I did a really hard core-workout”. In reality, all they did was work on the anterior pillar of their trunk.  Then they often expand a little bit and say “well I also did obliques”.  

We have to understand where we dilute the word ‘control’, because we want to bring that word back to life. My definition of control is “having the appropriate amount of stiffness for the anticipated load of activity”. It really depends on the activity you are planning on doing. If your client wants to lift weights, maybe you can utilize some of Stuart McGill’s cueing.

We might use an engagement or bracing cue. There might be some benefit to breath holding. Possibly some controlled valsalva to be able to get maximum intra-abdominal pressure while doing a deadlift with 400 pounds for example. This is also completely acceptable in training.

CUEING THE CORE & PELVIC FLOOR

SP:  I think it’s also important to recognize that yes, we are cueing the core muscles, and yes, we are cueing the pelvic floor – we are cueing all of these muscles. We are just not doing it by saying ‘now contract your pelvic floor’, or ‘now contract your abdominals’, “hollow your belly”, or “navel to spine”. Those ways of cueing the muscles are a bit outdated and I think this is where some of the misunderstandings reside. 

We are absolutely cueing the body, the whole body, so we’re trying to think of it a little bit more as a system. There are ways that I will cue that will get certain muscle groups to be a little bit more active. A big part of this concept is moving away from the idea that only one muscle has a job at a time.

The more you can get the whole body to work as a system, the better off your clients are when they leave your class. Great, you did an hour of Pilates, but what happens when you need to go out and run around a soccer field and play a sport? It’s not that we’re not cueing specific muscles, but that we’re also trying to do it in the most intelligent fashion.

DISTRIBUTION OF MOVEMENT EQUALS DISTRIBUTION OF FORCE

BA:  Most of you who follow Polestar know the phrase ‘distribution of movement equals distribution of force’. Shelly puts this into some very clear words, which I’d like her to share because I think this ties into efficiency and how important mobility is. 

SP:  As Pilates teachers, we have all likely encountered a student in class saying ‘I can’t do a roll-up because I am not strong enough’. The teacher might say ‘Ok, we will get you stronger’, but the client is likely perfectly strong! 

The working model in my head is the way our bodies are constructed, all the different joints, ligaments, tendons, muscles, and fascia, are all built to function the way they were meant to function. Unless something significant happens, like an accident or surgery, we are built to move and to be strong.  

BA:  I love that! That is one of Eric Franklin’s great phrases “we are built to move well”.

SP: Of course sometimes life can get in the way. We maybe don’t move as much as we could, or we move too much in a certain way. All of the different habits and behaviors of life happen. A lot of those “movement places”, the joints, don’t move enough, and some move too much. The muscles become deconditioned and we don’t utilize them in all the ranges of motion. Now we are relatively weak in comparison to when everything moved well.

How To Grow Your PT Practice With The Reformer

Dr. Ada Wells DPT, PMA-CPT, TPI Level 3 is a senior Polestar faculty member with 25+ years of working as a physical therapist and educator in rehabilitation, fitness, and health education.  She is the owner of ProBalance Physical Therapy & Pilates in the SF Bay Area since 2004 and provides services at her brick-and-mortar business and online.  In addition to her development of specialized sports rehabilitation & performance programs, Ada provides lectures on rehabilitation and healthy lifestyle exercise.


BA: How did you go from what you saw as the reformer in the rehabilitation studio, to what you built today? You have a whole studio of group reformers and I know you also use the Konnectors and all of your machines have been adapted.  You use the Oov a lot in conjunction with your reformer classes – can you speak to that evolution?  How did you go from just the reformer in a physical therapy clinic to what you have developed today?

AW: The very first place I worked as a Physical Therapist in a larger facility was in a gym but we still only had one reformer. When I opened up my first studio location it was set up in a way that was really separated by private areas but I didn’t have this one large room to be able to have enough machines for a group class.

I made do with what I had, and eventually had two reformers, a trapeze table, and a chair. I was able to do trios and duets and was able to get people to realize they were working on the same thing on different machines and there’s that sense in the room that you’re in the same vibe in the movement.

When I acquired the studio space I am in now, I got this larger room area which is what I specifically wanted in order to be able to teach group reformer classes. The moment we moved into this space my business completely transformed. It went from a smaller operation to “wow” I am impacting a lot of people’s lives and really felt like a force in the neighborhood. It was simply for that reason, the ability to reach multiple people in that one hour of time.

Let’s face it, I love to teach privates, and I love one-on-one, but it is kind of trading time for dollars. When you can create an opportunity to scale your services and to reach a larger group of people, In this case with group classes as well as teaching online, it really changes the game in terms of how I feel I can impact people. We have this network now and it is just wonderful to be able to share that.

BA: One of the things that impressed me is the ease of the introduction of movement in a safer space. In the reformer studio, we can control things like speed, progress quicker, and make the proprioception less or more challenging. The reformer was built to be able to assist people who were not able to do the Pilates mat work. If you can’t hold your feet up in the hundred position, we can put your feet in the straps. We can put just enough springs to take off the load so that you can do the exercise correctly.

As we progress we can move towards the hundred, leg circles, and other exercises. This made so much sense to me as a rehabilitation practitioner. Sometimes in reference to the Pilates studio, we use the word “playground”. This ability to go in and create assistive environments to be able to progress people through graded load, proprioception, and tempos. What are your thoughts on that environment?

AW: It’s one place where people have the opportunity to feel graceful because they are supported. Feet in straps baby! I do not dare teach a class without feet in straps. I laugh because I tried and we actually had to go back and do it because my students were revolting!

It’s the place where they feel like they have control of their movement and what’s wonderful is that for the beginner we can still modify. Maybe they can’t tolerate having their legs totally straight, maybe they have some neural tension, no problem! We can load up more springs and maybe move the straps to their thighs. It’s funny because I always hated physics when I was in school, I couldn’t stand it.

Working with the equipment was dealing with physics every day, but it doesn’t feel like physics it just feels fun. You can see these angles of pull and you start to appreciate just through using it that you can see “we have a shorter lever here – distribute the weight there”.

The biggest thing is just helping people feel like they can move. They are being nurtured and supported in movement if they need to be. I teach a Pilates for athletes class, maybe it should be Pilates for Ageing Athletes because they are all athletes over fifty. The class allows them to do the things that feel athletic but they also very much revel in the stuff that’s more basic and fundamental because they realize how it feels in their body that they can feel their femoral head massaging their socket. They can feel the benefits!

They are developing this awareness they didn’t have before because maybe they were just powering through, or bulldozing through their exercises.

BA: Exactly!


Watch the full #PilatesHour episode “The Pilates Reformer: From Rehabilitation to Performance” here.

The Secret to Working with Joint Replacements

Polestar Faculty Beth Kaplanek RN, BSN, NCPT created an easily digestible 16-hour ONLINE course that is designed for Pilates Instructors and other medical professionals.  Learn more about when the next course is happening.


We sat down with Beth Kaplanek, for an intimate conversation about her book and upcoming course. Continue reading to meet Beth and discover why you should take this course if you are a Pilates Instructor or in the medical field.

Polestar:  Tell us about yourself Beth!

BK: I started my career in fitness in 1998, teaching aerobics and personal training. I also served for 20 years as a registered nurse working in various capacities in the emergency room, the operating room, the intensive care unit, drug counseling and rehabilitation, and hospice care. After years of teaching fitness, I became a Pilates Instructor because of my right hip replacement – possibly one of the first-ever instructors with a joint replacement. I think I can own that! Sixteen years later due to a bilateral hip condition, I ended up needing my second hip replacement and Pilates has been and continues to be the best way for me to move and live healthily all while keeping my flexibility, strength, range of motion and maintaining the integrity of the prosthesis. I was asking myself how I could share it with others to help them regain full function and have a positive movement experience.

Polestar: And you wrote a book and created a course with Polestar!  Can you tell us more about that? 

BK:  I wrote a book alongside two Orthopedic surgeons, Brett Levine MS, MD, and William L. Jaffe MD. The book is called Pilates for Hip and Knee Syndromes and Arthroplasties. The book presents the Pilates method and how it can be adopted for the needs of individuals with hip and knee pathologies and joint replacements. The book was written after Dr. Levine, Dr. Jaffe and I showcased preliminary research regarding Pilates as a form of post-operative rehabilitation for Knee and hip arthroplasties published in the Bulletin of the NYU for Joint Diseases and Clinical Orthopedics and Related Research.

Polestar:  That’s amazing! Can you share more about your course?

BK: It can be complicated material, but I break it down so that it can be easily digested and implemented into anyone’s practice.

“You have to hear it, see it, and apply it in order to learn it and use it!”

This course should be the next step for every instructor that has finished their core curriculum in Pilates. For those who take this course, I provide them with a 175+ page manual (it’s actually more like a book!) to reinforce everything that they learn during the course itself. I want Pilates instructors to think about how they can apply the course material in thinking about movement. The course guides you through working with people with pathologies and joint replacements. Over the two days, there are four movement labs. Every piece of the Pilates apparatus is utilized in creating a full-body movement program for the individual client. I send you home with an illustrated manual full of guidelines for movement and suggested movements for [that] pathology.

“The body is an amazing thing.”

The ultimate goal is to give a positive movement experience with no pain or discomfort. We as Pilates Instructors need to help to re-educate [the client’s] movement patterns and then build strength! The [Pilates] instructor has to be aware of pathologies and common problems that we see on a regular basis.

“…There is always something to learn!”

Pilates is an ideal form of low-impact movements that are easily adaptable
to the pre and post-rehabilitation and fitness needs of your clients with hip and knee pathologies and joint replacements.

Polestar: So very true. Thank you for that. If people have questions about this course or your book where should they contact you?

BK:  They can always visit my website www.bethkaplanek.com  or email me at beth@bethkaplanek.com . I also work at the Polestar Pilates Studio in Miami, Florida so you can stop in and say hi!


Beth Kaplanek is a practitioner of Pilates for Rehabilitation and Author of “Pilates for Hip and Knee Syndromes and Arthroplasties – Pilates Teacher’s Perspective of Lower Extremity Pathologies and Joint Replacements”

Six Tips To Better Cue The Breath in Pilates

By Polestar UK Mentor Kristin Loeer. If you are interested in learning more about Kristin’s approach to working with the breath in Pilates you may be interested in the upcoming workshop “The Movement of Breathing” which will be hosted by Polestar Pilates UK in November 2022.


I have never met a client who was not confused or insecure about the nature and function of their breathing. In fact, I have never met a client who, when asked about it, did not assume that they are “probably breathing badly”. People are exposed to plenty of breathing cues in Pilates and Yoga classes. Outside of the studio, there is also an abundance of breathing practices and breathing apps.

So why is there such confusion and lack of confidence about breathing? And secondly, I dare ask, do we, as movement professionals who cue breathing all the time, feel all that confident about it ourselves?”

After all, we may have learned that thoracic breathing is the way to go. Or we were told that deep diaphragmatic breathing is important. We may feel compelled to remind people to take deep breaths during movement because we see their tendency to hold their breath. Then again we may wonder about the exhale because if we do not breathe out we can not take in fresh air either. When we add Pilates to the equation and start talking about inhaling and exhaling in relation to movement we can easily overwhelm our clients, if not ourselves.

The Breath as Autonomic and Conscious Process

The reason why the subject of breathing causes never-ending confusion is that breathing is both a very finely tuned autonomic process, as well as under our conscious control. Hence it can be altered, but we may wonder whether it should be. This will always have a very complex impact on the rest of our being. 

Just like digestion or heart rate, breathing is orchestrated largely by our autonomic nervous system. The autonomic nervous system is influenced by our life experiences. It is constantly responding and adapting to external and internal changes. Its main concern at all times is homeostasis and survival.  

The Breath As A Tool

As mentioned, unlike heart rate and digestion, breathing is also under our conscious control. I can choose to lengthen my exhale or to hold my breath. I do not have the same control over my heartbeat or digestive processes. This makes breathing such a powerful tool. We can use it when we want to become calmer or more alert and of course, it gives us the opportunity to optimize movement through breath. 

I am a practitioner, who specializes in somatic trauma work. My belief is that it is important to remember that while we can alter our breathing and create powerful change through it, breathing is a carefully and deliberately orchestrated nervous system process. No matter how inefficient or dysregulated a client’s breathing pattern may seem, in my experience, it is never random. There is no such thing as “lazy breathing”, “wrong breathing” or “I forget to breathe”.

There is nothing the nervous system does without good reason or without its key concern being survival. 

This does not mean that we should not work with our breath. It means that we need to go about it gently and respectfully. We need to be aware that there is a reason for the client’s current breathing pattern, and that if we try to alter it, there may be pushback from the client’s nervous system. We can bring about positive change indeed if the nervous system recognizes that this change in breathing is helpful. On the other hand, if we are not careful we might promote a messy interference with the nervous system’s autonomic process, which does not serve the client well.

Here are my six top tips for how to work with the breath in both private Pilates sessions and group classes:

1. Observe The Breathing Pattern

Particularly in private sessions, we have the opportunity to observe our client’s breathing both in stillness and motion.

Let’s not be too hasty with our wish to help them use their breath better. Let’s be curious about what their body is naturally doing. Also, consider how breath might change automatically as we work with using other cues. It is very possible that your soothing voice or their awareness of their body’s movement against the ground settles their nervous system. This alone might regulate their breathing without you having to address it directly.

2. Make Breathing Cues Relevant To The Client.

As with movement, respond to what you are observing rather than using generic, popular cues.

Some people do indeed breathe shallowly. Others have already been told they do so and are now stuck in compensating patterns of excessive abdominal breathing. Many people inhale more than they exhale, however, there are also a fair few people who stretch their exhales and barely feel the need to inhale. The point is that no one person breathes the same and we need to be careful not to generalise and give people cues that are not useful to them.

3. In Group Classes: Offer Different Breathing Cues To Explore.

In group classes, it is much harder to observe and attend to individuals of course.

We need to be aware that not one breathing cue will work or be right for everyone. Let’s provide different options so that they can explore and be inspired by the cues that feel good to them. You might ask them to become aware of how much they breathe in compared to how much they breathe out. You might suggest they try out opposite options within an exercise to let them decide what feels right for them. Also, give people the option to ignore the breath-related cues altogether. They may simply not be in a place where they feel safe to explore their breathing patterns. 

4. Use Positive And Invitational Language

Whether you work with individuals or a group, when it comes to breathing I strongly recommend using invitational language.

Let’s remember that the nature of our breathing is closely linked with our sense of survival. It is important to put the client in charge of their breath. Encourage them to be present and curious with their breath. Reassure them that while they may want to try out making changes, their natural breathing is not wrong and they can return to it whenever they want.  

5. There Is No Failure. 

A client may simply not be able to access the shift in breathing we are encouraging them to find.

This may bring about a sense of failure in the client. Let’s remember that the nervous system always has the final say and if it does not deem a change safe it will not allow it. You can communicate this to the client by explaining how their body is “saying no” to this today and how over time it can change its mind”. Encourage the client to explore and “play with this again later.”  

6. Bring Awareness To The Impact

If the client’s breathing does change, allow them time to experience this without adding any further new information or cues.

It can take a few minutes to explore this and to become aware of the holistic impact this change has had. They may feel calmer, stronger, or experience more flow in the movement. This positive shift is really worth exploring! It has the potential to integrate and perhaps become the new normal. They may become emotional, anxious, or irritated and feel their movements ‘disintegrate’. It is important for the client to experience whether this shift is positive for them or not. They can revert back to their previous way of breathing if they need to. 


If you would like to learn more about my approach to working with the breath in Pilates you may be interested in my upcoming workshop “The Movement of Breathing” which I will be running for Polestar Pilates UK in November 2022. For more information please contact me @kristinloeer_movement .

Kristin Loeer