APPI Pilates Hip twist level 2 with a modification
Our latest video is APPI Pilates Hip twist level 2 with a modification. Always nice to add a little twist of something to your day.
Focus on each vertebrae rotating on the one above / below to encourage even movement over the individual vertebral joint surfaces.
Add in an additional stretch of your gluteals, quadratus lumborum (QL) and side of your thigh. Including tensor fasciae latae (TFL) by crossing your legs.
Ideal for clients with simple low back pain. Subjectively they may have a sedentary sitting job with an intermittent ache in their low back with no referred pain. On assessment you may have identified stiffness in the lumber spine along with tightness through upper glut max and glut med. The thoracolumbar fascia is often tight through this area too.
Objectively assess their lumber spine to provide an objective marker to retest, aim to relate back to function and goal identified in their subjective assessment. Watch for compensatory movements of the pelvis and upper spine.
You may want to start with spikey balling through the gluts in a supine position to see if this changes the objective marker, by addressing tightness.
What else is going on for your client to be stiff in their lumbar spine? An injury new or old or posture that they have compensated around? Muscle imbalance? Are they also stiff in the thoracic or cervical spine? Do they have excess movement somewhere else in their spine?
Stiffness can overlie a weak area in a protective manner so its important to use the improved range of motion as a foundation to then wake the muscles up throughout the torso (front and back) with exercises such as hip twist Level 1 or 3 and scissors.
Aim to progress into a standing exercise, or sitting as related to their function.
APPI Pilates hip twist level 2 is just one of the many exercises taught on APPI's Matwork Certification series. You can find out about APPI's Matwork Certification series by downloading a Clinical Pilates info pack.
The APPI Clinical Pilates Matwork Certification series is the essential Pilates teacher training course for allied health professionals. To find out more about the APPI Matwork Pilates series for and 2020 course dates click here.