"How do Pilates Trained Physiotherapists utilize and value Pilates Exercise for MSK conditions? A Qualitative Study".

Area of Science:

• Exercise Science
• Physical Therapy
• Rehabilitation Medicine

Background:

• Pilates is a recognized exercise therapy for enhancing muscular strength, flexibility, control, and core stability.
• It is frequently employed in preventing and rehabilitating diverse musculoskeletal disorders.

Purpose of the Study:

• To investigate the perspectives of UK-based physiotherapists trained in Pilates.
• To explore their views on the benefits, risks, delivery, and underlying rationale of Pilates for musculoskeletal conditions.

Main Methods:

• A qualitative study involving 30 physiotherapists with formal Pilates training.
• Data collected via a custom electronic survey with multiple-choice and open-ended questions.
• Thematic analysis was used to examine the survey responses.

Main Results:

• Key benefits identified include reduced fear-avoidance, enhanced bodily awareness, and increased muscular strength.
• Exercises promoting general movement were favored, with daily practice recommended for optimal outcomes.
• While lack of core strength was noted as an indicator, some participants cautioned against overemphasis.

Conclusions:

• Pilates is highly modifiable, allowing for individualized exercise prescription to suit various health conditions and encourage participation.
• Physiotherapists in both National Health Service (NHS) and private settings use Pilates similarly, though rationales may evolve.
• Pilates is a valuable therapeutic tool within the NHS, promoting patient engagement with physical activity.