Pregnancy creates many changes in a woman’s body – a changing center of gravity, release in relaxing hormone causing laxity in ligaments throughout the body, stretching of the transversus abdominis and pelvic floor, etc. Lax ligaments and overstretched abdominal and pelvic floor muscles reduce the stability of the lumbar spine and pelvis. This can cause excessive movement in joints, especially in the low back and sacroiliac joints, which creates shearing forces that lead to pain and inflammation. Excessive body fluid retention can cause carpal tunnel syndrome in the wrists. And of course, the additional gain of 25-30 percent of a woman’s usual weight can increase the chance of injuries.
There are also many lifestyle issues that impact pregnant women, e.g. caring for other small children, office, house and yard work, etc. Pilates exercise can help strengthen the core muscles surrounding the joints and thereby restore the stability lost during pregnancy. A Pilates exercise routine, guided by a knowledgeable instructor can help pregnant women:
Be more comfortable during the pregnancy
Reduce stress and swelling through exercise
Decrease the chances of injury before, during and after delivery
Heighten balance awareness as the body changes
Increase flexibility, which will be very beneficial during delivery
Improve circulation to the abdomen and increase muscle tone
Improve posture, thereby giving the fetus more room to develop and reducing neck and back pain
Hasten recovery after delivery
Prevent or reduce back pain
Improve breathing and lung capacity
Improve coordination
Improve the ability to relax
Prevent separation of rectus abdominis muscles in 3rd trimester
Pilates and the Postpartum Woman Women with good muscle tone recover from delivery much more quickly. But it is never too late to improve core muscle strength! Caring for the baby (and maybe other children in the home), sustained sitting with nursing or bottle-feeding, lifting in and out of car-seats and cribs, etc. can create stresses and result in injury, if a woman uses improper body mechanics. Laxity in ligaments also remains for some time during the Postpartum period, especially if a woman is nursing. Pilates exercise can help strengthen the muscles compromised during pregnancy and delivery. A Pilates exercise routine, guided by a knowledgeable instructor can help Postpartum women:
Recover from the delivery
Increase body awareness and posture to prevent injury
Improve energy levels
Regain their pre-pregnancy shape and muscle tone
Improve breathing and the ability to relax
Reduce stress levels
Improve strength, balance and flexibility
Summary Pilates exercises are a great way to integrate the entire body to improve function during a woman’s daily activities. Pilates develops an awareness of controlled movement. Many of the exercises can also be done throughout the day at various places and times. These qualities make them ideal for pregnant and Postpartum women, because vigorous exercise can cause injury at these stages in a woman’s life. The focus on stabilizing core musculature in the trunk benefits the parts of the body that change the most during pregnancy and that are used the most during and after pregnancy and delivery. Pilates improves body awareness, balance, breathing, strength and flexibility in addition to helping to reduce stress. As she builds strength in the abdomen and back, a woman learns how to bend and lift without causing injury to her back, neck, hips or knees.
It is important that the Pilates exercise routine is guided by a trained professional. Any exercise has the potential to cause injury or problems, if done incorrectly (especially by someone with pain or dysfunction). At PhysioFit we offer small classes for fitness or rehabilitation and also private or semi-private Pilates sessions. Each participant can be closely coached and movements monitored to make sure exercises are being done correctly and any limitations a particular person might have are addressed.
If a woman has pain or dysfunction during pregnancy or Postpartum, she is likely to benefit from one-on-one physical therapy treatments in which we integrate Pilates principles, as well as using manual techniques individualized for a woman’s particular needs. Any time someone has a musculoskeletal problem, physical therapy treatments will usually be covered by insurance with a doctor’s prescription. Insurance may also cover Pilates classes that are prescribed by a doctor to address a patient’s musculoskeletal problems. During rehabilitation for a musculoskeletal problem, Pilates principles and exercises can be used as part of a physical therapy approach through a patient’s therapeutic exercise and neuromuscular re-education plan.