PPiillaatteess ffoorr HHiipp aanndd KKnneeee SSyynnddrroommeess aanndd AArrtthhrrooppllaassttiieess PPiillaatteess ffoorr HHiipp aanndd KKnneeee SSyynnddrroommeess aanndd AArrtthhrrooppllaassttiieess Beth A. Kaplanek, RN, BSN Qualified Pilates Instructor ◾ Practitioner of Pilates for Rehabilitation Brett Levine, MD, MS Orthopaedic Surgeon ◾ Rush University Medical Center William L. Jaffe, MD Orthopaedic Surgeon ◾ New York University Hospital for Joint Disease Human Kinetics Library of Congress Cataloging-in-Publication Data Kaplanek, Beth A., 1952- author. Pilates for hip and knee syndromes and arthroplasties / Beth A. Kaplanek, Brett Levine, William L. Jaffe. p. ; cm. Includes bibliographical references. ISBN-13: 978-0-7360-9224-1 (soft cover) ISBN-10: 0-7360-9224-2 (soft cover) 1. Hip joint--Wounds and injuries--Treatment. 2. Knee--Wounds and injuries-- Treatment. 3. Pilates method. 4. Arthroplasty. I. Levine, Brett, 1973- author. II. Jaffe, William L., 1938- author. III. Title [DNLM: 1. Hip Injuries--therapy. 2. Arthroplasty--rehabilitation. 3. Exercise Movement Techniques--methods. 4. Knee Injuries--therapy. 5. Musculoskeletal Diseases--therapy. WE 855] RD549.K37 2011 617.5'82044--dc22 2010053247 ISBN-10: 0-7360-9224-2 (print) ISBN-13: 978-0-7360-9224-1 (print) Copyright © 2011 by Beth A. Kaplanek, Brett Levine, and William L. Jaffe All rights reserved. Except for use in a review, the reproduction or utilization of this work in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including xerography, photocopying, and recording, and in any information storage and retrieval system, is forbidden without the written permission of the publisher. Acquisitions Editor: Loarn D. Robertson, PhD; Developmental Editor: Amanda S. Ewing; Assistant Editors: Antoinette Pomata and Kali Cox; Copyeditor: Jocelyn Engman; Permissions Manager: Dalene Reeder; Graphic Designer: Bob Reuther; Graphic Artist: Yvonne Griffith; Cover Designer: Keith Blomberg; Photographer (cover): Richard LoPinto/© Human Kinetics; Photographer (interior): Richard LoPinto/© Human Kinetics; photographs are displaying the Triadball; Photo Asset Manager: Laura Fitch; Visual Production Assistant: Joyce Brumfield; Photo Production Manager: Jason Allen; Art Manager: Kelly Hendren; Associate Art Manager: Alan L. Wilborn; Illustrations: © Human Kinetics; Printer: Versa Press Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 The paper in this book is certified under a sustainable forestry program. Human Kinetics Website: www.HumanKinetics.com United States: Human Kinetics Australia: Human Kinetics P.O. Box 5076 57A Price Avenue Champaign, IL 61825-5076 Lower Mitcham, South Australia 5062 800-747-4457 08 8372 0999 e-mail: [email protected] e-mail: [email protected] Canada: Human Kinetics New Zealand: Human Kinetics 475 Devonshire Road Unit 100 P.O. Box 80 Windsor, ON N8Y 2L5 Torrens Park, South Australia 5062 800-465-7301 (in Canada only) 0800 222 062 e-mail: [email protected] e-mail: [email protected] Europe: Human Kinetics 107 Bradford Road Stanningley Leeds LS28 6AT, United Kingdom +44 (0) 113 255 5665 e-mail: [email protected] E5124 Contents Exercise Finder vii ◾ Preface xi ◾ Acknowledgments xv ◾ Introduction xvii Part I Hip and Knee anatomy, Syndromes, and treatments . . . .1 CHAPter the Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1 ▶ This chapter provides information on the anatomy of the hip, hip syn- dromes, and operative and nonoperative treatments. This background knowledge will help you as you’re creating Pilates routines for clients with hip issues. CHAPter the Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 2 ▶ While chapter 1 discussed anatomy, syndromes, and treatments for the hip, this chapter covers the same information for the knee. A solid understanding of issues related to the knee will help you create a better Pilates routine for your clients. Part II Pilates Mat Exercises . . . . . . . . . . . . . . . . . . . . . . . . . . .27 CHAPter Setting the Foundation . . . . . . . . . . . . . . . . . . . . . . . . . 29 3 ▶ Before you can tailor a Pilates routine for your clients with hip or knee conditions, it is important to know how to incorporate range of motion guidelines for a syndrome or arthroplasty. This chapter shows you how the classical Pilates mat with the guidelines incorporated sets the foun- dation for the exercises that follow. In addition, a selective, comprehen- sive set of pre-Pilates exercises are included in this chapter. It also gives you tips on getting a client started with a Pilates routine. ◾ v ◾ v CHAPter Pilates Mat exercises for Six Weeks to three Months Postoperative . . . . . . . . . . . . . . . . . . . . 65 4 ▶ Now that you have a thorough understanding of the foundation of the material, you can begin to tailor exercises for your clients with hip and knee conditions. In this chapter, you’ll find Pilates mat exercises designed for a timeline of six weeks to three months postoperative. Selections from these variations with options are appropriately chosen for preoperative or syndrome programs. CHAPter Pilates Mat exercises for three to Six Months and Six Months and Beyond Postoperative . . . . . . . . . .133 5 ▶ As clients continue on their postoperative journey, the intensity of their Pilates regimen continues to change as well. Here, you’ll find Pilates exercises that are appropriate for clients who are three to six months and beyond in their postoperative recovery. Again, selections from these varia- tions with options are appropriately chosen for a client with a syndrome. CHAPter Pilates Mat Side Kick Series . . . . . . . . . . . . . . . . . . . .263 6 ▶ Side kick series exercises are extremely important for clients who are recovering from knee or hip issues. This chapter provides exercises and variations that can be used at all stages of preoperative and postop- erative recovery to help build strength, improve flexibility, and increase range of motion. CHAPter Pilates Mat Program Sequences . . . . . . . . . . . . . . . . . .319 7 ▶ It can be overwhelming to try to figure out how to put together a Pilates routine for your clients. This chapter gives you several case study examples that show you how you can create a Pilates routine using pre- Pilates, Pilates, and side kick series exercises. Page numbers quickly direct you to where a particular exercise is discussed in full detail. Glossary 353 ◾ Movement and Cueing Vocabulary 355 ◾ Using the Web Resource 357 Bibliography 359 ◾ About the Authors 361 vi ◾ vi ◾ Exercise Finder Many of the exercises in this book have variations depending on how long postop the exercise is being performed. This exercise finder will let you easily find the exercise you’re looking for by time postop. Simply turn to the page listed to find a complete description, with photos, for the exercise in question. The exercise time- lines are set in tables to make it easier to create an exercise routine for a syndrome or arthroplasty. The side kick series (SKS) exercises are also broken down by time postop. The second exercise finder is specific for the SKS. Choosing a routine for a hip or knee syndrome from any one of the following categories should be based on the client’s core control and available ROM. PRe-PiLAteS AND PiLAteS exeRciSeS 6 weeks 6 months Exercise Pre-Pilates to 3 months 3 to 6 months and beyond Abdominal prep 48 Abduction and adduction 43 Adductor squeeze 52 Ankle pump 40 Breathing 39 Cancan (modified) 234 234 Corkscrew 182 185 Crisscross 98 174 174 Double-leg kick 198 198 Double-leg stretch 86 163 166 Double straight-leg stretch 94 171 171 (lower lift) Gluteal set 42 Half roll-down 70 140 140 Half roll-up 75 141 141 Hip circle (modified) 241 241 Hundred 67 135 137 Knee fold 50 Leg pull (modified) 243 243 (continued) ◾ vii ◾ vii Exercise Finder (continued) 6 weeks 6 months Exercise Pre-Pilates to 3 months 3 to 6 months and beyond Neck pull 207 Neck pull (modified) 204 Open-leg rocker 179 Pelvic curl 45 Prone leg lifts 56 Push-up 260 Push-up (modified) 257 257 Quadriceps set 41 Rolling like a ball 156 158 Roll-up 143 147 Saw 107 187 187 Serratus push-up 254 Serratus push-up (modified) 251 251 Shoulder bridge 211 211 Shoulder bridge (modified) 117 Shoulder roll 44 Side stretch 129 247 247 Single-leg circle 79 150 154 Single-leg kick 113 196 196 Single-leg stretch 83 160 160 Single straight-leg stretch and 88 168 168 scissors Sitting bent-knee lifts 59 Spine stretch forward 104 177 177 Spine twist 201 201 Supine leg lifts 53 Swan 193 Swan prep 110 191 Swimming 238 238 Teaser 1 223 223 Teaser 2 226 226 Teaser 3 231 Teaser prep 1 121 217 217 Teaser prep 2 124 219 219 Toe tap 46 viii ◾ viii ◾
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