47. Pelvic Instability: What Pilates Instructors Need to Know, with Raphael Bender and Cloe Bunter
Play • 1 hr 9 min

Pelvic Instability: What Pilates Instructors Need to Know

Learn why despite all the noise around the topic in the Pilates realm, you don’t have to worry about pelvic instability for yourself, and you don’t need to worry about it for your clients — including your prenatal clients. Encouraging cultural change in the fitness community is a passion of ours, and on the podcast this week, we’re spreading the truth and busting the myth of pelvic instability. 

Research links

  • No evidence that relaxin is related to pelvic girdle pain during pregnancy here and here
  • The biggest risk factors for pelvic pain postpartum are a history of low back pain, being overweight, pelvic pain during pregnancy, depression & heavy workload in pregnancy here
  • The sacroiliac joint is incredibly stable and basically doesn't move at all here
  • Including in women diagnosed with "sacroiliac dysfunction" here
  • Clinical tests (e.g. palpation) of SIJ mobility are highly unreliable and inaccurate here
  • In fact palpation of all lumbopelvic landmarks is highly inaccurate and not considered valid for clinical practice here
  • Manipulation doesn't change the position of the sacroiliac joint here
  • Pretty much any form of physical activity during & after pregnancy reduces the severity of pelvic girdle pain here and here
  • Including general aerobic and strengthening exercises taught in a group setting here
  • Pelvic floor training is not superior to general exercise for pelvic pain here
  • There is no solid evidence for the effectiveness of stabilising exercises for pregnancy-related pelvic girdle pain here
  • There is no current evidence to support the validity of pregnancy related pelvic girdle pain classification systems here
  • There is currently a lack of well-designed studies to demonstrate related to physical therapy interventions for pregnancy-related pelvic girdle pain here
  • Factors that predict poor outcomes in pregnancy-related pelvic girdle pain are obesity, severe symptoms, history of low back pain, and emotional distress here
  • It's not research, but it's awesome - listen to Adam Meakins and Amy Busch-Eicher on the NAF Physio podcast here

Pilates Instructor Training Resources: 

  • The sacroiliac joint basically doesn't move here and here and here
  • No evidence that relaxin is related to pelvic girdle pain during pregnancy here or here
  • When we think we're palpating the movement of the SIJ, we're mistaken here and here
  • No difference in mobility between painful and non-painful sacroiliac joints in women with pelvic pain here
  • NAF physio podcast with Adam Meakins and Amy Eicher here


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