Integrating Pilates-based Core Strengthening Into Older Adult Fitness Programs

Age-related changes in the musculoskeletal system are inevitable. Sarcopenia, postural dysfunctions, reduced gait cycle, and loss of balance control and stability are among the many well-documented consequences of musculoskeletal changes that occur over the lifespan. Some of these age-related changes can be counteracted or managed through postural stability or core-strengthening exercise. Pilates-based exercise (Pul-a-tees) is a popular method of improving torso or core strength and offers other benefits including spinal and joint mobility, and proprioception, balance, and coordination training. Older adults may benefit from Pilates-based exercises that are integrated into traditional resistance and balance training programs. A theoretical framework for integrating select Pilates-based core-strengthening exercises and principles into rehabilitation treatment plans and community- and home-based programs for older adults is suggested here.