Title
Subscribe to the Magazine for free
Subscribe for free to keep reading! If you are already subscribed, enter your email address to log back in.
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.

Pilates as a Therapeutic Option for Lung Conditions: Insights for Practitioners

Why This Was Updated?

Our specialists regularly review advancements in health and wellness, ensuring our articles are updated with the newest information as it becomes accessible.
Medically Reviewed by

Imagine a ballet dancer: poised, controlled, and incredibly aware of every breath and movement. This image captures the essence of pilates, a form of exercise that stresses precision, core strength, breath control, and flexibility. 

Now imagine an advanced lung cancer patient who relies on oxygen. After 3 months of pilates, this patient no longer needs oxygen therapy, thanks to improved chest expansion and thoracic muscle strength. Impressive!

A hidden benefit of pilates is its ability to improve lung function. Pilates focuses on enhancing strength, improving posture, and promoting overall health through mindful movements and breathing techniques. This article describes the benefits of pilates as an effective therapeutic tool for various lung conditions.

[signup]

What is Pilates?

Pilates is a form of exercise that emphasizes controlled movements and breathing to improve flexibility, core strength, and overall wellness. Its core principles include precision, concentration, control, breathing, flow, and centering. 

This exercise can be performed on a mat or a Reformer, a sliding platform with spring-based resistance on which a person sits, lies, stands, and uses pulleys to perform exercises.

Pilates effectively enhances lung function and respiratory health by increasing oxygen intake and lung capacity. It is a valuable addition to therapeutic regimes for those looking to improve their respiratory conditions.

Pilates' relevance to respiratory health lies in its unique ability to strengthen the diaphragm and the thoracic (chest) muscles around the lungs. The emphasis on deep, controlled breathing improves diaphragmatic performance, essential for optimal lung function.

In addition, it promotes better posture, which is crucial for opening up the chest area and allowing for deeper, more effective breaths. This alignment and strengthening of the core and the thoracic region help reduce the work of breathing, which is often impaired in those with respiratory issues. 

Pilates can be particularly therapeutic for individuals suffering from chronic obstructive pulmonary disease (COPD), asthma, and even lung cancer, as it helps them to breathe more efficiently and increases lung capacity.

Review of Medical Research on Pilates and Lung Health

The therapeutic impact of pilates has been explored in various conditions.

  1. COVID-19: Some people with COVID-19 developed protracted damage to the lungs, reducing oxygen ventilation and quality of life. A 2023 clinical trial showed that a two-month Pilates training regimen significantly improved pulmonary function and quality of life in patients with impaired respiration secondary to COVID-19.
  2. COPD: Results from a 2019 study showed that pilates significantly improved postural stability, ventilation, and functional capacity in patients with COPD.
  3. Cardiothoracic surgery: Pilates has been shown to enhance vital capacity and ventilation in patients after cardiothoracic surgery, improving quality of life and reducing the risk of postoperative pulmonary events like pneumonia.
  4. Cystic Fibrosis (CF): Pilates may improve respiratory muscle strength in people with CF.
  5. Additional studies have suggested that a Pilates-based exercise regimen improves pulmonary function and respiratory muscle strength in older adults.

Mechanisms of Benefit

Pilates has been shown to improve lung function by various mechanisms.

Enhancing Breathing Efficiency

Pilates emphasizes diaphragmatic breathing, encouraging full diaphragm engagement during inhalation and maximizing air intake to strengthen the diaphragm. The controlled breathing exercises in pilates also teach individuals how to manage and reduce shortness of breath, which is particularly beneficial for those with chronic respiratory conditions.

Optimizing Posture and Thoracic Mobility

Pilates exercises focus on core strength, which includes the muscles around the spine and abdomen, leading to improved posture. Better posture enhances the thoracic cavity's ability to expand, allowing for more significant lung expansion and more efficient airway clearance. 

Improved thoracic mobility is essential for patients with respiratory conditions, as it promotes easier breathing and can help clear mucus from the lungs, which is particularly important in conditions like COPD, CF, and people using oxygen due to poor respiratory functioning.

Strengthening Thoracic and Respiratory Muscles

Combining movements and postures with deep breathing at a low pace contracts the respiratory muscles while other muscles in the body perform movements. This leads to improved respiratory muscle strength and maximal inspiratory and expiratory pressures.

Incorporating Pilates into Treatment Plans

Incorporating pilates into a treatment plan can substantially benefit patients with respiratory conditions. This is typically achieved through:

Assessment

The first step is assessing which patients might benefit most from pilates. Patients with mild to moderate respiratory issues who can handle mild physical exertion are ideal candidates. 

It's essential to consider the patient's baseline lung function, exercise tolerance, and any pre-existing health issues, like heart disease, that may affect their capability to perform exercises.

Program Design

Designing a Pilates program for patients with lung conditions requires a tailored approach to meet individual needs. The frequency of sessions should generally start at once or twice a week and can increase as the person's endurance increases. 

The intensity of the exercises should be moderate, avoiding overexertion. Exercises should focus on enhancing diaphragmatic breathing and strengthening the core muscles to improve posture and respiratory efficiency. 

Safety Considerations

Safety is paramount when integrating pilates into treatment plans for patients with respiratory conditions. Modifying exercises for those with severe respiratory limitations or during exacerbations is essential. For example, some patients may need to perform exercises while seated or lying down to reduce strain. Close monitoring for worsening of symptoms, respiratory distress, or overexertion during the exercises is highly recommended.

Training and Certification for Practitioners

Training and certifications are essential for practitioners interested in teaching pilates, especially in a therapeutic setting. Programs offered by Pilates Method Alliance (PMA) or Balanced Body cover the fundamental principles of pilates and their clinical applications. They also provide detailed studies on anatomy and physiology tailored to various health conditions.  

Obtaining certification from these or similar organizations ensures that practitioners meet a high standard of competency, which is essential when addressing complex medical issues.

Collaboration with a Certified Pilates Instructor can significantly boost patient outcomes and care. These instructors can provide Pilates adaptations to meet individual needs and goals. Healthcare practitioners can leverage this expertise to develop personalized Pilates programs for specific rehabilitation goals.  

Certified Pilates instructors and health practitioners can work together to create a synergistic plan conducive to patient recovery and well-being.

[signup]

Key Takeaways

  • Pilates offers a practical approach to enhancing lung function and respiratory health, thus improving oxygen intake and lung capacity.
  • Pilates can be a valuable addition to therapeutic regimes for those looking to improve their respiratory conditions.
  • Practitioners are encouraged to obtain certification to implement its use as a therapy. Both scientific support and practical experience should be considered when integrating pilates into patient care.

Imagine a ballet dancer: poised, controlled, and incredibly aware of every breath and movement. This image captures the essence of pilates, a form of exercise that stresses precision, core strength, breath control, and flexibility. 

Now imagine an advanced lung cancer patient who relies on oxygen. After 3 months of pilates, this patient reports no longer needing oxygen therapy, potentially due to improved chest expansion and thoracic muscle strength. While individual results may vary, this is an impressive anecdote!

A potential benefit of pilates is its ability to support lung function. Pilates focuses on enhancing strength, improving posture, and promoting overall health through mindful movements and breathing techniques. This article describes how pilates may serve as a supportive tool for various lung conditions.

[signup]

What is Pilates?

Pilates is a form of exercise that emphasizes controlled movements and breathing to improve flexibility, core strength, and overall wellness. Its core principles include precision, concentration, control, breathing, flow, and centering. 

This exercise can be performed on a mat or a Reformer, a sliding platform with spring-based resistance on which a person sits, lies, stands, and uses pulleys to perform exercises.

Pilates may help support lung function and respiratory health by encouraging better oxygen intake and lung capacity. It can be a valuable addition to wellness routines for those looking to support their respiratory health.

Pilates' relevance to respiratory health lies in its potential to strengthen the diaphragm and the thoracic (chest) muscles around the lungs. The emphasis on deep, controlled breathing may support diaphragmatic performance, which is important for optimal lung function.

In addition, it promotes better posture, which can be crucial for opening up the chest area and allowing for deeper, more effective breaths. This alignment and strengthening of the core and the thoracic region may help reduce the work of breathing, which can be beneficial for those with respiratory issues. 

Pilates might be particularly supportive for individuals managing chronic obstructive pulmonary disease (COPD), asthma, and even lung cancer, as it may help them to breathe more efficiently and support lung capacity.

Review of Medical Research on Pilates and Lung Health

The potential impact of pilates has been explored in various conditions.

  1. COVID-19: Some people with COVID-19 developed protracted damage to the lungs, reducing oxygen ventilation and quality of life. A 2023 clinical trial suggested that a two-month Pilates training regimen may have improved pulmonary function and quality of life in patients with impaired respiration secondary to COVID-19.
  2. COPD: Results from a 2019 study indicated that pilates may have improved postural stability, ventilation, and functional capacity in patients with COPD.
  3. Cardiothoracic surgery: Pilates has been shown to potentially enhance vital capacity and ventilation in patients after cardiothoracic surgery, which may improve quality of life and reduce the risk of postoperative pulmonary events like pneumonia.
  4. Cystic Fibrosis (CF): Pilates may support respiratory muscle strength in people with CF.
  5. Additional studies have suggested that a Pilates-based exercise regimen may support pulmonary function and respiratory muscle strength in older adults.

Mechanisms of Benefit

Pilates may support lung function by various mechanisms.

Enhancing Breathing Efficiency

Pilates emphasizes diaphragmatic breathing, encouraging full diaphragm engagement during inhalation and maximizing air intake to potentially strengthen the diaphragm. The controlled breathing exercises in pilates may help individuals manage and reduce shortness of breath, which can be particularly beneficial for those with chronic respiratory conditions.

Optimizing Posture and Thoracic Mobility

Pilates exercises focus on core strength, which includes the muscles around the spine and abdomen, potentially leading to improved posture. Better posture may enhance the thoracic cavity's ability to expand, allowing for more significant lung expansion and more efficient airway clearance. 

Improved thoracic mobility is essential for patients with respiratory conditions, as it may promote easier breathing and help clear mucus from the lungs, which is particularly important in conditions like COPD, CF, and for people using oxygen due to poor respiratory functioning.

Strengthening Thoracic and Respiratory Muscles

Combining movements and postures with deep breathing at a low pace may contract the respiratory muscles while other muscles in the body perform movements. This could lead to improved respiratory muscle strength and maximal inspiratory and expiratory pressures.

Incorporating Pilates into Treatment Plans

Incorporating pilates into a wellness plan may benefit individuals with respiratory conditions. This is typically achieved through:

Assessment

The first step is assessing which individuals might benefit most from pilates. Those with mild to moderate respiratory issues who can handle mild physical exertion may be ideal candidates. 

It's essential to consider the individual's baseline lung function, exercise tolerance, and any pre-existing health issues, like heart disease, that may affect their capability to perform exercises.

Program Design

Designing a Pilates program for individuals with lung conditions requires a tailored approach to meet individual needs. The frequency of sessions might generally start at once or twice a week and can increase as the person's endurance increases. 

The intensity of the exercises should be moderate, avoiding overexertion. Exercises should focus on enhancing diaphragmatic breathing and strengthening the core muscles to potentially improve posture and respiratory efficiency. 

Safety Considerations

Safety is paramount when integrating pilates into wellness plans for individuals with respiratory conditions. Modifying exercises for those with severe respiratory limitations or during exacerbations is essential. For example, some individuals may need to perform exercises while seated or lying down to reduce strain. Close monitoring for worsening of symptoms, respiratory distress, or overexertion during the exercises is highly recommended.

Training and Certification for Practitioners

Training and certifications are essential for practitioners interested in teaching pilates, especially in a supportive setting. Programs offered by Pilates Method Alliance (PMA) or Balanced Body cover the fundamental principles of pilates and their clinical applications. They also provide detailed studies on anatomy and physiology tailored to various health conditions.  

Obtaining certification from these or similar organizations ensures that practitioners meet a high standard of competency, which is essential when addressing complex health issues.

Collaboration with a Certified Pilates Instructor can significantly support individual outcomes and care. These instructors can provide Pilates adaptations to meet individual needs and goals. Healthcare practitioners can leverage this expertise to develop personalized Pilates programs for specific wellness goals.  

Certified Pilates instructors and health practitioners can work together to create a synergistic plan conducive to individual recovery and well-being.

[signup]

Key Takeaways

  • Pilates offers a practical approach to supporting lung function and respiratory health, potentially improving oxygen intake and lung capacity.
  • Pilates can be a valuable addition to wellness routines for those looking to support their respiratory health.
  • Practitioners are encouraged to obtain certification to implement its use as a supportive practice. Both scientific support and practical experience should be considered when integrating pilates into individual care.
The information provided is not intended to be a substitute for professional medical advice. Always consult with your doctor or other qualified healthcare provider before taking any dietary supplement or making any changes to your diet or exercise routine.
Learn More
No items found.

Lab Tests in This Article

No lab tests!

Bagherzadeh-Rahmani, B., Kordi, N., Haghighi, A. H., Clark, C. C. T., Brazzi, L., Marzetti, E., & Gentil, P. (2022). Eight Weeks of Pilates Training Improves Respiratory Measures in People With a History of COVID-19: A Preliminary Study. Sports Health: A Multidisciplinary Approach, 194173812211246. https://doi.org/10.1177/19417381221124601

Bryant, A. (2024, February 23). The Staging of Lung Cancer and How to Treat with Integrative Medicine. Rupa Health. https://www.rupahealth.com/post/the-staging-of-lung-cancer-and-how-to-treat-with-integrative-medicine

Campos de Oliveira, L., Gonçalves de Oliveira, R., & Pires-Oliveira, D. A. de A. (2015). Effects of Pilates on muscle strength, postural balance and quality of life of older adults: a randomized, controlled, clinical trial. Journal of Physical Therapy Science, 27(3), 871–876. https://doi.org/10.1589/jpts.27.871

Cleveland Clinic. (2023). Diaphragm: Hiatal Hernia, Diaphragmatic Breathing, What Is the Diaphragm. Cleveland Clinic. https://my.clevelandclinic.org/health/body/21578-diaphragm

Cleveland clinic. (2023, March 10). Pilates 101: What It Is and Its Health Benefits. Cleveland Clinic. https://health.clevelandclinic.org/everything-you-want-to-know-about-pilates

Franco, C. B., Ribeiro, A. F., Morcillo, A. M., Zambon, M. P., Almeida, M. B., & Rozov, T. (2014). Effects of Pilates mat exercises on muscle strength and on pulmonary function in patients with cystic fibrosis. Jornal Brasileiro de Pneumologia, 40(5), 521–527. https://doi.org/10.1590/s1806-37132014000500008

Hagag, A. (2019, July). Pilates Exercises Improve Postural Stability, Ventilatory Functions and Functional Capacity in Patients with Chronic Obstructive Pulmonary Disease. https://iosrjournals.org/iosr-jnhs/papers/vol8-issue4/Series-6/M0804068691.pdf

Henry, E. (2021, December 7). A Functional Medicine Approach To Covid-19 Antibody Testing. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-covid-19-antibody-testing

Khakham, C. (2023a, April 6). Understanding Your Risk of Cardiovascular Disease With Functional Medicine Labs. Rupa Health. https://www.rupahealth.com/post/understanding-your-risk-of-cardiovascular-disease-with-functional-medicine-labs

Khakham, C. (2023b, July 11). Integrative Medicine Approach to Asthma: Testing, Dietary Interventions, and Natural Remedies. Rupa Health. https://www.rupahealth.com/post/integrative-medicine-approach-to-asthma-testing-dietary-interventions-and-natural-remedies

Kloubec, J. (2011). Pilates: how does it work and who needs it? Muscles, Ligaments and Tendons Journal, 1(2), 61–66. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3666467/

Luiz Cordeiro, A., Ferreira Barbosa, A., Pereira Leitao, L., Araujo, P., Carvalho, S., & Guimaraes, A. (2015). PILATES PRINCIPLES IN LUNG FUNCTION IN PATIENTS IN CARDIAC SURGERY POSTOPERATIVE. Brazilian Journal of Surgery and Clinical Research -BJSCR BJSCR, 11(2), 2317–4404. https://www.mastereditora.com.br/periodico/20150630_211919.pdf

Neibling, K. (2023, April 24). Complementary and Integrative Treatments For Chronic Obstructive Pulmonary Disease (COPD). Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-treatments-for-chronic-obstructive-pulmonary-disease-copd

Sorosky, S., Stilp, S., & Akuthota, V. (2007). Yoga and pilates in the management of low back pain. Current Reviews in Musculoskeletal Medicine, 1(1), 39–47. https://doi.org/10.1007/s12178-007-9004-1

Sweetnich, J. (2023, June 8). Integrative Treatment Options for The Most Common Pulmonary Disorders: Specialty Testing, Nutrition, Supplements. Rupa Health. https://www.rupahealth.com/post/integrative-treatment-options-for-the-most-common-pulmonary-disorders-specialty-testing-nutrition-supplements

Tang, A., & Bordoni, B. (2019, February 21). Anatomy, Thorax, Muscles. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK538321/

Wells, C., Kolt, G. S., Marshall, P., & Bialocerkowski, A. (2014). Indications, Benefits, and Risks of Pilates Exercise for People With Chronic Low Back Pain: A Delphi Survey of Pilates-Trained Physical Therapists. Physical Therapy, 94(6), 806–817. https://doi.org/10.2522/ptj.20130568

Westerdahl, E., Gunnarsson, M., Wittrin, A., & Nilsagård, Y. (2021). Pulmonary Function and Respiratory Muscle Strength in Patients with Multiple Sclerosis. Multiple Sclerosis International, 2021, 1–7. https://doi.org/10.1155/2021/5532776

Yoshimura, H. (2023a, August 15). A Comprehensive and Integrative Approach to Cystic Fibrosis. Rupa Health. https://www.rupahealth.com/post/a-comprehensive-and-integrative-approach-to-cystic-fibrosis

Yoshimura, H. (2023b, December 26). Breathing Techniques and Lung Health: A Functional Medicine Approach. Rupa Health. https://www.rupahealth.com/post/breathing-techniques-and-lung-health-a-functional-medicine-approach

Subscribe to the Magazine for free to keep reading!
Subscribe for free to keep reading, If you are already subscribed, enter your email address to log back in.
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
See All Magazine Articles
Trusted Source
Rupa Health
Medical Education Platform
Visit Source
American Cancer Society
Foundation for Cancer Research
Visit Source
National Library of Medicine
Government Authority
Visit Source
Journal of The American College of Radiology
Peer Reviewed Journal
Visit Source
National Cancer Institute
Government Authority
Visit Source
World Health Organization (WHO)
Government Authority
Visit Source
The Journal of Pediatrics
Peer Reviewed Journal
Visit Source
CDC
Government Authority
Visit Source
Office of Dietary Supplements
Government Authority
Visit Source
National Heart Lung and Blood Institute
Government Authority
Visit Source
National Institutes of Health
Government Authority
Visit Source
Clinical Infectious Diseases
Peer Reviewed Journal
Visit Source
Brain
Peer Reviewed Journal
Visit Source
The Journal of Rheumatology
Peer Reviewed Journal
Visit Source
Journal of the National Cancer Institute (JNCI)
Peer Reviewed Journal
Visit Source
Journal of Cardiovascular Magnetic Resonance
Peer Reviewed Journal
Visit Source
Hepatology
Peer Reviewed Journal
Visit Source
The American Journal of Clinical Nutrition
Peer Reviewed Journal
Visit Source
The Journal of Bone and Joint Surgery
Peer Reviewed Journal
Visit Source
Kidney International
Peer Reviewed Journal
Visit Source
The Journal of Allergy and Clinical Immunology
Peer Reviewed Journal
Visit Source
Annals of Surgery
Peer Reviewed Journal
Visit Source
The Journal of Neurology, Neurosurgery & Psychiatry
Peer Reviewed Journal
Visit Source
Chest
Peer Reviewed Journal
Visit Source
Blood
Peer Reviewed Journal
Visit Source
Gastroenterology
Peer Reviewed Journal
Visit Source
The American Journal of Respiratory and Critical Care Medicine
Peer Reviewed Journal
Visit Source
The American Journal of Psychiatry
Peer Reviewed Journal
Visit Source
Diabetes Care
Peer Reviewed Journal
Visit Source
The Journal of the American College of Cardiology (JACC)
Peer Reviewed Journal
Visit Source
The Journal of Clinical Oncology (JCO)
Peer Reviewed Journal
Visit Source
Journal of Clinical Investigation (JCI)
Peer Reviewed Journal
Visit Source
Circulation
Peer Reviewed Journal
Visit Source
JAMA Internal Medicine
Peer Reviewed Journal
Visit Source
PLOS Medicine
Peer Reviewed Journal
Visit Source
Annals of Internal Medicine
Peer Reviewed Journal
Visit Source
Nature Medicine
Peer Reviewed Journal
Visit Source
The BMJ (British Medical Journal)
Peer Reviewed Journal
Visit Source
The Lancet
Peer Reviewed Journal
Visit Source
Journal of the American Medical Association (JAMA)
Peer Reviewed Journal
Visit Source
Pubmed
Comprehensive biomedical database
Visit Source
Harvard
Educational/Medical Institution
Visit Source
Cleveland Clinic
Educational/Medical Institution
Visit Source
Mayo Clinic
Educational/Medical Institution
Visit Source
The New England Journal of Medicine (NEJM)
Peer Reviewed Journal
Visit Source
Johns Hopkins
Educational/Medical Institution
Visit Source