Abstract
Background and Purpose: Pilates has been demonstrated to improve strength, endurance, breathing control, core musculature, mindfulness and with specific adaptions, cardiorespiratory fitness all of which are significantly important in cardiac rehabilitation programs. The purpose of this case report is to demonstrate how the Pilates Method of exercise can be utilized as an intervention in cardiac rehabilitation programs. Case Description: This theoretical case report looks at the following patient: a 65 year old male who is overweight, deconditioned, has a past medical history of diabetes mellitus, high blood pressure, chronic obstructive pulmonary disorder, and orthopedic conditions. This patient presents with the following problems list: decreased aerobic capacity, poor anthropometric results, muscle weakness, postural dysfunction, and breathing pattern dysfunction. Proposed Intervention: The proposed intervention plan will take place in phase 3 of the cardiac rehabilitation setting, lasting a total of 12 weeks with 3-5 sessions per week. The program will consist of standard aerobic conditioning, Pilates, home exercise program (HEP), and patient education. The Pilates aspect of the program will be divided into 3 phases, 12 sessions each. The 3 phases will progress from a basic understanding of the Pilates principles and methods to a modification of the variables to increase to stress placed on the cardiovascular system. Expected Outcomes: The following standardized measurements will be taken: A cardiopulmonary exercise test (CPET), weight, height, BMI, circumference measurements of waist and hip, body fat percentage, range of motion, postural assessment, and manual muscle testing. Improvements in aerobic capacity, anthropometric values, muscle strength, postural alignment, breathing patterns, and increased functional independence are expected to be seen following the intervention. Discussion: Cardiac intervention programs need to be all-encompassing as patients are generally dealing with multiple comorbidities which can complicate and compromise recovery. The Pilates Method of exercise can be very efficient and effective in improving functional capacity when combined with a standard aerobic training program. Preliminary research and this theoretical case report are beginning to show the efficacy of Pilates in the cardiac rehabilitation setting; however more research is recommended to justify this hypothesis.