PILATES SPECIAL LATEST
POPULATIONS EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
What is it?
Replacement of the acetabulum or femoral head with mechanical components due
to fracture or osteoarthritis
Approached from either the anterior or posterior during surgery
Do
Refer to GP, Surgeon, Orthopedist, PT
Strengthen deep rotators and hip stabilizers with an emphasis on glute medius
Seat the femur!!
Side lying legs with deep seat of femur for glute med
Pelvic Floor Exercises, lifting out of hips (Obturator Internus), Clamshells
(Piriformis)
Don't Do
For Posterior approach, permanently avoid hip flexion over 90º, abduction, or
internal rotation due to risk of dislocation
sitting in cross legged positions
Stomach massage, Footwork in deep flexion
END OF
PAGE
1
, PILATES SPECIAL LATEST
POPULATIONS EXAM
For Anterior Approach permanently avoid extension, abduction, and external
rotation due to risk of dislocation
Lunge Pull Up, Deep Lunges, Russian Splits - ANSWERS-Hip Replacement
QUESTION 2
What is it?
Compression of the sciatic nerve, which runs down the leg
Commonly caused by herniated discs in the lumbar or tight piriformis
Can cause referred sensation in lateral shin and foot
Common in pregnant women
Do
Refer to GP/PT
Mobilize the hip with a short lever
Don't Do
Any exercises that cause pain or symptoms
Severe Hip Flexion - Footwork on cadillac, open leg rocker, leg circles
Strong dorsiflexion or plantar flexion of foot
Sitting for long periods of time - greater compression of nerve - ANSWERS-
Sciatica
END OF
PAGE
2
, PILATES SPECIAL LATEST
POPULATIONS EXAM
QUESTION 3
What is it?
Nervous or vascular compression within the thoracic outlet that exists between the
clavicle and ribcage
Typically compression of the brachial plexus nerve group, subclavian artery, or
subclavian vein
Five main entrapment locations
Anterior scalene tightness - compression of the brachial plexus nerve group
Costoclavicular Compression - between the clavicle and 1st rib
Pec Minor Tightness - Compression beneath the tendon of the pec minor under the
coracoid process
Extra Cervical Rib or elevated 1st Rib - compression of brachial plexus
Inferior Glenohumeral Joint Capsular Tightness
Do
Refer to GP/PT
Mobilize shoulder blades and thoracic spine
Elevate the shoulder blade slightly when performing arm work to relieve
compression
Coracoid Spiral Tactile Cue
END OF
PAGE
3
POPULATIONS EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
What is it?
Replacement of the acetabulum or femoral head with mechanical components due
to fracture or osteoarthritis
Approached from either the anterior or posterior during surgery
Do
Refer to GP, Surgeon, Orthopedist, PT
Strengthen deep rotators and hip stabilizers with an emphasis on glute medius
Seat the femur!!
Side lying legs with deep seat of femur for glute med
Pelvic Floor Exercises, lifting out of hips (Obturator Internus), Clamshells
(Piriformis)
Don't Do
For Posterior approach, permanently avoid hip flexion over 90º, abduction, or
internal rotation due to risk of dislocation
sitting in cross legged positions
Stomach massage, Footwork in deep flexion
END OF
PAGE
1
, PILATES SPECIAL LATEST
POPULATIONS EXAM
For Anterior Approach permanently avoid extension, abduction, and external
rotation due to risk of dislocation
Lunge Pull Up, Deep Lunges, Russian Splits - ANSWERS-Hip Replacement
QUESTION 2
What is it?
Compression of the sciatic nerve, which runs down the leg
Commonly caused by herniated discs in the lumbar or tight piriformis
Can cause referred sensation in lateral shin and foot
Common in pregnant women
Do
Refer to GP/PT
Mobilize the hip with a short lever
Don't Do
Any exercises that cause pain or symptoms
Severe Hip Flexion - Footwork on cadillac, open leg rocker, leg circles
Strong dorsiflexion or plantar flexion of foot
Sitting for long periods of time - greater compression of nerve - ANSWERS-
Sciatica
END OF
PAGE
2
, PILATES SPECIAL LATEST
POPULATIONS EXAM
QUESTION 3
What is it?
Nervous or vascular compression within the thoracic outlet that exists between the
clavicle and ribcage
Typically compression of the brachial plexus nerve group, subclavian artery, or
subclavian vein
Five main entrapment locations
Anterior scalene tightness - compression of the brachial plexus nerve group
Costoclavicular Compression - between the clavicle and 1st rib
Pec Minor Tightness - Compression beneath the tendon of the pec minor under the
coracoid process
Extra Cervical Rib or elevated 1st Rib - compression of brachial plexus
Inferior Glenohumeral Joint Capsular Tightness
Do
Refer to GP/PT
Mobilize shoulder blades and thoracic spine
Elevate the shoulder blade slightly when performing arm work to relieve
compression
Coracoid Spiral Tactile Cue
END OF
PAGE
3
