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What we mean by Clinical Pilates?

At the European Institute of Clinical Pilates, Clinical Pilates is not understood as a method, brand or proprietary system. It refers to the clinical application of exercise principles, informed by assessment, clinical reasoning and individualised progression.

Pilates-based exercises are used as one of several possible tools available to the physiotherapist. Their selection and adaptation are guided by clinical objectives, patient presentation and response to intervention, rather than by fixed protocols or predetermined sequences.

Within our framework, Clinical Pilates is integrated into multimodal physiotherapy strategies aimed at improving function, managing symptoms and supporting long-term health outcomes. It is applied across the continuum of care, from early rehabilitation to functional reconditioning, injury prevention and long-term conditioning.

Our educational approach is built on clinical reasoning and evidence-informed practice, emphasising:

  • Clinical reasoning as the foundation of intervention

  • Individualised exercise selection and progression

  • Load management and symptom behaviour

  • Functional, task-oriented and participation-focused outcomes

Pilates principles are incorporated where appropriate, supporting movement quality, control and efficiency within a broader clinical context. In this way, Clinical Pilates becomes a physiotherapy-led therapeutic approach, integrated within contemporary, multimodal care.

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