Movements Afoot’s Blog
A BodyMind Think Tank – Taking fitness to the next levelArchive for knee injuries
Leg Alignment
Hi Lesley!!
Here’s my client question: 43 year old former dancer (ballet) and gymnast Runner in her late 20’s until recently when she has been sidetracked by hip bursitis. She spoke with her Doctor and Physical Therapist before starting with me. They said that she can do any type of movement provided it doesn’t cause her pain.They would prefer we don’t do extreme hip rotation.
In my visual assessment, I caught right away that she is bow-legged with hyper-extended knees and her parallel stance is not strong as she prefers turn out. Today, was our first session and we spent a lot of time on the Tower with Roll Down, Push Thru Seated Front and Circle Saw as I wanted to see core strength, rotation ability/mobility and articulation. When I got to Footwork (Bend & Stretch) I found a pattern that surprised me. I expected her to pattern her movement like I used to since I began with bow legs and hyper extended knees. But, instead of her knees splaying out, they come in and almost knock when she corrects her feet to parallel. So, we moved to Reformer Footwork and it was the same, when she pushes the carriage away, if I apply gentle pressure to her heels to “swing” them parallel, her knees “knock” inward. I put the Franklin ball between her knees to keep them apart (when, in my case, I use the ball to keep my knees more together). We then moved to bridging where I discovered the lack of hamstring strength. I focused on the hamstring connection for a while, did some pulling straps/swan and finished with mermaid. Can you offer me any suggestions? Am I on the right path? I do feel that we need to get her hamstrings stronger but will this help with the knock knee/footwork issue? Should I use something bigger than a ball, like maybe a yoga block between her knees?
Or between her ankles? H-E-L-P!! As always, thanks for you insight! Cheri
by Lesley Powell
How a client organizes in a static position can be different when moving. Watch how she organizes her body to stand on one leg. As she stands on one leg, look at the bone rhythms of the legs.
- Does the foot remain stable, supinated or pronated?
- Does the shins rotate inward or outward?
- Does the femur rotate inward or outward?
- What happens to the pelvis and spine?
She might have been doing some compensation patterns in standing to appear not knocked knee. Your working with her on creating balance in the legs is great. Be careful about pushing parallel if she can not maintain it on her own. She has been working on this pattern for awhile.
Sometimes with knocked knees, putting a block/ball between the femurs can be a poor cue. They should not be squeezing the block hard. It might be better to use a theraband tied around their thighs. The tightness of the theraband should be enough to get them to parallel not beyond.
Strengthening the abductors/rotators is important. Since her PT’s do not want her to do extreme range, keep the movements small.
- Rotators – lie on the side with knees bent. Only lift knee a inch off the other leg. Or with theraband tied around thighs tightly lying on the back. Move one knee again in tiny range of motion.
- Abductors – range of motion on side should not be higher than her hip
- Standing – Can she stand on one leg without letting the knee knocking in?
Working on balance of all the leg muscles is important. Since she is not allowed to do range of motion, I would also teach some release techniques for lateral rotators, abductors and adductors, and feet as well.
New Class: Pilates- Heart & Core
by Lesley Powell
Go to Online Scheduling at Movements Afoot
Monday 6 PM, Tuesday 12:30 PM, Saturday 10 AM
I have been working with my teachers, Kim Fielding and Mandi Chan, in developing a Pilates class using leg springs and an aerobic segment on the physioball. It will be a more affordable class than our equipment classes, but bring in the wonderful physicality that the equipment invites.
It is an hour class first starting with a Pilates mat with springs. I love how the springs invite a deeper tone of my core and limbs. Then we end with an aerobic simple workout on the physioballs. We want the aerobic section to bring in the Pilates concepts of connection. The movements on the ball are fun, graceful and energetic. I hate most aerobic classes punching my arms out in ungraceful ways.
Being a woman in menopause and dealing with weight gain, I am trying to find ways to get more aerobic activities in. I tried running many years ago, but my knees were killing me. I started again, cautiously. This time I am doing a combination of running and fast walking. So far, my knees feel fine. A lot has to do with my taking the Pilates: Heart & core class. Between the training of the legs on the springs (lots of hamstrings work) and the bouncing on the ball (quadriceps work).
On National Public Radio, there was a great show on women and knee injuries. They talked about the importance of training the hamstrings and the gluteals as well as the quadriceps for prevention.
Pilates Practice vs Running a Business
By Lesley Powell
“I feel frustrated at the aerobics-type mat class experience where everyone is doing the same work, and no one is really ‘doing’ the Pilates Method. Eve Gentry said you can know every Pilates exercise and still not know Pilates. I agree completely.
In my mat classes I educate. My students are not in my class for a ‘work out’ they are there to learn how to do and deepen the Pilates Method on their own. My goal is always helping my students be able to understand the Method well enough in their own unique bodies that they can go to any class and have a good experience, or do it on their own.
I sometimes have students grouch at me that they want to go faster in the work, but I politely point out this is a practice, something to cultivate over a life time, and not to rush into, as they are best off creating good movement patterns from the beginning, and not have to reset poor patterns later.” Pilates Teacher
It is hard to get people to slow down, get conscious and think about their bodies. Many people think hard work in exercise is about speed and a burn. We have an expression about those people as “A+++” personalities.
Sometimes to teach humility, one needs to teach an exercise beyond their capacity. Safely of course! Then you reteach the importance of the slow building blocks to get to this point. We also have to teach concentration and patience.
On the other hand, I can understand the fusion classes as a business incentive. With so many pilates mat classes out there, how do you built a class and make it different and appealing to clients. I do not have the answer. I have talked with many Pilates owners throughout the world about their businesses. Many are dropping the mat classes, because they are not making money. The competition from the gyms and their ability to have cheap classes as part as their membership has changed our business. The ironic thing is the mat work is much harder than the machines. The machines can give the client information how to initiate into the more difficult exercises for example the “rollover” vs the “short spine”.
As a woman going into menopause and weight gain, I have to find a way to get aerobics in. I tried running, but the injuries from dancing, my knees and my SI can’t handle it. At the studio, we have come up with a fusion class Pilates: Heart & Core. We start out with a mat with legs springs and props. It starts out slow with the building the core. Then we end with a very simple aerobic bouncing on the balls still using the Pilates concepts. I can’t tell you how great I feel. Many aerobics classes whack my body out. The workout with the reconnecting to core support and strengthening the legs gives me a safe aerobic workout.
How many people are not exercising because they get hurt. I think that there is a place to teach how to connect to Pilates principles in our movement loves. It still needs the foundation of the practice and its detailed connections. I find many people do a great Pilates workout and not know how to connect it to their lives.
BalancedBody Univesity will rock PILATES
by Lesley Powell, Director of Movements Afoot









