Document Type

Presentation -- MUSC Only

Publication Date

2026

Faculty Mentor

Nancy Carson

Abstract

INTRODUCTION: Reformer Pilates, originally developed by Joseph Pilates as a holistic method to enhance strength, alignment, and mind–body integration, has gained increasing recognition for its therapeutic potential in rehabilitation settings. Despite evidence supporting its benefits for balance, chronic pain, functional mobility, and mental wellbeing, its use in outpatient occupational therapy (OT) and physical therapy (PT) remains limited. The purpose of this quality‑improvement project aimed to bridge that gap by developing an accessible, reformer‑based educational resource for clinicians with minimal Pilates experience and by evaluating client and clinician perceptions of its therapeutic value.

METHODS: Using mixed-methods surveys, qualitative and quantitative feedback was collected from 11 clients and 4 clinicians at an outpatient therapy site. Data was obtained through open-text responses, multiple-choice items, and five-point Likert scales. Client feedback provided insight into their experience with the reformer and its potential for sustainability, while clinician feedback centered on the educational resource and its accessibility.

RESULTS: Client responses were unanimously positive: 100% strongly agreed that they would recommend Pilates for rehabilitation and wished to continue its use in therapy. Most clients reported improved strength, control, and confidence, noting that the reformer provided “low impact with maximum results” and facilitated faster progress. Clinician feedback indicated that the resource was well organized, easy to navigate, and supportive of clinical implementation, with both Pilates certified and non‑certified clinicians expressing positive experiences. 100% of clients would recommend reformer Pilates as a form of rehab, and 75%, 3/4, of clinicians agreed on the ease of implementation of the resource.

CONCLUSION: Findings suggest that integrating reformer Pilates into outpatient OT can enhance both motor and non‑motor outcomes, supporting a holistic, client‑centered approach aligned with the PE-OP model. The educational resource developed through this project offers a sustainable tool for expanding clinician competency and promoting broader adoption of Pilates‑based interventions. As interest grows among clients and clinicians, future opportunities include ongoing data collection, program expansion, and dissemination through professional conferences.

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