Pilates-
is a movement therapy, very popular in the US, that consists of a system of exercises using special apparatus, designed to improve physical strength, flexibility, and posture, and enhance mental awareness. It was developed in the early 20th century by Joseph Pilates, and he called it “Contrology”. Classes are held at gyms, health centers, and in auditoriums, with a small fee attached to attend. An exercise mat (frequently ¼-½” thick that is much thicker than the 1/8” thick yoga mats) are used. Unlike yoga mats with their non-slide surfaces, pilates mats allow sliding on the surface. Pilates may be adapted to all ages and abilities. Pilates has been shown to reduce pain and fatigue and increase range of motion in breast cancer patients compared to home exercise or no exercise (Rev Assoc Med Bras (1992). 2017 Nov;63(11):1006-1012). Pilates mproves balance in older adults more than other exercise methods (J Aging Phys Act. 2017 Aug 3:1-21). Pilates significantly improves low back pain and functional enhancement in those exercises including waist or torso movement, and Pilates performed for 20 or more cumulative hours (J Phys Ther Sci. 2016 Oct;28(10):2961-2969). Painbytes assessment is two thumbs up for Pilates.