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Small balls of all shapes and sizes have become popular items in almost every Pilates studio. Advanced Pilates practitioners, then, will enjoy this twist on the original Pilates exercise “Push Up.” With a medicine ball (easier) or small inflated ball (harder) under one hand, Pilates gym goers will strengthen their cores while targeting the abdominal muscles and muscles of the shoulder girdle as well. The instability created by the ball under one hand triggers the deep stabilizing muscles of the spine and torso to fire and provide extra support. This instability mimics the instability created in a Pilates studio by the equipment such as a Pilates chair. Pilates gym enthusiasts have long known that unstable surfaces are the best way to strengthen deep, inner joint muscles, so this version of the push up is the best way for advanced Pilates students to kick their Pilates workouts up a notch! When performing this Pilates exercise, it is important to keep your shoulders and hips level to the floor and NOT let the ball under one hand affect your alignment. This is where strength is developed! Pilates studios have many ways to challenge alignment, for it is only in challenging alignment that the postural muscles get stronger. On that note, Pilates gym attendees – namely the gym rats – should pay attention to alignment in every exercise! Ask any advanced Pilates practitioner and they will tell you that the key to a healthy spine and body is in the alignment. By challenging your alignment in exercises such as these, you will strengthen your spine, shoulders, abdominals and core!