Clinical Pilates uses the same principles of strength, control, and body awareness as regular Pilates, but the exercises are chosen with your specific body and goals in mind.

At Cadence Physiotherapy & Rehab in Vancouver, Clinical Pilates is led by a physiotherapist and always starts with an assessment. We look at how you move, where you may be lacking strength or control, and what may be contributing to pain or recurring injuries.

From there, we create a program that is specific to you. It is not about following a general routine. It is about choosing the right exercises to help you move better and reach your physiotherapy goals.

Yes. We often use Clinical Pilates alongside physiotherapy to help clients recover from an injury and reduce the chance of the same problem returning.

The Pilates equipment allows us to target muscles that may be difficult to isolate with regular exercises. We can also help you build strength in new positions, improve movement control, and prepare your body for the demands of work, daily life, exercise, or sport.

No exercise program can prevent every injury, but becoming stronger and learning to move with better control can make your body more prepared for what you ask it to do.

Absolutely. You do not need to be injured to benefit from Clinical Pilates.

For athletes, it can be a great way to strengthen for the future and add more focused work to an existing training program. We can identify areas that may be limiting your movement, target smaller muscles that are easy to overlook, and improve control through the positions your sport requires.

Whether you run, lift weights, cycle, dance, or play a team sport, Clinical Pilates can help you build a stronger foundation and feel more confident in your movement. The goal is to complement your training and help your body perform at a higher level.

Yes. Clinical Pilates can be especially helpful for people with hypermobility.

If you are hypermobile, you may have plenty of flexibility but find it harder to sense where your joints are positioned or control movement through your full range. This sense of where your body is in space is called proprioception.

The reformer provides resistance, support, and more points of contact with the body. This extra feedback can make it easier to feel where you are, control your movement, and build strength around mobile joints.

We focus on developing stability and control, rather than simply creating more flexibility. Exercises are carefully selected and progressed based on how your body responds.

Your first step is a physiotherapy assessment. We will talk about your symptoms, injury history, activities, and goals before looking at how your body moves to determine the root cause of your symptoms.

During your Clinical Pilates sessions, your physiotherapist will guide you through individualized exercises using Pilates equipment, including the reformer. The springs can support your movement, provide feedback, or add resistance as you become stronger.

We may also include hands on feedback, manual therapy, cupping, or other release techniques when appropriate. This combination allows us to address discomfort while also helping you build strength and improve movement.

You do not need any previous Pilates experience. We will guide you through each exercise and adjust the program as you progress. We will also help you carry what you learn into exercises you can do at home, in the gym, or as part of your regular training.