01/26/2026
💪 Why Physical & Occupational Therapists Can Use Pilates Equipment in Skilled Therapy 💪
Pilates equipment isn’t just for fitness—it can be a powerful skilled therapy tool when used by licensed Physical Therapists (PTs) and Occupational Therapists (OTs).
✔️ Purposeful & Skilled
When integrated into a plan of care, Pilates equipment supports skilled goals like improving strength, balance, postural control, motor planning, and functional mobility.
✔️ Clinical Reasoning Matters
PTs and OTs use Pilates equipment with clinical judgment, adapting resistance, positioning, and cues to address specific impairments—not general exercise.
✔️ Functional Outcomes
Pilates-based interventions can directly support ADLs, gait, transfers, pain management, neuromuscular re-education, and return-to-function goals.
✔️ Evidence-Informed Practice
Research supports Pilates principles for improving core stability, balance, flexibility, and body awareness—key components of rehabilitation.
✔️ It’s Not the Tool, It’s the Skill
What makes it skilled therapy is who is providing it, why it’s being used, and how it’s applied—not the equipment itself.
✨ When Pilates equipment is used intentionally, documented appropriately, and aligned with functional goals, it absolutely belongs in skilled PT and OT services.