ArticleIntegrating Pilates-based Core Strengthening Into Older Adult Fitness Programs Implications for PracticeSmith, Kristin BA; Smith, Elizabeth PT, ATC/RAuthor Information Minnesota Sports Medicine (Kristin Smith), and the Institute for Athletic Medicine (Elizabeth Smith), Minneapolis, Minn. Corresponding author: Kristin Smith, BA, Minnesota Sports Medicine, 701, 25th Ave S, 150, Minneapolis, MN 55454 (e-mail: [email protected]). Topics in Geriatric Rehabilitation: January 2005 - Volume 21 - Issue 1 - p 57-67 Buy Abstract Age-related changes in the musculoskeletal system are inevitable. Sarcopenia, postural dysfunctions, reduced gait cycle, and loss of balance control and stability are among the many well-documented consequences of musculoskeletal changes that occur over the lifespan. Some of these age-related changes can be counteracted or managed through postural stability or core-strengthening exercise. Pilates-based exercise (Pul-a-tees) is a popular method of improving torso or core strength and offers other benefits including spinal and joint mobility, and proprioception, balance, and coordination training. Older adults may benefit from Pilates-based exercises that are integrated into traditional resistance and balance training programs. A theoretical framework for integrating select Pilates-based core-strengthening exercises and principles into rehabilitation treatment plans and community- and home-based programs for older adults is suggested here. © 2005 Lippincott Williams & Wilkins, Inc.