Clinical VS Reformer

There has been an explosion in the popularity of Pilates across Australia in recent years which has lead to a significant increase in the number of studios opening. Considering Pilates has been around for over 100 years some might say “it’s about time”. There seems to be a new studio popping up almost weekly at the moment. Obviously demand for Pilates has never been higher, which, as Pilates enthusiasts and instructors for 15+ years, warms our heart. However, there is some confusion as to the different forms of Pilates out there, including which studio offers what type of Pilates, and what Pilates is the best fit for you?The term Pilates means a lot more now than it did 30 years ago with all of the variations that have grown off the central Pilates branch. Imagine walking up to a barista and saying “I’d like a coffee please!”. I’m pretty sure you’d receive a blank stare quickly followed by the response “what type of coffee would that be?”. Well, if you called up a studio these days and said “I want to do Pilates please” you’d get a pretty similar response. So after managing to blend 2 of things I absolutely love - Coffee and Pilates - I’d like to clarify that the aim of this blog is to give an in depth rundown on the 2 most popular forms of Pilates: Clinical and Reformer.

 Clinical Pilates and Reformer Pilates both focus on integrating the core, breath and correct from into all movements, however, they differ in approach and application. Let’s take a dive into how they each suit the different needs of individuals:

Clinical Pilates is characterised by individual programs, smaller class sizes and addressing a patients specific needs and goals. It's often guided by an Allied Health professional or Clinical Pilates instructor who have completed a 1-2 year diploma (depending on the level of training organisation). Your instructor will tailor exercises to address specific injuries, conditions or goals with an emphasis on correcting movement patterns and improving functional outcomes. Keep mind that, even though Clinical Pilates is excellent for people with musculoskeletal conditions, you don’t need any injuries to do Clinical Pilates. We have many patients who come in and enjoy having their own customised program designed around their goal of maintaining or improving general health and wellness.

Reformer Pilates, on the other hand, utilizes the reformer machine to perform exercises that enhance strength, flexibility, and balance. While it can be therapeutic, it is often practiced in a fitness setting and typically doesn’t target rehabilitation. There are generally larger class sizes in Reformer Pilates with classes reaching up to 20+. Due to larger classes, there is obviously less focus on an individuals form and technique relative to Clinical, however they are typically cheaper once you’ve done a few classes and gained confidence on the machines you’ll understand why it’s so popular. With a stronger focus on faster movements, more repetitions and increased resistance, Reformer Pilates can provide benefits that include weight loss, muscle tone, and improved cardiovascular fitness.

Let’s run through some points of interest as we continue to compare and contrast Clinical & Reformer Pilates:

-       Assessment: An assessment is required prior to entering Clinical Pilates classes. This is important as program design is based of assessment results (and other factors such as goals, experience ect.). An assessment isn’t performed for Reformer Classes.

-       Individual programs: Reformer Pilates is a group fitness setting meaning that everyone performs the same exercises together as prescribed by the instructor. Minor variations can be made for individuals. In Clinical Pilates, programs are designed and customised for each individual based on a number of factors. Programs are always evolving depending on progress, suitability and personal preferences.

-       Use of Pilates machines: As the name suggests Reformer Pilates is performed on the Reformer. All machines/apparatus and props can be used in Clinical.

-       Suitable for beginners: Both forms of Pilates are suitable for beginners.

-       Suitable for injuries: If you are carrying an injury then Clinical Pilates is the best option. Exercises will be prescribed and modified to help with recovery. With Reformer – if a client has any injuries that may result in movement limitations (and hence their ability to complete exercises sufficiently), it’s generally recommended to avoid until those limitations have resolved.

 -       Caters for all levels: Big yes to both.

-       Cost: Reformer Pilates is typically cheaper and more cost-effective than Clinical due to the larger class sizes, whereas Clinical is slightly more expensive due to the further level of training required for instructors, the detail required in programs and more intimate class sizes.

-       Instructor training: Due to the greater amount of machines (Reformer, Trapeze/Cadillac, Chair, Ladder Barrel, Spine Corrector, Mat) there is more training required for Clinical relative to Reformer.

-       GP referrals: Most referrals from GP’s and medical clinics are typically for rehab applications, therefore much more suited to Clinical Pilates. Again, in the absence of injuries or significant movement limitations, Reformer can also be an effective referral option. 

-       Class times: Clinical Pilates is usually run during business hours, whereas Reformer Classes are most busy before and after work hours, but can be run at any time during the day.

 -       Class sizes: Reformer Classes will range anywhere between 5-20 participants, whilst Clinical Pilates are characterised by smaller class sizes ranging from 1-5.

In summary, Clinical Pilates is more individualized towards the patients’ needs and personal goals, while Reformer Pilates is generally more group fitness-oriented. Both are great. One will most likely suit you over the other. Hopefully this article will help give you more knowledge to make an informed decision on which type of Pilates aligns with you and your health goals.