For a student with lower back pain, what is a recommended modification for the HUNDRED exercise?

The recommendation to use knees bent with legs supported for the HUNDRED exercise is particularly beneficial for a student experiencing lower back pain. This modification helps to alleviate strain on the lumbar spine while still allowing the student to engage in the foundational principles of the exercise, such as core activation and breathing. By having the knees bent, the pelvis remains in a more neutral position, which can reduce tension in the lower back and promote stability. Supporting the legs, often with the feet resting on a prop or the floor, helps in keeping the alignment safe and comfortable.

This approach ensures that the student can participate in the exercise without exacerbating discomfort while also providing an opportunity to develop core strength gradually. It allows for a focus on the breath and coordination, crucial elements of Pilates, without compromising safety or exacerbating previous injuries. Therefore, keeping the knees bent and supported is a thoughtful modification that addresses both the needs of the student and the objectives of the exercise.