When addressing low back pain, which adjustment is recommended with the reformer gear?

Moving the gear outward for stability is a recommended adjustment when addressing low back pain on the reformer. This adjustment helps to provide a greater base of support and can enhance core engagement, which is critical for stabilizing the pelvis and spine. By moving the gear outward, you allow for a more balanced distribution of weight and load, reducing undue strain on the lower back. This positioning can also maintain the integrity of the spinal alignment during exercises, which is essential in protecting the back and promoting healing or prevention of further pain.

In contrast, adjusting springs to a heavier load might increase resistance and could potentially exacerbate any existing discomfort in the lower back. Keeping the gear fixed would not offer any modifications to aid in stability, while moving the gear inward might actually lessen support for the lower back, which is counterproductive in this scenario. Focusing on stability through external adjustments is essential for safely managing low back pain during Pilates exercises.