Which approach should be taken when a client with low back pain performs exercises?

The most appropriate approach when a client with low back pain performs exercises is to ensure proper alignment. Good alignment helps to distribute weight evenly across the spine and surrounding musculature, which can reduce the risk of aggravating any existing pain. By maintaining alignment, the client can improve their stability and overall movement efficiency, leading to better outcomes in their exercise regimen.

Proper alignment is essential in Pilates, as it supports the body during various movements and helps in recruiting the right muscles while minimizing strain on vulnerable areas, such as the lower back. Focusing on positioning and body mechanics allows clients with low back pain to engage in exercises safely and effectively.

While other approaches may have their merits, they do not address the fundamental issue of promoting safe movement patterns. For instance, increasing resistance might put unnecessary strain on the back, and focusing solely on flexibility could lead to instability. Limiting all movement is not advisable as it may contribute to further deconditioning of the muscles and exacerbation of discomfort. Therefore, emphasizing proper alignment is crucial for supporting the client's recovery and enhancing their exercise experience.