Which Pilates exercises contain shoulder motion that would be CONTRAINDICATED for a client with shoulder impingement?

The Rowing Back Salute exercise is particularly contraindicated for clients with shoulder impingement because it requires significant shoulder movement, especially lifting the arms overhead and drawing them back. This action can exacerbate any existing shoulder issues, as it involves external rotation and elevation of the arms, potentially causing compression in the subacromial space where impingement typically occurs.

In contrast, the other exercises listed involve movements that can be performed with more controlled shoulder ranges and without placing excessive stress on the shoulder joint. For example, the Chest Expansion focuses on spinal articulation and does not burden the shoulder joint as significantly, making it safer for individuals with shoulder impingement. Ped-O-Pull Arm lowers also allow for a more neutral shoulder position, reducing the risk of exacerbating impingement symptoms. Similarly, while the Swan front/chest press may involve shoulder motion, it can be adjusted to limit elevation and maintain a safer range of motion for someone with shoulder concerns.

Thus, understanding the mechanics and physiological implications of each exercise is essential for selecting suitable Pilates movements for clients with specific injuries or conditions like shoulder impingement.