Being in the therapy and fitness industry for 25+ years, I specialize in spine health. I teach neutral spine, meaning head, shoulders, hips on the floor at all times. Most adults have or develop a forward head posture over time and I just don’t understand the concept of Pilates that encourages unnecessary cervical flexion. As a perfect example, all you have to do is look at the most recent edition of IDEA Pilates Today “Uniting the Industry: Transforming Stories”. Granted I did not read the whole article, but that picture hurts my neck just to look at; as I see an older lady standing with her head in that position…Why?
I can’t speak for all of the pilates methods that are being taught. I can only speak about Stott Pilates where I have taken my training.
The backbone of a pilates (at least on a individual basis is a postural assessment). Without the assessment one can’t design a program appropriate for that individual’s posture.
All I can say is that a pilates instructor or a personal trainer for that matter will choose exercises that are appropriate for the client based upon subjective and objective assessments.