Evidence Based Movement Therapy Using the Pilates for Parkinson’s (P4P) Method
Parkinsons Disease is a progressive neurological condition caused by a deficiency in dopamine, which affects your brain‘s ability to control movement. By the time symptoms like tremors, rigidity or balance problems appear, significant changes have already occurred in the brain.
You may be experiencing:
But here’s the powerful truth: Specialised exercise can change the trajectory of Parkinson’s Disease
The Pilates for Parkinson’s method isn’t just exercise; its a form of skilled movement therapy with proven neuro protective effects that directly impact your brain.
Here‘s what happens in your brain when you practice P4P:
The Pilates for Parkinson‘s method is beneficial for people at all stages of the disease:
You don’t need any prior Pilates experience. The program is completely customised to your current abilities
As a certified Pilates for Parkinson’s (P4P) instructor, i use standardised, five part framework that ensures every session is safe, goal orientated and adaptable to your changing needs.
Each session follows this structure:
This systematic approach ensures that every session builds on the last, creating consistency and depeneding on the stage measurable progress.
Targeted Therapeutic Areas:
My P4P training allows me to address the specific challenges of Parkinson’s Disease with precision. Our focus areas include:
Gait, Walking & Balance:
We use targeted exercises for all phases of the gait cycle to directly address postural instability and freezing of gait. This helps to reduce fall risk and improve your confidence when walking.
Spinal Health & Posture:
Parkinson’s often causes changes in posture and spinal alignment. We apply biomechanical principles to manage these changes, helping to restore mobility and reduce pain or discomfort.
Vestibular & Visual System Integration:
Balance isn’t just about your legs; It’s about how your eyes, inner ear and brain work together. Our program includes specific exercises to improve your vestibulo ocular reflex (VOR), which is critical for maintaining balance and stable vision during movement
Functional Strength for Daily Living:
The ultimate goal isn’t just to move better ina. Pilate session, its to improve your ability to perform activities of daily living. We focus on building functional strength that translates directly to greater independence at home
Tailored to Your Stage of Parkinson’s
The P4P method recognises that Parkinson’s is progressive, and your needs will change over time. My approach adapts to where your re at right now:
Early Stage Parkinson’s:
Inthe early stages we focus on teaching new, efficient movement patterns.Thisis the optimal time to build strength, improve balance and create neural pathways that will serve you for years to come. Early intervention makes a significant difference in long term outcomes.
Mid to Later Stage Parkinson’s
As the condition progresses, we shift towards reinforcing existing skills and maintaining function Advanced Stag. The goal is to to help you maintain your abilities, reduce symptom severity and preserve your sense of control and independence for as long as possible
Your Personalised Parkinson’s Pilates Journey
Private Sessions in Dubai:
I offer one to one pilates sessions in Dubai. Sessions can be held at a studio or for clients with mobility challenges, i provide fully equipped in home sessions in the comfort and safety of your own home.
Online Sessions:
Can’t make it in person? I also offer online sessions via video call, allowing you to work with a P4P certified instructor from anywhere in the world.
The benefits of Pilates for Parkinson’s aren’t just anecdotal they’re supported by scientific research:
Suárez-Iglesias, D., Miller, K. J., Seijo-Martínez, M., & Ayán, C. (2019). Benefits of Pilates in Parkinson’s Disease: A Systematic Review and Meta-Analysis. Medicina, 55(8), 476.
Çoban, Ö., & Tarakcı, E. (2021). Effect of clinical Pilates training on balance and postural control in patients with Parkinson’s disease: a randomized controlled trial. Somatosensory & Motor Research, 38(4), 328-335.
On Exercise and Brain Protection:
Zheng, Z., Chen, H., et al. (2024). Effects and Mechanisms of Exercise on Brain-Derived Neurotrophic Factor (BDNF) Levels and Clinical Outcomes in People with Parkinson’s Disease: A Systematic Review and Meta-Analysis. Brain Sciences, 14(3), 209.
Highlights that accumulating evidence shows exercise can reduce inflammation, decrease α-synuclein expression, and increase neurotrophic growth factors like BDNF.
Corcos, D. M. (2021). How does exercise slow progression in Parkinson’s disease? Interview at the International Congress of Parkinson’s Disease and Movement Disorders.
On BDNF and Exercise:
Schmolesky, M. T., Webb, D. L., & Hansen, R. A. (2013). The Effects of Aerobic Exercise Intensity and Duration on Levels of Brain-Derived Neurotrophic Factor in Healthy Men. Journal of Sports Science & Medicine, 12(3), 502-511.
• People who maintain healthy BDNF-boosting lifestyle habits (including regular sauna use 4-7x/week) have up to 66% lower risk of dementia.
Laukkanen, T., Khan, H., Zaccardi, F., & Laukkanen, J. A. (2015). Association between sauna bathing and fatal cardiovascular and all-cause mortality events. JAMA Internal Medicine, 175(4), 542-548.



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