Pil Pep 15 Extend

Mat Pilates Diploma Progressive Exercise
Level 3 Programme
Level 3 Diploma in Mat Pilates

Progressive Exercise Programme
Anoma Panter
Learner Name: Date:
Assessor Name: Date:
IV Name: Date:
Assessment Overview
Using an apparently healthy individual (partner, peer, family member) you are required to produce a progressive 12-week
Pilates programme and implement 3-weeks of the plan. The implementation of this case-study SHOULD NOT commence
until you have passed your summative Pilates practical assessment.
NB: Candidates must achieve enough passes to show competency across all sections. Candidates are allowed no more
than 1 R in any section. An R in a shaded box is an automatic refer.
P Pass Q Question * Pass with comment R Refer R Referral overall N/A
Client Profile & Goal Setting

The learner produced a client profile that demonstrated methods of consultation, including:
1. the client’s personal details
2. medical screening (PAR-Q)
3. informed consent
4. the client’s lifestyle and factors that may affect posture and fitness
5. a postural assessment and screening
6. past and present physical activity
The learner demonstrated an understanding of this section in the VIVA
The learner explained the importance for a Pilates teacher to work together with clients to agree goals,
objectives, the programme and adaptations, including:
7. the client’s readiness to participate in Pilates (to change/improve posture)
8. the client’s attitude and motivation to exercise
1 © Copyright Health & Fitness Education. All right reserved. L/503/1304 & R/503/1305
Level 3 Programme
9. the client’s short, medium and long-term goals (process or outcome) applying
the SMART principle
10. barriers to achieving goals
11. strategies to overcome barriers
The learner demonstrated an understanding of the client profile and goal

setting section in the VIVA
Progressive Exercise Programming

The learner produced a progressive programme that:
12. contained 3 detailed session plans that included the detail listed in practical
assessment criteria
13. contained a progressive programme outline of weeks 1, 6 and 12
14. clearly related to the client’s current readiness, motivation and physical capabilities
15. clearly related to the client’s short, medium and long-term goals
16. progressed appropriately for the client’s needs and barriers (physically and
psychologically)
Evaluation
The learner:
17. evaluated 3 implemented Pilates sessions
18. explained how to review the Pilates programme
Level 3 Programme
Client Profile & Goal Setting

Client Name: Age:
Weight: Height:
Gender:
Occupation:
Medical History
Yes No
1. Has your doctor ever said that you have a heart condition and that you should only
do physical activity unless recommended by a doctor?
2. Do you feel pain in your chest when you do physical activity?
3. In the past month, have you had a chest pain when you were not doing physical
activity?
4. Do you lose balance because of dizziness or do you ever lose consciousness?
5. Do you have a bone or joint problem that could be made worse by a change in your
physical activity?
6. Is your doctor currently prescribing you drugs (for example water pills) for your blood
pressure or heart?
7. Do you know any other reason why you should not do physical activity?
If your client has answered yes to any of the pre-exercise questions, please provide details below including
how this may affect their participation during the programme.
Informed Consent
I fully understand that my participation in this programme is completely voluntary and I may withdraw from
the prescribed exercises at any time. I also confirm that I understand that exercise involves inherent but
unlikely risk of injury and in extreme circumstances the possibility of death. By signing below I confirm that I
have answered honestly all of the pre-exercise medical questions and release:
(Instructor) from any liability with respect to any damage or injury which I may suffer whilst exercising.
Level 3 Programme
Provide a summary on the outcome of the PAR-Q and any advice given to your client
Detail any lifestyle factors that affect your clients posture and fitness
Work
Diet and habits (smoking,

alcohol, etc)
Home and family
Activity levels
In the box below provide a summary of your client’s readiness to participate in Pilates and reasons for
participation, including motivation and attitude
Level 3 Programme
Postural Assessment
Body Segment Position Anterior Slightly Neutral Slightly Posterior Comments

Lateral View Anterior Posterior
Use this space to make reference

to the photographs supplied and
to explain postural deviations.
The head should be in a well-

balanced position, looking forward
with the L.O.G. passing through the
rear portion of the earlobe.
The L.O.G. runs directly

through the vertebral body of
the cervical vertebrae.
The L.O.G passes through the

acromion process and the head of
the humerus.
The L.O.G runs vertically through

the body of the lumbar vertebrae
The anterior-superior iliac spine

(ASIS) and the posterior-superior
iliac spine are parallel to each
other.
The L.O.G. runs slightly posterior to

the centre of the greater trochanter
(head of the femur).
The L.O.G. passes directly through

the middle of the knee joint.
The L.O.G. runs through the apex

of the arch, slightly anterior to the
calcaneocuboid joint, as indicated
by the bony prominence (lateral
malleolus) on the outer surface of
the ankle/foot.
*Indicate the position of the body segment in relation to the L.O.G
Level 3 Programme
Posterior View Left / Slightly Neutral Slightly Right / Comments

inferior left / right / inferior
inferior inferior
Use this space to make reference

to the photographs supplied and
to explain postural deviations.
The head should be in a neutral

position, neither tilted nor rotated.
The L.O.G should pass vertically
and centrally.
The ears should appear level to

each other and parallel to the
cervical spine and L.O.G.
The shoulders should be positioned

at the same height
The scapulae should lie flat against

the thorax and no angle or border
should be prominent.
The hips should be at the same

height on both sides and the
creases in the buttocks should be
even. The PSIS should also
be parallel.
The backs of both knees should be

at the same level on both sides and
the knees should be straight (not
bowed or knocked)
The feet should be approximately 4

inches (10cm ) apart with a position
of slight out-toeing. The outer
malleolus and outer margin of the
sole of the foot should be in the
same vertical plane.
*Indicate the position of the body segment in relation to the L.O.G
Level 3 Programme
N.B: Photographs of the above assessment should be submitted with this case-study along with a plumb line
assessment detailing the line of gravity (L.O.G).
In the box below, provide details of your general exercise recommendations for your client based on the on
their postural needs, as identified with the assessment on the previous page.
Level 3 Programme
Goal Setting
Using the spaces below, provide details of your client’s short, medium and long-term SMART goals. Be sure
to provide detailed and accurate information for each goal. These goals can be process or outcome-related.
Long Term Goal (6 months+)
Medium Term Goal (8-12 weeks)
Short Term Goal (4 weeks)
Level 3 Programme
Barriers to Participation
Using the space below, describe your client’s general exercise barriers and/or any other factors which may
prevent your client from achieving their goals.
Overcoming Barriers to Participation

Using the box below, describe what strategies you will use to help your client overcome these barriers.
Level 3 Programme
Progressive Exercise Programme

This is an outline of how the sessions would progress from weeks 1 to 6 and 6 to 12 and should summarise
the general progressions and changes.
Week 1 Week 6 Week 12

Frequency
(number of session
per week)
Intensity of
exercises
(how hard they are,
think about rest, rate,
resistance, reps and
range.)
Type
(per phase of class
and overall session
time)
Opening Main Closing Opening Main Closing Opening Main Closing
Any other information e.g. home- Other information and explanation Other information and explanation
care advice of changes of changes
Level 3 Programme
Session 1
Week number: Session duration: 60mins
Opening Phase
Exercise and Purpose Teaching points and Pilates Progression,
repetitions visualisations principles modification and
adaptation
*Please attach additional sheets if required
Level 3 Programme
Session 1
Main Phase
adaptation
Level 3 Programme
Session 1
Main Phase continued
adaptation
Level 3 Programme
Session 1
Closing Phase
adaptation
Level 3 Programme
Session 2
Opening Phase
adaptation
Level 3 Programme
Session 2
Main Phase

adaptation
Level 3 Programme
Session 2

adaptation
Level 3 Programme
Session 2
Closing Phase

adaptation
Level 3 Programme
Session 3
Opening Phase
adaptation
Level 3 Programme
Session 3
Main Phase

adaptation
Level 3 Programme
Session 3

adaptation
Level 3 Programme
Session 3
Closing Phase

adaptation
Level 3 Programme
Evaluation
Session 1
After my session I received the following feedback from the client:
My sessions met the client’s needs in the following ways:

(comment on the effectiveness of your exercises, relationship with your client, how you motivated the client and
how well your instruction style matched the client’s needs)
With the information gathered from your client and your own evaluation of the progressive
programme, explain how you will review your Pilates programme.
Level 3 Programme
Evaluation
Session 2

Level 3 Programme
Evaluation
Session 3


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Mat Pilates Diploma Progressive Exercise

Level 3 Diploma in Mat Pilates

Assessor Name: Date:

P Pass Q Question * Pass with comment R Refer R Referral overall N/A

Client Profile & Goal Setting

1. the client’s personal details

2. medical screening (PAR-Q)

5. a postural assessment and screening

6. past and present physical activity

The learner demonstrated an understanding of this section in the VIVA

7. the client’s readiness to participate in Pilates (to change/improve posture)

8. the client’s attitude and motivation to exercise

10. barriers to achieving goals

11. strategies to overcome barriers

The learner demonstrated an understanding of the client profile and goal

Progressive Exercise Programming

13. contained a progressive programme outline of weeks 1, 6 and 12

The learner demonstrated an understanding of this section in the VIVA

17. evaluated 3 implemented Pilates sessions

18. explained how to review the Pilates programme

The learner demonstrated an understanding of this section in the VIVA

Client Profile & Goal Setting

Diet and habits (smoking,

Home and family

Body Segment Position Anterior Slightly Neutral Slightly Posterior Comments

Use this space to make reference

The head should be in a well-

The L.O.G. runs directly

The L.O.G passes through the

The L.O.G runs vertically through

The anterior-superior iliac spine

The L.O.G. runs slightly posterior to

The L.O.G. passes directly through

The L.O.G. runs through the apex

*Indicate the position of the body segment in relation to the L.O.G

Posterior View Left / Slightly Neutral Slightly Right / Comments

Use this space to make reference

The head should be in a neutral

The ears should appear level to

The shoulders should be positioned

The scapulae should lie flat against

The hips should be at the same

The backs of both knees should be

The feet should be approximately 4

*Indicate the position of the body segment in relation to the L.O.G

Long Term Goal (6 months+)

Medium Term Goal (8-12 weeks)

Short Term Goal (4 weeks)

Overcoming Barriers to Participation

Progressive Exercise Programme

Week 1 Week 6 Week 12

Opening Main Closing Opening Main Closing Opening Main Closing

*Please attach additional sheets if required

*Please attach additional sheets if required

*Please attach additional sheets if required

*Please attach additional sheets if required

Exercise and Purpose Teaching points and Pilates Progression,

*Please attach additional sheets if required

Exercise and Purpose Teaching points and Pilates Progression,

*Please attach additional sheets if required

Exercise and Purpose Teaching points and Pilates Progression,

*Please attach additional sheets if required

*Please attach additional sheets if required

Exercise and Purpose Teaching points and Pilates Progression,