What is NOT a recommended approach for clients with lower back pain in Pilates?

Vigorous spinal twisting is not a recommended approach for clients with lower back pain because such movements can place excessive strain on the spine and surrounding muscles. The goal when working with clients experiencing lower back pain is to maintain stability and support the spine rather than to push it into potentially harmful positions. Controlled movements that prioritize alignment and engage the core are more beneficial, as they help to strengthen the muscles that support the spine and promote better posture, ultimately alleviating discomfort.

The other approaches mentioned focus on safety and comfort, which are essential when dealing with lower back issues. Utilizing a padded mat can provide additional cushioning and support, making sessions more comfortable. Avoiding high-impact movements helps to minimize stress on the back and prevents exacerbation of pain. Implementing gentle, controlled movements ensures that the client can engage their muscles without risking injury, allowing for a safe and effective workout tailored to their needs.