Which of the following strategies can help reduce discomfort for clients with lower back pain in Pilates?

The strategy of avoiding excessive spinal flexion or extension is particularly important for clients with lower back pain, as it helps to prevent strain on the spine and reduces the risk of exacerbating pain or injury. Pilates emphasizes stabilizing the core and maintaining a neutral spine, which can provide support to the lumbar region. By focusing on movements that keep the spine in a safe and controlled position, clients can perform exercises that strengthen surrounding muscles without putting undue pressure on the discs and joints of the back.

In contrast, promoting excessive spinal twisting can lead to torque on the lower back, which may increase discomfort rather than alleviate it. Longer workout sessions can also lead to fatigue, which might result in poor form and increased risk of pain or injury. Lastly, increasing resistance during exercises can challenge muscles more than is advisable for someone with lower back pain, potentially leading to compensation patterns that could aggravate the condition. Therefore, avoiding excessive spinal flexion or extension stands out as the most beneficial strategy for managing lower back discomfort during Pilates sessions.