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

Avoiding excessive spinal flexion or extension is a key strategy for reducing discomfort in clients with lower back pain during Pilates. This approach focuses on maintaining a neutral spine, which helps protect the lumbar region from strain and excessive pressure. By steering clear of movements that ask for extreme bending forward or backward, you allow the muscles surrounding the spine to engage without risking injury or exacerbating existing pain.

In Pilates, it's essential to promote a safe range of motion that reinforces stability and strength around the spine. Exercises targeting core stability can often alleviate discomfort for individuals with lower back pain, emphasizing careful control and proper alignment. This strategy fosters a supportive environment for clients, thus enhancing their overall experience and minimizing the risk of further injury.

Other strategies involving excessive spinal movements, longer sessions, or increased resistance do not prioritize safety and could potentially lead to more discomfort or aggravation of the client's condition.