For a client with limited shoulder mobility, what specific modification to the hand placement or spring setting on the Reformer Strap Work (e.g., Frogs) best accommodates their joint limitations while still targeting hip strength?

For a client with limited shoulder mobility performing Reformer Strap Work to target hip strength, the most effective specific modification involves changing the connection point for the straps from the hands to the feet. Instead of the client holding the straps with their hands, the straps are placed directly around the client's feet. This placement can be at the balls of the feet, the arches, or the heels, depending on the specific exercise and desired muscle activation. This completely bypasses the need for the hands or any upper body involvement in holding, stabilizing, or manipulating the straps, thereby directly accommodating the limited shoulder mobility. For exercises like Frogs, the client lies supine on the Reformer carriage, places their feet into the fabric loops of the straps, and then performs the hip flexion and extension movements. The Reformer is a Pilates apparatus featuring a sliding carriage, springs, and straps with pulleys, designed to provide adjustable resistance and support. Strap Work refers to exercises performed on the Reformer where the client moves the carriage by pulling or pushing the straps with their limbs. Frogs is a common Reformer exercise performed lying on the back, where the legs bend and straighten from the hips and knees, resembling a frog's leg movement, primarily targeting hip flexors, extensors, and adductors. Limited shoulder mobility refers to a reduced range of motion in the shoulder joint, which could be due to various factors such as stiffness, pain, or injury. The spring setting on the Reformer is chosen based on the client's hip and leg strength to provide the appropriate resistance for the targeted hip muscles. While the spring setting does not directly address shoulder mobility, ensuring it is appropriate for the client's leg strength helps prevent any compensatory bracing or unnecessary tension in the upper body during the exercise.