Reformer-based exercises for Glute Engagement
Strong gluteal muscles (gluteus Maximus, medius, minimus) are essential for hip extension, pelvic stability, and efficient movement in daily life and sport. In physical therapy, glute weakness or poor activation is associated with conditions such as low back pain, patellofemoral pain, gait dysfunction, and reduced sport performance. The Pilates Reformer provides adjustable resistance, controlled stability challenges, and gradual progression, making it an effective tool for targeting glute engagement in physical therapy.
For gluteus medius and minimus, therapeutic exercises such as side-lying abduction, clam shells, and various weight-bearing tasks have shown high EMG activation and are often used in early to mid-rehab stages.
Below are specific Reformer exercises that can be used in physical therapy to engage glutes. These can be scaled or adapted depending on patient status (pain, strength, motor control).
| Exercise | Primary Glute Target | Technique / Cues | Progressions / Variations |
| Footwork (Supine, Standing, or Prone Drive) | Gluteus maximus + hamstrings | Push through heels, maintain neutral pelvis, avoid lumbar arching | Single-leg footwork, varied foot placement (heels/toes/wide), heavier springs |
| Pelvic Curl / Bridge on Reformer | Gluteus maximus, some glute medius | Lift by driving through heels, squeeze glutes at top, avoid hamstring dominance | Single-leg bridge, foot straps, heavier springs, isometric holds |
| Side-Lying or Side Carriage Leg Work (Kickbacks / Circles) | Gluteus medius (abduction, pelvic stability) + glute max | Keep hips stacked, pelvis stable, slow controlled motion | Progress from bent to straight leg, add pulses, increase spring resistance |
| Standing or Quadruped Kickback with Strap | Gluteus maximus (hip extension) | Maintain neutral spine, isolate hip movement, drive through heel | Increase spring tension, perform unilaterally, add holds, move to split stance |
| Four-Point Glute Series (donkey kicks, hydrants, leg lifts on carriage) | Gluteus maximus & medius | Support trunk, avoid hip hike or lumbar compensation, focus on glute activation | Increase lever arm, add resistance, move from knee support to extended leg |
If you think that these symptoms describe you and this form of rehabilitation could help with your recovery and strengthening journey, feel free to give us a call at (312) 835-3117 or book an appointment and we can set up an evaluation you to give you the best outcomes utilizing this approach within our physical therapy treatment.
