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How can Pilates help golf and tennis players?

What golf and tennis ask of the hips, trunk and shoulders, how studio work trains it, and how it changes through the season.

Pilates can help golf and tennis players by training the control their sport depends on but rarely builds by itself: the hips turning ahead of the trunk, rotation coming from the upper back and hips rather than the lower back, slowing the body down after the strike, and managing the load of the same movement repeated to one side. It works as a supporting session alongside your practice, coaching and strength work, not in place of any of them.

Both sports are rotational, asymmetric and fast, with precision needed at the end of that speed. The Pilates equipment springs let you train each part slowly and under control, then progress it towards the swing or the serve.

What do golf and tennis ask of the body?

Hips leading the trunk

A good swing or serve is a sequence. Force starts at the ground, the pelvis turns first, the trunk follows, then the arms and the club or racket. In golf, the gap between how far the upper torso and the pelvis have turned is often called the X-factor. Myers and colleagues measured 100 recreational golfers and found that those with greater separation between the upper torso and pelvis at the top of the backswing, and faster separation during the downswing, tended to produce higher ball speed1. That separation only helps if you can control it. Seated rotation on the stability chair or the reformer, turning the rib cage while the pelvis stays still, trains the trunk to move independently of the hips. Standing work on the stability chair reverses the job, with the pelvis turning under a quiet upper body.

Rotation from the upper back and hips

Most of the turn should come from the thoracic spine above and the hips below. The lumbar spine has little rotation to give. Cole and Grimshaw describe how the modern golf swing restricts pelvic turn while increasing thorax rotation to raise clubhead speed, and note the argument that the lower back may struggle to tolerate the forces this produces, while also pointing out how little research has tested that link directly2. Hip internal rotation matters on both sides: the trail hip as you load into the backswing, and the lead hip as you rotate onto it through impact. In 42 male professional golfers, Vad and colleagues found that reduced lead hip internal rotation and reduced lumbar extension went with a history of low back pain3. Extension over the spine corrector and rotation over the ladder barrel work the upper back through range. On the trapeze table (Cadillac), the Pilates equipment springs on the leg straps let you take each hip through rotation with the pelvis supported, before that range is asked for standing on one leg.

Slowing down after the strike

Everything that speeds up has to be slowed down. In golf, the lead leg and trunk brake the rotation through the follow-through. In tennis, Kovacs and Ellenbecker’s eight-stage model of the serve runs from preparation through acceleration to follow-through, where the shoulder decelerates the arm after contact and the landing leg absorbs the body’s weight4. This is lengthening, eccentric work. Pressing a stability chair pedal down and letting it return slowly against the Pilates equipment springs trains a controlled lowering through the legs. Arm work on the trapeze table, resisting the Pilates equipment springs as the arm returns, gives the muscles around the back of the shoulder the same kind of controlled lengthening load at low intensity.

Lead side and trail side

A right-handed golfer loads the right side in the backswing and rotates onto the left, and a tennis player serves and hits the forehand with the same arm, match after match. The two sides do different jobs, so each is trained for its job rather than made identical. Single-leg work on the stability chair and the reformer can be programmed differently for the lead and trail leg, and rotation can be trained in both directions, with more emphasis on the side your sport loads least. For golfers the repeated rotation is linked with low back pain, and for tennis players the serving shoulder and the elbow take most of the repeated load.

How should the work change through the season?

The off-season or a break between tournament blocks is the time for new work: building hip and thoracic range, learning to separate the pelvis and trunk, and adding load from the Pilates equipment springs and from strength and conditioning work while practice volume is lower. Two sessions a week gives you time to learn it properly.

In the build towards the season, the work moves closer to the sport, with standing and single-leg rotation, more speed and less support. Peak Performance sessions are not purely Pilates: they combine Pilates principles with strength and conditioning principles, and mix in strength and conditioning work such as heavier lower-body loading and faster rotational exercises depending on your goal, with more focus on control of movement.

In season, sessions drop to maintenance, usually about once a week, with familiar exercises and small progressions, kept away from the day before a tournament round or match. After the season, reassess, because what you need may have changed.

What does the research show?

None of the studies below tested Pilates, so it is worth being clear about what each can and cannot tell us.

Well established. Strength and conditioning work helps golf. Ehlert reviewed 25 studies and found that, where results were significant, clubhead speed, ball speed and distance rose on average by 4 to 6.4%5. Brennan and colleagues pooled 20 studies and found clubhead speed was associated with lower- and upper-body strength and jump measures, but not with flexibility or balance6. That supports building strength and power, not chasing range for its own sake.

Associations, not causes. The hip and back findings from Vad and colleagues come from a cross-sectional study, so they cannot show which came first3. Bradley and colleagues’ meta-analysis of 29 studies of the tennis serve linked injury with dominant shoulder rotation strength, internal rotation range, weekly tennis volume, age, body mass and height, and many of the 130 factors came from single studies7. Some can be trained, others cannot.

Limited. Injury rates in golf are hard to pin down. Kuitunen and Ponkilainen found only seven studies that reported injuries against time played, giving about 2.5 injuries per 1,000 rounds of 18 holes, with very little data on professionals8. Trials of Pilates in golfers or tennis players are scarce, so its specific benefit for these sports has not been established.

Practical application. The exercise choices and timing above apply standard training principles: train a movement close to how it is used, add load gradually, and manage fatigue around play. They are reasoned recommendations rather than trial findings, and they are adjusted for each player after an assessment.

Does Pilates replace strength training, coaching or physio?

No. Your coach owns the swing or the serve, and studio sessions support that technical work. The evidence for clubhead speed favours strength and power training, which is why our sessions mix strength and conditioning work in with the Pilates equipment where your goal calls for it. If you are injured, your physiotherapist leads. We align with your coach, gym trainer and physiotherapist on goals, focus areas and programming, so the studio work fits their plan.

Where to start

Start with an assessment rather than a class. The initial consultation looks at how you move, including hip and thoracic rotation on each side, compares that with what your sport asks of you, and takes your tournament or competition calendar into account. The programme, a mix of Pilates and strength and conditioning work set by your goal, is then built, progressively loaded and reassessed through the season, with exercises to take away between sessions.

References

  1. Myers J, Lephart S, Tsai YS, Sell T, Smoliga J, Jolly J. The role of upper torso and pelvis rotation in driving performance during the golf swing. Journal of Sports Sciences, 2008;26(2):181–188. doi.org/10.1080/02640410701373543
  2. Cole MH, Grimshaw PN. The Biomechanics of the Modern Golf Swing: Implications for Lower Back Injuries. Sports Medicine, 2016;46(3):339–351. doi.org/10.1007/s40279-015-0429-1
  3. Vad VB, Bhat AL, Basrai D, Gebeh A, Aspergren DD, Andrews JR. Low back pain in professional golfers: the role of associated hip and low back range-of-motion deficits. American Journal of Sports Medicine, 2004;32(2):494–497. doi.org/10.1177/0363546503261729
  4. Kovacs M, Ellenbecker T. An 8-Stage Model for Evaluating the Tennis Serve: Implications for Performance Enhancement and Injury Prevention. Sports Health, 2011;3(6):504–513. doi.org/10.1177/1941738111414175
  5. Ehlert A. The effects of strength and conditioning interventions on golf performance: A systematic review. Journal of Sports Sciences, 2020;38(23):2720–2731. doi.org/10.1080/02640414.2020.1796470
  6. Brennan A, Murray A, Mountjoy M, Hellstrom J, Coughlan D, Wells J, Brearley S, Ehlert A, Jarvis P, Turner A, Bishop C. Associations Between Physical Characteristics and Golf Clubhead Speed: A Systematic Review with Meta-Analysis. Sports Medicine, 2024;54(6):1553–1577. doi.org/10.1007/s40279-024-02004-5
  7. Bradley J, Langdown BL, Bowmaker D, Kerr S. Injury Risk Factors of the Tennis Serve: A Systematic Review and Meta-Analysis. Advances in Rehabilitation Science and Practice, 2025;14:27536351251374616. doi.org/10.1177/27536351251374616
  8. Kuitunen I, Ponkilainen VT. Injury incidence in golf: a systematic review and meta-analysis. Irish Journal of Medical Science, 2024;193(6):2803–2811. doi.org/10.1007/s11845-024-03759-6