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Find solutions from repetitive injury and chronic pain

We are a Vancouver B.E.T. Physiopilates studio

View services

Providing physio rehab

Rehabilitating people with these conditions
Post-partum conditions
Chronic back and neck pains
Repetitive sports injuries
Postural syndromes
Scoliosis related problems
Arthritis related joint pains and limitations
Balance / inner core dysfunction
Post hip + knee joint replacement
Read on D

What you need to
know about our approach

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Our service focus, and niche, is in providing rehabilitation for chronic, recurrent conditions. Most treatment models are geared for quick fixes or targets symptom relief, which tend to make patients dependent where conditions recur or symptom relief is short-lived. By contrast, our approach is designed to produce lasting change and improve movement efficiency.

The physiotherapy system we’ve developed is supported by robust neuro-muscular research. It integrates the principles of the Pilates system used by so many actors, dancers and athletes for both training and rehabilitation. Our approach gently uses Joseph Pilates’s system in a manner consistent with the practice of physiotherapy to address the deeper roots of injuries and conditions for long-term results.




Background

BET PhysioPilates has its roots in another world!

It began over 20 years ago with a meeting of the minds (and muscles) of a Canadian physiotherapist and a British classical dance teacher / Pilates instructor. Rochenda (physiotherapist) and Julia, (ballet dancer) met in a Physiotherapy clinic in Hong Kong where Julia had set up a Pilates exercise studio to work with professional dancers and Rochenda had come to work as a clinic manager. The Physiotherapist clinic owner was intrigued by what was going on in the Pilates studio and directed Rochenda to that room and the rest……. is history!


Teamwork

Julia and Rochenda quickly found common ground; Rochenda frustrated with gaps in traditional rehabilitation and Julia expressing frustration with the difficulty her injured dancers had performing traditional Pilates exercise. A partnership was born!

Thus, a many year commitment to ‘filling the gap’ was born - bringing the evidence and the exercise from both the Physiotherapy and the Dance worlds together and developed into a modified Pilates - based system – with the objective to keep people moving, both dancers and…. the rest of us (less agile, older?) folks!


BET Physio Pilates

BET PhysioPilates system is a progressive, systematic therapeutic exercise system adapted from traditional Pilates.

In the BET approach, the deeper muscles of what Mr. Pilates referred to as ‘the centre’ (sometimes confused with “the core”), are encorporated systematically into controlled movement patterns utilising the Pilates apparatus.

The resistance from the apparatus and the cueing from the physiotherapist progressively help guides muscles to stabilise and rebalance the spine and enhance the efficiency of movement. The emphasis is on establishing spinal alignment, stability of the trunk, good posture and balanced, co-ordinated muscle activity.

While this system has developed from the Pilates Method, its concepts, approach and exercise selection have been significantly modified to embrace contemporary theoretical knowledge and scientific evidence.

Further, the BET system is helpful in training the healthy population to improve posture, enhancing physical performance and wellbeing.


History of Mr. Pilates

‘Pilates’ refers to an exercise technique first established by Joseph H. Pilates in the early 1900’s. Mr. Pilates studied both Eastern and Western exercise training disciplines.

Pilates believed in the promotion of both physical and mental harmony through exercise. This concept was first incorporated into a series of mat exercises and later adapted for wartime bedridden patients.

His philosophy stressed “mind-body” awareness and the development of a girdle of strength in the bodies ‘centre’. Dancers and elite athletes in their quest to perfect posture, technique and movement control first embraced such a focus.


Joseph H. Pilates

Joseph Pilates was born in 1880 near Dusseldorf, Germany and died in 1967 at 87 years of age. He was a frail and sickly child who became an all-round athlete excelling in body building, diving, skiing and gymnastics. In 1912 he went to England to become a professional boxer and circus performer and taught self-defense courses.

During WW1 Pilates was interned with other German nationals in the United Kingdom. During this time Pilates developed a series of floor exercises that he taught to fellow internees.

He was proud to note that none of these inmates developed the influenza that was endemic in the country in 1918. Pilates later moved to the Isle of Man where he worked as an orderly in the hospital.

Pilates started experimenting with his concepts by attaching springs to hospital bed frames. This rudimentary equipment formed the base for the Pilates reformer and the Trapeze table that he designed later and is still used today.


Joseph H. Pilates: The Later Years

During his career, Pilates had the opportunity to work with and to incorporate ideas from F.M. Alexander and from leading dance pioneers Rudolph von Laban, George Ballanchine and Martha Graham.

After the war Pilates returned to Germany before emigrating to New York, USA. In 1926 Pilates founded a studio with his wife Clara and established a loyal following among the professional dance community there.

His work subsequently spread to dance communities throughout America and later England and Europe.

Pilates exercise has been discovered by a wider audience including elite athletes, performing artists, fitness professionals and general fitness enthusiasts and most recently by physiotherapists and other medical professionals.

Today Pilates exercise is offered world wide in some form, more commonly in the format of floor exercise classes. Training on the Pilates apparatus in a dedicated Pilates studio is available but not as widely.


Background

BET PhysioPilates has its roots in another world!

It began over 20 years ago with a meeting of the minds (and muscles) of a Canadian physiotherapist and a British classical dance teacher / Pilates instructor. Rochenda (physiotherapist) and Julia, (ballet dancer) met in a Physiotherapy clinic in Hong Kong where Julia had set up a Pilates exercise studio to work with professional dancers and Rochenda had come to work as a clinic manager. The Physiotherapist clinic owner was intrigued by what was going on in the Pilates studio and directed Rochenda to that room and the rest……. is history!


Teamwork

Julia and Rochenda quickly found common ground; Rochenda frustrated with gaps in traditional rehabilitation and Julia expressing frustration with the difficulty her injured dancers had performing traditional Pilates exercise. A partnership was born!

Thus, a many year commitment to ‘filling the gap’ was born - bringing the evidence and the exercise from both the Physiotherapy and the Dance worlds together and developed into a modified Pilates - based system – with the objective to keep people moving, both dancers and…. the rest of us (less agile, older?) folks!


BET Physio Pilates

BET PhysioPilates system is a progressive, systematic therapeutic exercise system adapted from traditional Pilates.

In the BET approach, the deeper muscles of what Mr. Pilates referred to as ‘the centre’ (sometimes confused with “the core”), are encorporated systematically into controlled movement patterns utilising the Pilates apparatus.

The resistance from the apparatus and the cueing from the physiotherapist progressively help guides muscles to stabilise and rebalance the spine and enhance the efficiency of movement. The emphasis is on establishing spinal alignment, stability of the trunk, good posture and balanced, co-ordinated muscle activity.

While this system has developed from the Pilates Method, its concepts, approach and exercise selection have been significantly modified to embrace contemporary theoretical knowledge and scientific evidence.

Further, the BET system is helpful in training the healthy population to improve posture, enhancing physical performance and wellbeing.


History of Mr. Pilates

‘Pilates’ refers to an exercise technique first established by Joseph H. Pilates in the early 1900’s. Mr. Pilates studied both Eastern and Western exercise training disciplines.

Pilates believed in the promotion of both physical and mental harmony through exercise. This concept was first incorporated into a series of mat exercises and later adapted for wartime bedridden patients.

His philosophy stressed “mind-body” awareness and the development of a girdle of strength in the bodies ‘centre’. Dancers and elite athletes in their quest to perfect posture, technique and movement control first embraced such a focus.


Joseph H. Pilates

Joseph Pilates was born in 1880 near Dusseldorf, Germany and died in 1967 at 87 years of age. He was a frail and sickly child who became an all-round athlete excelling in body building, diving, skiing and gymnastics. In 1912 he went to England to become a professional boxer and circus performer and taught self-defense courses.

During WW1 Pilates was interned with other German nationals in the United Kingdom. During this time Pilates developed a series of floor exercises that he taught to fellow internees.

He was proud to note that none of these inmates developed the influenza that was endemic in the country in 1918. Pilates later moved to the Isle of Man where he worked as an orderly in the hospital.

Pilates started experimenting with his concepts by attaching springs to hospital bed frames. This rudimentary equipment formed the base for the Pilates reformer and the Trapeze table that he designed later and is still used today.


Joseph H. Pilates: The Later Years

During his career, Pilates had the opportunity to work with and to incorporate ideas from F.M. Alexander and from leading dance pioneers Rudolph von Laban, George Ballanchine and Martha Graham.

After the war Pilates returned to Germany before emigrating to New York, USA. In 1926 Pilates founded a studio with his wife Clara and established a loyal following among the professional dance community there.

His work subsequently spread to dance communities throughout America and later England and Europe.

Pilates exercise has been discovered by a wider audience including elite athletes, performing artists, fitness professionals and general fitness enthusiasts and most recently by physiotherapists and other medical professionals.

Today Pilates exercise is offered world wide in some form, more commonly in the format of floor exercise classes. Training on the Pilates apparatus in a dedicated Pilates studio is available but not as widely.

Susan Ting

B.Sc.PT, Registered Physiotherapist

Trained  in Sydney, Australia, Susan Ting began her physiotherapy practice in Asia. There she gained clinical experience, ranging from acute neuro-rehabilitation, treatment of musculoskeletal conditions to sports physiotherapy, at both national and international professional sports events. She developed a deep appreciation for the human muscular-skeletal (MSK) system and movement control.

Susan met Canadian physiotherapist Rochenda Howard and Julia Ellis, a world-class ballet instructor, when she took her first Biokinetik Exercise Technique (B.E.T.) course in Hong Kong.  The duo had pioneered the development of B.E.T., a Pilates-baased physiotherapy treatment system.  Rochenda’s integration of neuroscience into orthopedic physiotherapy to address chronic MSK conditions and dysfunctions fascinated Susan.  Today, neuroscience research continues to affirm Rochenda’s academic and clinical insights into neuromotor control as evidence-based practice, then decades ahead of her peers .   Susan sought formal training and mentorship under Rochenda.  After certification, Susan provided B.E.T. practice in Vancouver.  With Rochenda, now based in Toronto, she provides B.E.T.’s unique rehabilitation approach, and teaches B.E.T. physiotherapy as advanced clinical practice.

Over the last seventeen years, Susan integrated the B.E.T. approach into her work with osteoarthritis and inflammatory arthritis population at Vancouver Coastal Health.  She is instrumental in introducing B.E.T. rehabilitation concepts into exercise guidelines for hip and knee replacement rehabilitation, Spondylitis Program and more, through the Mary Pack Arthritis Program.  Susan is part of the education faculty at MPAP.  Through their Advanced Continuing Education program, she had taught “Managing Arthritis”, “Advanced Total Joint Arthroplasty Rehabilitation” for hip and knee joint replacement surgery – a course collaboratively developed with her colleagues in 2017.  The goal is always to help patients learn their brain-body connection; integrating into postural control and movement efficiency in daily living.

What people are saying

Susan was the first to identify the underlying causes of my debilitating back pain. She developed core muscles to support my back and alignment. I went from chronic, debilitating pain to be able to move and walk with little to no discomfort. I have often recommended Susan to others.

Karen O'B.

former client

Susan is the only physiotherapist who has been able to identify and teach me how to change painful movement patterns that have plagued me for many years. She has a unique skillset and treatment approach that produce amazing results.

Heather W.

client; physiotherapist

Since working with Susan, my day-to-day quality of life has immensely improved. Susan is extremely knowledgeable; she is able to identify the underlying problem, and then individualize and adapt appropriate exercises.

S.M.

former client

Frequently asked questions

Questions from our prospective clients

Not in British Columbia, unless your insurance company or employer requires it.

Common conditions we treat are listed. If you have a different condition but your goal is to improve functional movement, balance, exercise safely, improve mobility, then it would also be appropriate to explore whether B.E.T. is suitable for you.

The initial consult and assessment is more involved, takes longer and costs more than a regular session. It takes approximately 75 minutes. Treatment sessions are one hour or 45 minute 1:1 treament.

Our pricing is standard industry pricing. Our session fees are in line with the College of Physiotherapy British Columbia guidelines for clinician fees. Contact us at info@susantingphysio.com for full details.

In order to give you the best clinical attention possible while keeping treatment costs down, we have chosen to cut down on administration costs. This means that clients must submit their receipts to insurance companies or Medicare for reimbursement themselves.

Wear or bring comfortable exercise gear such as shorts, tights, t-shirt or tank tops [underneath]. No jeans or tight pants. For assessment purposes, women should be aware that shoulder straps are better than center straps across mid-back.

From our clinical experience, clients typically begin to see their symptoms lessen somewhere between the 4th and 6th session, provided there are no large gaps between appointments. Weekly visit are advised for at least the first 6 sessions if it can be arranged.

Most who come to see us have multiple problem areas. Depending on how complex and how chronic their conditions are, many clients need between 12 and 20 sessions. If hypermobility is an underlying condition, the course of treatments can be much longer. But, regardless of how long it takes, the improvements will be there to stay.

Education

2024

Both Rochenda Howard and Susan Ting offer courses on the B.E.T. physiotherapy rehab system for physiotherapists. The model is a systematic and progressive therapeutic exercise intervention for rehabilitation developed by Rochenda and professional ballet instructor Julia Ellis, based on the Pilates Method.

B.E.T. courses are designed to address imbalances in neuromuscular control inherent in chronic or recurring conditions. The primary objectives are to learn, as clinicians, how to identify the dysfunctions (Level 1b), and effectively facilitate NMS activity to restore a balanced posture, trunk stability and pain-free movement (Level 1a, Levels 2, 3 and 4). These courses combine both theory and practical lab work.  Level 1 is basic mat work. Level 2, 3 and 4 advances mat work and introduce the Pilates apparatus (equipment).

Your body is the harp of your soul. And it is yours to bring forth sweet music from it or, confused sounds.

Khalil Gibran (1883-1931)

Studio Contact

If you’re ready to book a physio session or consultation, or if you have questions, let’s talk. We welcome athletes, seniors and everyone in between seeking long-term recovery for chronic physio issues.

Studio Location

Biokinetik Physio-Pilates Studio
1682 Renfrew Street, V5K 4E1
Vancouver, British Columbia
604-999-9864
contact@susantingphysio.com

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