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. 2015 Apr;70(4):231–236. doi: 10.6061/clinics/2015(04)02

Table 1.

Protocol of supervised exercise.

Position: Standing
Head and neck stretches Flexion, extension, lateral bending Hold each position for 20 seconds
Side bends With one arm raised, bend trunk laterally to the opposite side Hold for 20 seconds on each side
Pelvic mobilization Perform anteversion, retroversion and circumduction of the hip One minute
Pelvic tilts with pelvic floor muscle training Perineal exercises performed with the pelvis tilted backward 15 rapid contractions
Stimulation of venous flow in the lower limbs Plantar flexion One minute
Stimulation of venous flow in the lower limbs Squatting using support equipment such as the back of a chair, a wall bar or a stick 2 series of 10 repetitions
Abdominal activation Contract the transversus abdominis muscle while breathing out 15 repetitions
Position: Seated (using an exercise mat)
Stretching Triceps brachial muscle; pectoral muscles; posterior thoracic region; hip abductor muscles; posterior thigh muscles Hold for 20 seconds each
Pelvic floor muscle training With thighs flexed and abducted and the soles of the feet together, perform perineal exercises. 15 rapid contractions; 15 contractions held for 10 seconds with a 5-second resting period
Position: On all fours
Mobilization of the spine and pelvis Breathe in, facing forwards, and tilt the pelvis forward; breathe out, lowering head (blow onto stomach) and tilt the pelvis backward. 10 repetitions
Abdominal activation Contract the abdomen while breathing out slowly, as if trying to make the belly button touch the back. 15 repetitions
Back stretching Sitting on heels with knees apart, raise arms above head, rest arms and forehead on the mat. Hold position for 20 seconds
Position: Lateral Decubitus
Stretching and stimulation of the venous circulation in the lower limbs Flexion/extension of the ankle with one leg raised. 3 series of 20 seconds on each side
Stretching and trunk rotation With hips and knees flexed and knees together, rotate the trunk in the opposite direction Hold for 20 seconds
Position: Dorsal Decubitus
Stretching and relaxing the lumbopelvic region With knees flexed and apart, raise both legs up to the chest and hold; perform flexion/extension of the ankles, swinging the trunk slightly to each side Hold for one minute
Manual traction of the spine With knees flexed and feet flat on the mat, the woman is asked to raise her hips. On lowering hips while breathing out, the therapist, with one hand on the sacral region, performs traction in the caudal direction. Hold for one minute
Relaxation in lateral decubitus
Breathing training for labor Diaphragmatic breathing with prolonged exhalation through pursed lips. 3 minutes
Relaxation Progressive relaxation; massage; visualization. 7 minutes