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Pelvic Floor and Core Exercise Program 2
Pelvic Floor and Core Exercise Program 2
Pelvic Floor and Core Exercise Program 2
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 1
Welcome
Your pelvic floor and core play an important part in or old age. Pregnancy takes the body through many
being able to live an active lifestyle. This program has changes including stress on the pelvic floor muscles.
been developed in response to questions I have been By entering pregnancy with a strong pelvic floor and
asked as a Personal Trainer specialising in Women’s core you are able to minimise and possibly avoid light
Health about how to improve the many issues bladder leakage, back pain and enjoy bouncing back
commonly related to pelvic floor and core weaknesses. faster postpartum. Age also brings change, over time
A few of the positive outcomes you may expect from the body weakens to varying degrees and it is vital that
my Pelvic Floor and Core Exercise Program include: you maintain a strong pelvic floor and core to minimise
and possibly avoid bladder leakage, as well providing
· Gaining better control over your bladder and a strong foundation for internal organs.
bowel (responsible for light bladder leakage)
· Improving sexual sensation However old you may be, my Pelvic Floor and Core
· Preventing prolapse and hernias Exercise Program will be of benefit for you now and in
· Relieving back pain your future, providing you with the confidence to take
· Achieving a flatter stomach charge and give yourself the best possible care from
· Improving self confidence the INSIDE out.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 2
RECOMMENDATIONS BEFORE COMMENCING
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 3
VISITING A WOMEN’S HEALTH & CONTINENCE
PHYSIOTHERAPIST
MY EXPERIENCE
As a Personal Trainer specialising in Women’s Health,
I have always focussed on strength and health over
shape and size. I am a staunch advocate of knowing
your own body INSIDE and OUT. Having a six pack has
no direct link to the strength of your pelvic floor and
core. Outside, we might look great but internally we
could be bearing down and possibly heading towards
a prolapse in our future.
WHAT TO EXPECT
First up, your physiotherapist will take a history so it is
important to be honest. Next, you may be offered one
or both of the below:
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 4
MY RESULT WHAT THIS MEANS FOR
I had my examination approximately one year ‘US’
postpartum before I began practising my pelvic floor
exercises. I was graded at a level 2. By consistently Many women I speak to ask, “Will I be able to see
doing my Pelvic Floor and Core Workout Program from results?” The answer is - with consistency and
that moment on and sticking to low impact workouts supervision from your health care practitioner you
I quickly strengthened my pelvic floor and I am now will develop a strong pelvic floor and core as long as
at a level 5. there are no other complications. If you suffer from a
prolapse, I highly recommend you taking this program
with you to your Women’s Health and Continence
Physiotherapist so you can be given the best care and
personalised advice for a healthy recovery.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 5
CONTENTS
44 Pregnancy Exercises
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 6
LET’S GET STARTED
“Quite often people get stuck into pelvic floor exercise and end up making their
muscles too tight and overactive, because they are not fully relaxing in between
repetitions. And a tight immovable pelvic floor is not a strong muscle – it is probably
a worn out muscle!”
Taryn Watson
Women’s Health & Continence Physiotherapist
(FitRight Physio)
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1. FINDING YOUR PELVIC FLOOR
a) Next time you go to the toilet, stop your urine (wee) midstream.
Whilst you are doing the above draw those muscle up towards your navel
(belly button) and feel a lift.
Then
i) Relax your abdominal (stomach) muscles
ii) Take a large breath in, then exhale strongly and completely
At the end of the out breath, you should feel your pelvic floor muscle engage
– this is what you want to lift up towards your navel.
When you have mastered points a) & b) above it is time to start your daily
foundation pelvic floor exercises.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 8
2. PELVIC FLOOR FOUNDATION EXERCISES
SET ONE
i) Lift and squeeze the muscles
If you can only hold this for a couple of seconds that is okay – the
aim is to build strength gradually.
ii) Release gently
iii) Relax the muscles whilst you take a breath
It is really important to feel the muscles ‘let go’ after a contraction.
iv) Repeat
The goal is to work up to a 10 second hold and to repeat SET ONE up
to TEN times (two to three times per day).
SET TWO
i) Lift and squeeze the muscles – hold for one second
ii) Release gently
iii) Relax the muscles whilst you take a breath
It is really important to feel the muscles ‘let go’ after a contraction.
iv) Repeat
The goal is to repeat SET TWO up to TEN times (two to three times per
day).
Strengthening your pelvic floor might seem a long up road battle for some (it
can take months) but like any strengthening program, it is about committing
to doing your exercise – in this case daily. Choose three times in your day
where you know you can make it a regular practise.
NOTE: It is not recommended to do these when you are in the car as we often
sit slumped with our pelvis tucked under which is not the correct position.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 9
HOW TO USE THIS GUIDE
Each level contains -
Make sure you are confident and strong at each level before moving on.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 10
MAKE SURE YOU READ ME FIRST :)
As a Personal Trainer, it is great to be going on this
journey with you all. I am excited to help women “doing more repetitions … may encourage
no matter where they are build better futures for either pelvic floor over-activity and
themselves. Before we start however, it is important trouble releasing properly (which is a more
to read and understand some vital information about
your Pelvic Floor and Core, and those ‘6 pack’ muscles prominent problem that what you might
to ensure the best possible results. think) or muscle fatigue and perhaps
compensating with other muscles.”
***CAUTIONARY NOTES***
Before attempting any of these exercises in the Taryn Watson (FitRight Physio)
program please make sure you have read the
Introduction to the Guide and are completing the
Pelvic Floor Foundation Exercises. If it says to REST and RECOVER then it is IMPORTANT.
Prior to commencing any pelvic floor and core exercise, There are many different exercises and variations that
it is strongly recommended you consult a specialist can be done at each level. For the purposes of this
Women’s Health and Continence Physiotherapist. program – exercises have been selected and grouped
Studies show that 51% of us will not be able to correctly to create a weekly 3 session program. Some of the
perform a pelvic floor contraction and 25% of us may exercises have deliberately been used in more than
possibly be bearing down. If you are unable to, or one session as this can assist with the learning and
choose not to have a consultation before commencing mastery of the positions and movements.
be mindful that if you are not seeing any progress or
not feeling your pelvic floor engage, STOP, and make Remember this is not the program to over do things.
the time to seek professional assistance. For example, if you do other pelvic floor exercises 2-3
times per day, cut back to 1-2 times per day on the
The following exercises can also be beneficial in days you do one of the sessions above.
closing the gap for women suffering from diastasis
recti (abdominal separation). Again, if you are not
noticing your gap closing over the course of a couple
of months, STOP, and see your physiotherapist or
other health care practitioner.
s
Floor Exercises,
let’s d o t h i
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 11
LEVEL ONE
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LEVEL
WEEKONE
PREPARATION
Monday
Neutral Pelvis Position Wednesday
PROGRAM
Friday
MONDAY
- WEEKLY PROGRAM
Pelvic Floor
Knee Openings + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Bridge Glutes
REPEAT 5 - 10 times
Pelvic Floor
4 Point Arm/Leg Lifts + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
WEDNESDAY
Pelvic Floor
Leg Slides + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm/Leg Lifts + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
FRIDAY
Pelvic Floor
Leg Lifts + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm/Leg Lifts + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
STRETCHING
Monday
Stretch and Cool Down Wednesday
Friday
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LEVEL ONE - INSTRUCTIONS
N E U T R A L P E LV I S P O S I T I O N
1. Lie on your back with your knees bent and feet
flat on the floor. Make sure your feet are parallel
and hip width apart.
KNEE OPENINGS
1. Lie on your back in a neutral pelvis position.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 14
LEVEL ONE - INSTRUCTIONS
HEEL SLIDES
1. Lie on your back in a neutral pelvis position.
LEG LIFTS
1. Lie on your back in a neutral pelvis position.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 15
LEVEL ONE - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
BRIDGE
P E LV I C L I F T
REPEAT 5 - 10 times
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LEVEL ONE - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
LY I N G S I D E C L A M
1. Lie on your side on the floor. Rest your head
on your hand. Stack your hips directly on top of
each other and bend your knees. Make sure your
shoulders, hips and feet are aligned and your back
maintains its natural curve.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 17
LEVEL ONE - INSTRUCTIONS
4 POINT SINGLE ARM LIFT
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LEVEL ONE - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 19
HAMSTRING STRETCH
1. Sit on the floor with your left leg extended in front
STRETCHES
of you and your right leg bent with your foot against
your inner thigh.
GLUTE STRETCH
1. Sit up tall with your legs out straight.
2. Bend your right leg and bring your right foot over
your left knee.
ABDOMINAL STRETCH
1. Lie on your front.
REPEAT 3 times
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 20
Yayyy!
!! You d
id it!
CONGRATULATIONS ON COMPLETING
LEVEL ONE OF THE PELVIC FLOOR AND
CORE PROGRAM.
You should be so proud of yourself! You’re on your way to having the strongest
pelvic floor and core that will be “comedy club proof!!” (No wetting your pants
laughing). Just be sure to use this program 3 times per week so you can stay
on track. Prior to commencing Level Two it is important you feel confident with
Level One and move along at your own pace. I suggest continuing with Level One
for a minimum of 4 weeks however some of you may find you will need longer
than 4 weeks depending on whether you’ve had complications to begin with.
Dana
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 21
LEVEL TWO
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 22
LEVEL
WEEKTWO
PREPARATION
Monday
Neutral Pelvis Position Wednesday
PROGRAM
Friday
MONDAY
- WEEKLY PROGRAM
Pelvic Floor
Knee Openings + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Bridge Glutes
REPEAT 5 - 10 times
Pelvic Floor
4 Point Arm and Leg Lift + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
WEDNESDAY
Pelvic Floor
Leg Lifts + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm and Leg Lift + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
FRIDAY
Pelvic Floor
Table Top + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm and Leg Lift + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
STRETCHING
Monday
Stretch and Cool Down Wednesday
Friday
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 23
LEVEL TWO - INSTRUCTIONS
N E U T R A L P E LV I S P O S I T I O N
1. Lie on your back with your knees bent and feet flat
on the floor. Make sure your feet are parallel and hip
width apart.
KNEE OPENINGS
WITH ARM UP AND MOVING BACK
1. Lie on your back in a neutral pelvis position and
raise one arm straight up in line with your shoulder.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 24
LEVEL TWO - INSTRUCTIONS
LEG LIFTS
WITH EXTENSION
1. Lie on your back in a neutral pelvis position.
TA B L E TO P
1+1
1. Lie on your back in a neutral pelvis position.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 25
LEVEL TWO - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
BRIDGE
WITH ARM EXTENSION
REPEAT 5 - 10 times
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 26
LEVEL TWO - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
LY I N G S I D E C L A M
WITH FEET OFF THE FLOOR
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 27
LEVEL TWO - INSTRUCTIONS
4 POINT ARM AND LEG
LIFT
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 28
HAMSTRING STRETCH
1. Sit on the floor with your left leg extended in front
STRETCHES
of you and your right leg bent with your foot against
your inner thigh.
GLUTE STRETCH
1. Sit up tall with your legs out straight.
2. Bend your right leg and bring your right foot over
your left knee.
ABDOMINAL STRETCH
1. Lie on your front.
REPEAT 3 times
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 29
Woo!!!
Awesom
e work g
irl!
CONGRATULATIONS ON COMPLETING
LEVEL TWO OF THE PELVIC FLOOR AND
CORE PROGRAM.
Another level down and you’re stronger than ever! Give yourself a pat on the
back! Just be sure to use this program 3 times per week so you can stay on track.
Prior to commencing Level Three it is important you feel confident with Level
Two and move along at your own pace. I suggest continuing with Level Two for a
minimum of 4 weeks however some of you may find you will need longer than 4
weeks depending on whether you’ve had complications to begin with.
Dana
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 30
LEVEL THREE
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LEVEL
WEEK
PREPARATION
Monday
THREE
Neutral Pelvis Position Wednesday
PROGRAM
Friday
MONDAY
- WEEKLY PROGRAM
Pelvic Floor
Knee Openings + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Bridge Glutes
REPEAT 5 - 10 times
Pelvic Floor
4 Point Arm and Full Leg Lift + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
WEDNESDAY
Pelvic Floor
Bug Legs + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm and Full Leg Lift + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
FRIDAY
Pelvic Floor
Table Top Toe Taps + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm and Leg Lift + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
STRETCHING
Monday
Stretch and Cool Down Wednesday
Friday
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 32
LEVEL THREE - INSTRUCTIONS
N E U T R A L P E LV I S P O S I T I O N
1. Lie on your back with your knees bent and feet flat
on the floor. Make sure your feet are parallel and hip
width apart.
KNEE OPENINGS
WITH ARM UP AND MOVING OUT
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 33
LEVEL THREE - INSTRUCTIONS
B U G L E G S - TA B L E TO P
P R E PA R AT I O N F O R S TA R T I N G P O S I T I O N
4. Exhale then inhale as you lift one arm off the floor
inline with your shoulder and then lit your other arm
to the same position.
BUG LEGS
1. Lie in Table Top position.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 34
LEVEL THREE - INSTRUCTIONS
TA B L E TO P TO E TA P S
P R E PA R AT I O N F O R S TA R T I N G P O S I T I O N
TA B L E TO P TO E TA P S
1. Lie in Table Top position.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 35
LEVEL THREE - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
BRIDGE
WITH LEG LIFTS
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 36
LEVEL THREE - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
LY I N G S I D E C L A M
WITH TOP LEG EXTENSION
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 37
LEVEL THREE - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 38
HAMSTRING STRETCH
1. Sit on the floor with your left leg extended in front
STRETCHES
of you and your right leg bent with your foot against
your inner thigh.
GLUTE STRETCH
1. Sit up tall with your legs out straight.
2. Bend your right leg and bring your right foot over
your left knee.
ABDOMINAL STRETCH
1. Lie on your front.
REPEAT 3 times
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 39
I’m so p
roud of y
ou!!!!
CONGRATULATIONS ON COMPLETING
LEVEL THREE OF THE PELVIC FLOOR AND
CORE PROGRAM.
Reaching Level Three is incredible! It takes a lot of patience and consistency to
get to where you are and you’ve done just that! Enjoy endless hours of giggles
with friends without feeling like you may wet your pants. I’m sure by now you’ve
already noticed a huge difference in many areas but just be sure to use this
program 3 times per week so you can stay on track and be the happiest version
of yourself.
Dana
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 40
PREGNANCY
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PREGNANCY
WEEK PROGRAM
PREPARATION
Monday
Neutral Pelvis Position Wednesday
Friday
MONDAY
- WEEKLY PROGRAM
Pelvic Floor
Supported Knee Openings + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm and Leg Slide + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
WEDNESDAY
Pelvic Floor
Seated Heel Slides + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm and Leg Slide + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
FRIDAY
Pelvic Floor
Seated Leg Lifts + Lower
REPEAT 5 - 10 times alternating legs
Abdominals
Pelvic Floor
4 Point Arm and Leg Slide + Lower
REPEAT 5 - 10 times alternating sides
Abdominals
STRETCHING
Monday
Stretch and Cool Down Wednesday
Friday
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 42
PREGNANCY - INSTRUCTIONS
N E U T R A L P E LV I S P O S I T I O N
S E AT E D
1. Sit against a wall (or other firm surface) with
your buttocks a comfortable distance from the
wall making room for your bump. Have your knees
bent and your feet flat on the floor. Make sure your
feet are parallel and as close to hip width apart as
possible. Place a pillow under your buttocks if you wish
for comfort.
S E AT E D K N E E O P E N I N G S
1. Sit in a neutral pelvis position. For extra stability –
Place your hands on the floor by your side.
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PREGNANCY - INSTRUCTIONS
S E AT E D H E E L S L I D E S
1. Sit in a neutral pelvis position. For extra stability –
Place your hands on the floor by your side.
S E AT E D L E G L I F T S
1. Sit in a neutral pelvis position. For extra stability –
Place your hands on the floor by your side.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 44
PREGNANCY - INSTRUCTIONS
GLUTES – During these exercises there is no need
to engage your pelvic floor muscles.
SUPPORTED BRIDGE
P E LV I C L I F T
REPEAT 5 - 10 times
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 45
PREGNANCY - INSTRUCTIONS
GLUTES – During these exercises there is no need to
engage your pelvic floor muscles.
S E AT E D S I D E C L A M
1. Sit on the floor and prop yourself up on one side
with one arm supporting your upper body. Stack
your hips directly on top of each other and bend your
knees. Make sure your shoulder, hips, and feet are
aligned and your back maintains its natural curve.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 46
PREGNANCY - INSTRUCTIONS
GLUTES – During these exercises there is no need
to engage your pelvic floor muscles.
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 47
HAMSTRING STRETCH
PREGNANCY STRETCHES
1.Kneel on the floor. Place one leg in front and bend
to a 90 degree angle. Keep your front foot flat on the
floor.
ABDOMINAL STRETCH
WITH PROP (BED, LOW TABLE, BENCH)
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Sending
my love
to you an
your bum d
p!
CONGRATULATIONS ON COMPLETING THE
PREGNANCY LEVEL OF THE PELVIC FLOOR
AND CORE PROGRAM.
You should be so proud finding the time to work on yourself when all your
attention is on your beautiful bump. Working on your Pelvic Floor and Core now
will mean you can bounce back to your giggly self postpartum without wetting
your pants. Just be sure to use this program 3 times per week so you can stay
on track. Once you’ve given birth and have the all clear from your health care
practitioner you may begin Level One.
Enjoy your pregnancy and the road to a strong Pelvic Floor and Core.
Dana
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xoxo
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Disclaimer: Always consult with a medical professional before commencing any exercise regime. The exercises shown are not intended to be a substitute for professional advice. 50