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parts. Similarly, I have been at pains to avoid prescribing
any sort of bodily exertion which might harm undeveloped
genital organs, or those with slight anomalies of structure.
Thus, all sudden leaping and jumping, all wrenching and
violent slinging of the body have been ruled out; and,
indeed, such are wholly unnecessary for our special purpose.
Thus there is no absolute need for preliminary gynaecological
examination before beginning these pelvic exercises; but I
would add that an occasional expert review and testing of
the condition of the interior genitalia is very advisable for
every woman ; and I agree with Westmann(19) that no woman
should take up sports, games and athletics without such
preHminary inspection and passing as " fit."
And gynaecological inspection becomes urgently advisable
in all cases where there is any reason to suppose the existence
of morbid conditions, either genitally or anywhere in the
abdominal cavity.
The presence of inflammations, even in their chronic stage,
is an absolute contraindication to pelvic gymnastics.
As regards Exercise No. 19 (Film 12), which aims at
enabling women to pass at will and with the least possible
difficulty from the attitude known as " Watcher's Suspen-
sion "—with pendent legs—to the extreme pelvic flexion
and vice versa, it may also be said that this advanced
gymnastic exercise is calculated slightly to loosen the joints
of the separate pelvic bones, and thus to give the whole
region a certain dilation. There are great advantages in
this effect, as we shall show; but there is also the risk of
injury if the dilation exceeds a definite limit or is attempted
at an unpropitious stage of growth. Therefore Exercise 19
should not be attempted wholesale or by half-grown girls.
The bony girdle between abdomen and lower limbs, which
we term the pelvis, has three places in its circumference
which—although only permitting a very limited range of
separate movement to its several sections—have, in some
degree, the nature of joints. Their mobility is strictly
limited, both through the structure of the bony surfaces
themselves and the extremely tough and strong ligaments
which connect these bones. These articulations, as they are