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whole register of " degrees " from activity to passivity, as
suits the individual.
I recommend a certain degree of care and moderation in
all leg exercises carried out in the upright posture : avoid
abrupt and vehement jerks from hip or knee. Rapid and
vigorous centrifugal movements of this kind have a bad
effect on the circulation, especially if they are complicated
by the need to preserve balance, as is the case when standing.
So they should only be employed in exceptional cases during
pregnancy, where there are specially favourable individual
conditions, and then only with due caution. As a rule, a
slight and gentle pendulum movement of the leg suffices,
and even this should not be continued if symptoms of
circulatory disturbance are perceptible (such as a heavy
sensation and swollen veins).
More vigour may be put into the leg exercises—at least
the centrifugal, i.e., those in which the direction of movement
is from the centre of the body outwards, if performed lying at
full length, as in the rotation and the " scissors " exercises.
In such cases the force of gravitation does not combine with
the centrifugal impetus to hinder the flow of blood back
from the extremities to the heart, but it counteracts the
latter, so that recumbent exercises entail much less risk of
vascular congestion.
On the other hand, the recumbent posture has the dis-
advantage of taxing the abdominal muscles more or less
heavily. The degree of strain depends on the kind of exercise
chosen and the mastery of delicate and slight gradations of
exertion. Some previous training and proficiency are very
helpful here. And doubtless some exercise, even vigorous
exercise of the muscles of the abdominal wall during
pregnancy is no disadvantage; on the contrary, their
increased tonicity and control is very desirable. But—as
has been already stressed in these pages—the exercise must
alternate effort with relaxation at will and not be entirely
effort; the muscles must be tensed or loosened rhythmically,
and the effort should not be too prolonged and should be
restricted to the most suitable times and seasons.
We must deal more in detail with these times and seasons,