Type of ExerciseCharacteristicsSequencesTime
Respiratory exercises(1) Deep breathing;
(2) chest expansion;
(3) thoracic breathless;
(4) expiratory breathless;
(5) abdominal control and diaphragmatic breathing exercises
(6) exercises for scapular girdle muscle (shoulder elevation in combination with breathless
2 series of 10 repetitions each10 min
Exercises to mobilize the vertebrae and limbs(1) Cervical side: lateral flexion and rotation (left and right), flexion-extension;
(2) thoraco-lumbar side: lateral-flexion, flexion-extension, rotation;
(3) shoulder and upper limb side: ab/adduction, flexion, elevation, and circumduction;
(4) coxofemoral, knee and ankle side: ab/adduction, rotation and flexo-extension
2 series of 10 repetitions each per mobilization.
Exercises were performed lying and/or seated and/or standing and/or on all fours or walking pain-free.
Spinal exercises were combined with respiratory exercises (i.e., deep breathing or expiratory breathless)
15 min
Balancing and proprioceptive exercisesStanding and walking2 series of 10 repetitions each10 min
Postural exercises and spinal and limb muscle stretching and strengthening(1) Stretching exercises for the posterior (thoraco-lumbar and all erector spine group, etc.) and anterior (superior and inferior abdominal etc.) muscle chain of the spine;
(2) stretching exercises for the anterior (psoas, hamstring etc.) and posterior pelvic girdle muscle chain;
(3) stretching of anterior and posterior muscles of lower limbs
2 repetitions of an average of about 30/40 seconds each for stretching.
All exercises could be performed both lying and seated or on all fours or in a standing position with active and passive mobility, pain-free
15 min
Endurance trainingEndurance exercises for a progressive duration on the basis of the patient’s functional capacityWalking or treadmill or cycling (low speed, without resistance)10 min