Active Perineal Rehabilitation (APR)

Treatments are made with NON-invasive techniques, based on the Active Perineal Rehabilitation protocol that was developed by physiotherapist Laira Ramos due to her need to offer a more appropriate treatment for women and men with perineal dysfunctions and to care of women during pregnancy and in the postpartum period.

It is the first, and still now the unique, protocol with scientific validation to promote a global pelvic floor muscle rehabilitation, and not to treat any isolated pathologies.

All treatment is done in individual sessions using modern equipment and an intracavitary probe that perform electrostimulation and biofeedback by electromyography, making the results more effective. In it we use kinesiotherapy with biofeedback, electrostimulation and home exercises; women are taught how to use vaginal cones to continue treatment at home.

Perineal rehabilitation is quick, safe and effective, the sooner you look for treatment, the better the results.

Make your appointment, I am here to help you.

Only those who are authorized by me can use the APR protocol.

Reabilitação Perineal Ativa & Série

The Active Perineal Rehabilitation& Series  concept arose from the need to develop a series of programs with other techniques that can also be used in treatments:

Passive Perineal Rehabilitation, where equipment is used to make treatments more effective (stretching, TENS, inhibitory current detrusor, vaginal dilators, pessaries, vacuum pump, etc).

Sexual Perineal Rehabilitation, for specific and detailed care addressing all aspects of sexuality.

Myofascial Perineal Rehabilitation, where manual techniques are used to free the myofascial and visceral tissues.

Hypopressive Perineal Rehabilitation, where hypopressive exercises work the abdominal muscles and protect the muscles of the PERINEUM.

Dermato-functional Perineal Rehabilitation, where techniques are used to treat scars and cutaneous lesions.

Perineal Rehabilitation via Imaging, where ultrasound is used for assessment and treatment.

Obstetric Perineal Rehabilitation, for full care during pregnancy and postpartum.


None Of These Techniques Cause Pain Or Discomfort.


In order to choose the most appropriate and individualized treatment and obtain the quickest and most satisfactory results in the first appointment, all patients undergo a specific assessment of the PERINEUM muscles.

The evaluation is done by vaginal or rectal touch. In some cases, a probe can be used to obtain more objective values.

Only through this evaluation is it possible to know if the patient contracts and relaxes these muscles in the correct way, to check the strength, the reflexes, and if there are pain points or scars in this region.

Postural assessment and specific abdominal assessment may be necessary to check for abdominal diastasis.

Book Your Appointment, Treat Your Perineum Well.