I was working out with a personal trainer once. She was having the workout group do squats standing over a bench step. I had just recently finished doing three 50 mile rides in about a 6 week period of time. So I started doing the squats. After awhile I asked the trainer how many she wanted me to do. She said as many as I could. I pointed out to her that I had just done 150 miles worth in the past 6 weeks. She told me I could stop any time. :-))
Which was, I believe, the original way of delivering in pre-history and more recent times until the advent of modern medical intervention. I am chuckling, because horseback riding does wonders for the leg muscles and the ability to squat or rise to a stand from a sitting or squatting position. We riders have an advantage there......