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however, as we began to plan a series of observations
relating to the question of balance, it became evident
that the field was so large that we could hope to cover
for the present only some one small phase of the subject,
and after a survey of the whole field of inquiry opened
by our physiologic research we decided to limit ourselve
for this first paper to a study of the very suggestive question
of why such backache was in our clinical experience
frequently improved or relieved by the use of corsets or
high-heeled shoes.
No one realizes more fully than ourselves how very
small a portion of the whole field we have here covered,
and our present contribution is regarded by us rather as
a report of progress, possibly of therapeutic value, than
as a final settlement of even the management of static
backache. It is our intention to pursue the lines of
Fig. 4.--Posltlon Induced by bad corset in dotted outline; normal
in solid line. In this Instance the shoulders are thrown buck or the
normal a little. but not so much as tlle hips. On this and all following
records, the solId Yl'l't1cal Indicates the original position of
the centre of gravity, the dotted vertical the Induced position.
Fig. 5.-Position induced by bad corset in dotted outline; normal
in solid line. In this instance the shoulders the thrown forward of the normal nod the back of the corset.
Fig, 7.-Position induced by good corset in dotted outline. Normal
In solid line. The apparent flattening of the lumbar curve in
the dotted line Is due tQ the bulging of the soft tissues throu1{h the open space at the back of the corset.
investigation already undertaken further as opportunity
may permit.4
PRELIMINARY COSSIDERATION OF PHYSICS RELATIXG TO
BALANCE
For the proper comprehension of the practical application
of our experimental work to clinical conditions,
it is necessary at this place to introduce certain elementary
points in mechanics which are familiar to every one,
for the preliminary problem under consideration reoIves
itself into an analysis of the mechanism of the standing
position.
These points are the following:
1. The base of support of the upright human figure
consists of a trapezoid formed by the outer borders of
the feet and lines connecting the back of the heels and
the front of the toes.
2. The center of support lies perpendicularly under
the center of gravity and must always lie within this
trapezoid.
3. For the purpose of studying the mechanism1 by
which any weight is borne by a solid body in unstable
equilibrium, the entire weight may be regarded as con-
Fig. 9,-Record of the normal position and that Induced by high-heeled
shoes, the normal In solid line, the induced position in
dotted line.
Fig, l0.-Record of normal position in solid line, corset position
in dotted line and position of shoes and corsets in black line broken
at longer intervals,
Fig, 11.-Record of Patient 4. whose backache was relieved by
corset and Cook bark splint. Original position in solld line; position
of relief in dotted line.
centrated in the center of gravity, and the determination
of the relation between the center of gravty and the
bearing points determines the lines of stress.
Our observations show that in the erect position the
center of gravity of the body lies in front of the ankle-joints,
which are held from dorsal flexion in this position
by the gastrocnomius muscles. The center of gravity
also in front of the knees, which are similarly
held in position by the hamstring and quadriceps extensor
muscles. The center of gravity lies also anterior to
the sacra-iliac joints and most of the vertebral joints.
The position of the acetabula cannot be determined in
the erect position in the living individual because we
have no means of locating them from any available landmark.
If we were able to determine the position of the
acetabula in the antero-posterior plane it would be posible
to state definitely, frol11 the relation of the center
of gravity to them, whether the trunk in the erect position
would tend to fall forward or backward at their
level. But from the impossibility of obtaining definite
Didascalie
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{{Information |Description=CHRONIC BACKACHE--REYNOLDS AND LOVETT |Source=Journal of the American Medical Association Chicago, Ill |Date=1910 |Author=REYNOLDS, Edwards AND LOVETT, Robert W. |Permission=PD |other_versions=Image:ChronicBackache1036.png