Variations in Stature due to Mechanical Causes of Adaptation to Environment
Variations due to Mechanical Causes. Transitory and Permanent Variations. Deformations.—The individual stature is not a fixed quantity at all hours of the day; but it varies by several millimetres under the influence of mechanical causes connected with the habits of daily life. In the morning we are slightly taller than at night (by a fraction of a centimetre): in consequence of remaining on foot a good deal of the time during the day, our stature is gradually lowered. This is contrary to the popular belief that "while we stand up our stature grows."
As a matter of fact, in the erect position the soft tissues that form part of the total stature are under constant pressure; but being elastic, they resume their previous proportions after prolonged rest in a horizontal position.
Consequently at night, especially if we have taken a long walk, or danced, we are shorter than in the morning after a long sleep; the act of stretching the limbs in the morning completes the work of restoring the articular cartilages to their proper limits of elasticity. Nevertheless, according to the mechanical theory accepted by Manouvrier, persons who are habituated from childhood to stand on foot much of the time (labourers) interfere with the free growth of the long bones in the direction of length and at the same time augment the growth in thickness; hence the skeleton is rendered definitely shorter in its segments as well as in its bones (i.e., a shallower pelvis, shorter limbs, etc.). The result is a stocky type with robust muscles: the europlastic type, which is found among labourers. On the contrary, a person who spends much time reclining on sofas among cushions, and taking abundant nutriment, is likely to tend toward the opposite extreme; bones long and slender, the skeleton tall in all its segments, the muscular system delicate; this is the macroplastic or aristocratic type. According to Manouvrier, when a person has a long, slow convalescence after a protracted infectious malady such as typhoid, recumbent much of the time and subjected to a highly nutritive diet, it may happen, especially if he has reached the period of puberty at which a rapid osteogenesis naturally takes place in the cartilages of the long bones, that he will not only become notably taller, but will even acquire the macroplastic type.
The macroplastic type is artistically more beautiful, but the europlastic type is physiologically more useful.
It is not only the erect position that tends to reduce the stature, but the sitting posture as well. In fact, whether the pelvis is supported by the lower limbs or by a chair, the intervertebral disks are in either case compressed by the weight of the bust as a whole. If, for example, children are obliged, during the period of growth, to remain long at a time in a sitting posture, the limbs may freely lengthen, while the bust is impeded in its free growth, and the result may be an artificial tendency toward macroscelia. This is why children are more inclined than adults to throw themselves upon the ground, to lie down, to cut capers, in other words to restore the elasticity of their joints, and overcome the compression of bones and cartilages. Accordingly, such variations of stature recur habitually and are transitory, and since they are associated with the customary attitudes of daily life, they are physiological.
But if special causes should aggravate such physiological conditions, and should recur so often as not to permit the cartilages to return completely to their original condition, in such a case permanent variations of stature might result, and even morphological deviations of the skeleton. For example, a porter who habitually carries heavy weights on his head, may definitely lower his stature; and in the case of a young boy, the interference with the growth of the long bones through compression exerted from above downward, may produce an actual arrest of development of the limbs and spinal column, presenting all the symptoms of rickets. Witness certain consequences of "child-labour" chief among which must be mentioned the deformities of the carusi [victims of child-labour, who from an early age toil up the succession of ladders, bearing heavy burdens of sulphur from the mines below.[18]] in the Sicilian sulphur mines.[19] As a general rule, all cramped positions that are a necessary condition of labour, if they surpass the limits of resistance and elasticity of the human frame, and especially if they operate during periods of life when the skeleton is in process of formation, result in deformities, and when the skeleton is deformed, the internal organs and hence the general functional powers of the whole organism, suffer even greater alteration.
Fig. 25.—Vincenzo Militella of Lereata, a Sicilian caruso.
Fig. 26.—Aged field labourer.
Fig. 27. Fig. 28.
Attitude of woman working in the rice fields as seen from the right and left sides.
Fig. 29.—A gang of eight workers in the rice fields.
Consider the postures that miners must endure, or as Pieraccini phrases it, their "disastrous attitudes."
The transport galleries are ordinarily too low to permit a man of average height to walk erect; along these galleries little transport-wagons are run by hand, excepting where the carrying is done on the backs of the men themselves.
"Even in the front of the advance tunnels and in the galleries that are being worked, miners are to be seen in the most incongruous attitudes. These anomalous positions of the body maintained throughout long hours of toil react upon the functional action of the heart and lungs, upon the stomach and intestines in the proper performance of their tasks, and result in producing hernia, varicose veins and eventually deformities of the skeleton (vertebral column, thorax)."[20]
Field labourers also (Fig. 26) become permanently deformed, with diminution of stature, from remaining too long bent over in the act of hoeing or reaping. But a still more painful labour is that of the women in the rice fields during the period when the weeding is done.
The position necessitated by this work requires a strained and prolonged dorsal flexion of the vertebral column, accompanied by a strain on the lower dorsal nerves; great elasticity is required to endure a position so painful and so apt to induce lumbago; only young women can endure it, and even they become deformed, and suffer seriously from anemia, intestinal maladies and diseases of the uterus, which predispose them to abortion or sterility (Figs. 27, 28, 29).
Stone breakers also contract painful diseases and deformities from their work. They are constantly bowed over their task, performing a rhythmic, alternating movement of flexion, extension and torsion of the trunk upon itself, while at the same time there is a slight undulation in a backward and forward direction, accompanying the rising and falling of the arm holding the hammer. These movements of extension and flexion of the trunk involve the whole vertebral column, while the pelvis remains practically motionless. "At the end of the day they rise from their task bowed over and they walk home bowed over, holding the vertebral
column rigid; any attempt to force the trunk into an erect
position is extremely painful. In the morning they return to their work with their loins still aching." And among these stone breakers there are young men, some of them mere boys! And when we think that these injurious attitudes are coupled with malnutrition, we must realise the extent of the organic disaster that accompanies diminution of stature as a result of adaptation to labour.
We are naturally horrified at such conditions enforced upon a certain portion of humanity; and we pray for a time to come when machinery will have universally replaced human labour, in transportation, in stone-breaking, and in reaping, and when children will be spared from hard and deforming toil.
But how is it that while we are so sympathetic regarding conditions at a distance from us, we remain unconscious of similar conditions, that are close beside us, and of which we are the directors, the cruel enforcers, the masters?
In the near future, I hope that people will tell with amazement, as if citing a condition of inferior civilisation, how the school children, up to the opening of the twentieth century represented one category of those "deformed by prolonged and enforced labour in injurious positions!"
Such studies in school hygiene as deal with the type of school benches, designed to minimise the danger of deformities of the vertebral column in children—will, I hope, be regarded by the coming generations with the most utter amazement! And the school benches of to-day will find their place in museums, and people will go to look at them as if they were relics of bygone barbarism, just as we now visit the collections from old-time insane asylums, of series of complicated instruments of wood and iron that in bygone centuries were considered necessary for maintaining discipline among the insane.
What in the world would we say, if somebody should propose, in order to obviate the deformities and physiological injuries of labourers, that certain mechanisms should be applied to them individually for the purpose of diminishing the harm? Imagine a law being proposed, to the effect that all miners should be obliged to wear trusses, to keep their viscera from breaking loose, as a result of prolonged compression! What would we think of such reforms and such a path toward an orthopedic state of society?
Our way toward progress and higher civilisation is a very different one. To remove man from torturing toil that twists the bones and undermines the health—such is the goal that it is our duty to set before us!
For the deformed vertebral column is the extreme sign of a great accumulation of evils; the internal organs are correspondingly affected with disorders fatal to the entire organism; but even greater is the corresponding harm done to the human soul! What we want is not only that the bones shall not be thrown out of their eurhythmic harmony, but that the souls of the labourers shall be freed from the inhuman yoke of slavery (progress can consist solely in a radical alteration of the form of labour).
So far as concerns the school, which is not limited to a few categories of human beings, but is extended to all, by requirements of law, is it not possible for us to adopt a different attitude of mind?
The established fact that the pupils may even deform their skeletons in the course of their work, goes to prove that this work contains some error in principle that is fatal to successive generations; and so long as this principle is maintained, we may assert a priori that even if, with the help of school benches as complicated and as costly as orthopedic machines, we should succeed in checking the deformation of the vertebral column, we should fail to check the deformation of the soul. Because whoever is condemned to labour that deforms is a slave.
And as a matter of fact we employ coercive means, "rewards and punishments," to enforce upon children a condition that in their eyes amounts to serving their first sentence.
It is not the school bench, but the method that needs reforming; it is not the ligaments of the spinal column, but human life in evolution that we ought to respect, and lead toward the attainment of perfection! Amid the many banners of liberty that have been raised in these latter times, one is still missing—one which we ought to seize upon as the standard of our cause: the liberty of the new generation, which is groaning in the slavery of compulsory education, upon iron-bound benches, emblematic of chains!
I foresee, in a radical reform of pedagogic methods, the practical possibility of taking as guiding principles the individual liberty of the pupil and a reverential regard for life. And I affirm this all the more loudly, because I have applied such a method with indisputable success in the "Children's Houses," obtaining prodigious results in the health and happiness of the children, perfect discipline in the classes, marvelously rapid progress in studies, and a surprising awakening of souls, a passionate love for the work.