Fig. 27.—The natural and artificial positions of the foot (Camper).

“The narrow high-heeled shoe, on the other hand, by displacing the supporting base, causes both piers of the double-spanned arch to strike at the ground simultaneously. In consequence of which the gait, instead of being undulating, is stiff and hobbling, and the body advances by jerks.

“When standing on the heel bone (NLM, Fig. [27], 1), the joint at K, and the great toe C, touch the support upon the line A-B. When the feet are shod according to the present fashion, the line A-B is made to assume the concave form shown in Fig. [27], 3, by BTu. The instep is made more convex and rounded, and the foot is actually shortened (see a-b, Fig. [27], 3). The constant elevation of the heel places the body of the pedestrian in the same position as when standing upon an inclined plane. Again, the heel is so shaped and located that it forces up the keystone of the arch and weakens the whole structure.”

The Correct Attitude in Standing (See Fig. [28]).—The heels are placed nearly together, the toes pointed very slightly outward, the legs are rigid, the trunk and head are held erect, and the shoulders somewhat back, so that the chest shall expand freely. The arms should hang easily at the sides; the fingers are slightly bent, with the thumbs in front. This position of “attention” can only be maintained comfortably for a very short length of time, since the actively contracting muscles soon tire.

If the standing position has to be maintained for any great length of time, one foot should be placed slightly in advance of the other, the weight being borne upon the straight leg and the active supporting foot, the other being relatively passive. This asymmetric position has the important advantage that the two extremities may be brought alternately into play.

The most common defect in standing is that the entire weight is usually borne upon the same leg, generally the right one, while the left, being inactive, is placed out to one side; the habitual maintenance of this position leads, as we shall see later, to a tilting of the pelvis to one side, with a consequent spinal curvature and lowering of one shoulder.

Persons with strong feet, especially primitive unshod feet, mountaineers, runners, and young children, walk with the inner borders of the feet nearly parallel to each other and the direction of motion. The best sculpture, both ancient and modern, shows the straight supporting foot, which in standing is not necessarily parallel with its mate, since the resting foot may assume almost any angle of divergence.

The influence of the stability of a correct base is well illustrated by standing on one foot and swinging the other leg backward and forward, which is much more difficult if the supporting foot be turned to one side. A runner finds it very difficult to run with the toes turned out, although the heels never touch the ground.

Corrective Exercises.—Many of the most common defects, such as a drooping head, round shoulders, flat chest, beginning spinal curvature, etc., result from a weak and relaxed condition of the muscles, whose function it is to move and support these parts. If the head is constantly bent forward in studying and writing at the desk, the muscles at the back of the neck gradually lose their tone, and stretch out like a piece of elastic that is constantly kept on the strain.