The human foot and the human hand

by George Murray Humphry

I wish I could hope that the days of high-lows are numbered, and could believe that in the next generation they will be ranged with the things of the past, and that our children may know these enemies to the form of the rustic foot, only as objects to be gazed upon with feelings of astonishment and pity, just as we regard the perukes and the stays of our ancestors. There are, however, some practical difficulties in the way of the fulfilment of this charitable wish.

There are two periods of life at which Flat-foot is most likely to be engendered. First, in infancy, if the child be put upon its feet too early, before the bones and ligaments are strong enough to bear the weight of the body. Therefore mothers should not indulge their anxiety to see their infants walk very early; the pride attendant on premature success is liable to be followed by regret at finding that the children never walk well. Parents and nurses should be content to let the children crawl and roll about upon the floor, and should not encourage them to stand upright, especially if they be rather heavy or weak children. Children are quite sure to acquire the faculty of walking as soon as they are well fit to exercise it.

The second period is at about fourteen. The body attains a considerable increase of weight at this time, in consequence of the quick growth that takes place. We often remark that lads and girls of this age shoot up apace; and their greater weight is not always attended with a proportionate acquisition of strength. They are apt to be rather weak and ungainly in their movements; and the weakness often shows itself in the foot, by a yielding of the plantar arch. Moreover, many boys and girls are, at this age, turned out into the world to earn a livelihood, and are obliged to be a good deal upon their feet, and perhaps, in addition, have to carry weights. Thus errand-boys, butchers’ and bakers’ boys, and young nursery-maids, are frequent sufferers in this way. The constrained positions in dancing, also, if enforced too much, or continued too long, so as to tire the feet, sometimes lead to the same result. On the other hand, moderate exercise of this kind is calculated to strengthen the foot and also the whole frame, and contributes much to improve the carriage.

This is not the place to enter into particulars of treatment. I will, therefore, merely remark that the common notion of supporting and strengthening the ankles by tight-laced boots is altogether a mistake, and must be ranked among the most influential of the causes which combine to spoil so many feet. It has its parallel in the idea of strengthening the waist by stays. The notion is, in both instances, fortified by the fact that those persons who have been accustomed to the pressure, either upon the ankle or the waist, feel a want of it when it is removed, and are uncomfortable without it. They forget, or are unconscious, that the feeling of the want has been engendered by the appliance, and that had they never resorted to the latter they would never have experienced the former; just as dram-drinking induces a recurrence to the stimulus by causing a sense of sinking when it is discontinued; and, for the same reason, the opium-eater can hardly exist without his drug.

The Movements of the Foot.

We come now to the Movements of the foot upon the leg; and rarely do we contemplate anything more calculated to excite our admiration. Consider their variety, the rapidity with which they take place, in order to effect the requisite succession of positions in walking and running, and to adapt the sole to the inequalities of the surface on which we tread; and remember the great weight which has to be sustained while these movements are going on: yet, how seldom is there a failure.

This combination of variety of movement with security is effected by the employment of three joints, each of which plays in a direction different from the others, while all act harmoniously together.

One of the three joints—strictly called the “ankle-joint”—is between the leg-bones and the foot-bones, that is, between the tibia and fibula, above, and the astragalus beneath. By means of it the foot may be bent or straightened upon the leg; in other words, the toes may be raised or depressed. In this movement the heel participates, being depressed when the toes are raised, and vice versâ. A second joint is between the astragalus and the heel-bone. It permits the foot to be rolled inwards or outwards upon an antero-posterior axis; so that the sole may be turned inwards, with its inner edge upwards, or may be turned down so as to be placed flat upon the ground. A third joint is between the first and second row of tarsal bones—that is, between the astragalus and the heel bone, behind, and the scaphoid and cuboid bones in front. It permits the degree of flexure of the tarsal or plantar arch to be increased or diminished.

Had the several movements which are requisite for easy walking all taken place in one joint, that joint must necessarily have been very insecure; indeed, it must have been a “ball-and-socket” joint, and we should have been poised upon our feet in the state of what is called “unstable equilibrium”—a state quite incompatible with security or strength, and which would have rendered the assistance of the upper limbs essential to either standing or walking.

An instance of a similar kind of mechanism to this of the joints between the foot and the leg is presented by the mode in which the head is secured upon the back-bone. We can nod the head upwards and downwards; we can turn it to either side in so free a manner that we are able to command with our eyes the whole circle in which we sit simply by the movements of the head; and we can incline the head to the right or to the left. Any of these movements may be made very quickly; and there is a separate joint or joints for each of them. Thus, the nodding movement takes place between the head and the first vertebra or uppermost bone of the spine; the turning of the head from side to side takes place between the first and second vertebræ, the head with the first vertebra rotating upon a pivot projected upwards from the second vertebra; and the inclination of the head from side to side takes place by movements of the second vertebra upon the third, of the third upon the fourth, and so on. The result is that, although the movements are thus varied, they are free as well as rapid. Yet the head is so well poised and so strongly fixed that the neck is able to bear it all day long without fatigue; and, as though the weight of the head, which is by no means inconsiderable, were not enough for the neck, we are in the habit of selecting this as the part upon which to carry burdens. One never feels so strongly impressed with the carrying capabilities of the neck and the ankle, as when following men and women in mountain districts toiling up and down the hills under great bundles of hay, baskets full of bitter beer, and various things intended to minister to the comfort and luxury of travellers and the inhabitants at the top. So effectual, indeed, are the provisions for security that, notwithstanding the freedom and variety of their movements, the joints of the foot with the leg, and of the head with the spine, are, in proportion to their size, the strongest in the body.