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!