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21 MAN'S ERECT POSTURE J. L. PACE, B.Pharm., M.D., Ph.D. Lond., Departm~nt of Anatomy, Royal University of Malta. This is an abridged version of a Public limbs beoome .the only support of the body. Lecture giv,en under the auspices of the These characteristic stages in the develop~ Royal University of Malta Biological So ment of the upright or orthograde posture ciety in November 1969. culminate in the evolution of plantigrade Man when fore-limbs and hind-limbs ao This leoture is an attempt to desoribe quire human oharacteristics and the typi briefly how, when and where Man oame cal poise of the head is attained. by his ereot attitude. Though the upright posture is one of Man's posture has evolved through 3 the great and most oonspiouous of human stages. In the Hylobatian stage the pro oharaoteristios, several animals, as the nograde monkey differentiated into the squirrel, bear, kangaroo and some of the gibbon, a small anthropoid which is ortho monkeys and apes, oan maintain their grade in its gait, holding the body upright trunk upright; even some of the extinot in the phase of progression, but which dinosaurs are known to have walked up rests and even sleeps in the sitting posi right. In this oonneotion it is interesting tion. In the Troglodyte stage the small that surveys have oonstantly shown that anthropoids differentiated into the great the animals most favourite with ohildren anthropoids (e.g. ohimpanzee, gorilla and are those whose postures are in some orangutan), animals which, being heavier, ways or at some times rather vertical, as have a more marked orthograde posture the ohimpanzee, the monkey, as well as and gait, and which rest only when the the penguin, the most vertical of all birds. body is laid prone. In the final Planti In primitive aquatic animals, the limbs grade stage, characterised by Man, struc are propelling non-supporting organs being tural changes took place which were al mobile but with little stability. With the most entirely confined to the lower limbs. ohange from the aquatic to the terrestrial The evolution of the erect posture habitat, the limbs have to temporarily lift entailed structural as well as physiological and support the body weight during the alterations in all parts and systems of the act of propulsion while at the same time body. Most of these changes occurred in maintaining their propelling function, so the adaptation to arboreal life but some that some more stability is added to their were more recent, resulting from the mobility. In the terrestrial four-footed achievement of Man to walk upright. pronograde animals, all 4 limbs become The basic change in the evolution of permanently supporting though ambula posture was the shift in the body's centre tory organs. Some of these animals, how of gravity. As we move up the evolu ever, move forwards by a hopping type of tionary scale, the centre of gravity tends movement during which the hind limbs to move backwards from the head and take an increasing share of supporting the shoulder to the hind-limb and tail region. body weight; this becomes even more so In leaping animals, the hind-limbs increase with the adoption of arboreal life where in size and the tail en~arges, the centre of the animal advanoes along the branohes gravity coming closer to the organ of pro of a tree by reaching ahead for new holds pulsion (the hind-limbs). Higher up in with its front limbs. Finally the fore evolution, the centre of gravity tends to limbs lose their function of support and, move well back over the hind-limbs, so while the animal is in motion, the hind allowing the sitting position and freeing 22 the fore-limbs for manipulation and, later of the vertebral column as the result of on, enabling Man to stand. changes in the centre of gravity, there are Four-footed animals use their mouth also changes in its type of movement. In as a food-getting organ so that this is four-footed monkeys which leap from the situated as far as possible from the face, hind-limbs, the lumbar spine acts as a especially from the eyes; these animals, flexible lever which moves the upper part therefore have a long snout. With the of the body on a fixed pelvic base, the development of the erect posture and the centre of gravity being the anticlinal ver consequent use of the fore-limbs for grasp tebra, i.e. that vertebra with a straight ing, the animal now seizes the food with spine which separates the retroverted its hand and so conveys it to the mouth, thoracic from the anteverted lumbar with a consequent gradual recession of spines. In the bipedal anthropoid and in the snout region. The snout is, however, Man, this springing in the middle of the still quite large in the Great Anthropoids backbone is absent and the vertebral and its final recession is only reached in column, whose spines are uniformly slop Man. ing, acts as a whole - as a pillar rather With the recession of the snout, the than a spring. Associated with this change cranial becomes larger than the facial part in the type of movement, structural modi fications occur in the spinal muscles, of the skull, the reverse of the situation in the lower primates. The occipital con especially those of the lumbar region; dyles, which articulate with the vertebral these gain an ever-increasing attachment column, move forwards on the base of to the pelvis so rendering this a fixed base the skull so leading to an increasing dimi from which the erector spinae may act. nution in the angle between the axes of In four-footed animals the pelvic out the head and that of the trunk and this let looks backwards and forms the highest ultimately becomes almost a right angle. part of the abdominal cavity, the symphy There is a consequent reduction in the sis is at the lowest part of the pelvis, and strength and attachment of the muscles a tail is still present. With the assump at the back of the neck and the develop tion of the upright posture, the pelvic ment in Man of counterbalancing muscles outlet becomes the lowest part of the on the front, such as the sternomastoid. abdominal cavity, the symphysis moves Ultimately, the characteristic head-poise up in the direction of the umbi'licus, there of Man is attained, the whole skull be is a widening of the subpubis arch, and coming practieaIly balanced on the verteb early coccygealisation and disappearance ral column; this poise not only permits an of the tail. The increase in the pelvic increased range of movement, but also outlet anteriorly, the added weight of the allows the head to be placed to best ad abdominal contents, the increase in the vantage to catch sounds coming from any intra-abdominal pressure bearing on the direction( so that the movements of the pelvic floor, which now lies horizontally, pinna of the ear remain no longer neces and the disappearance of the tail (which sary). normally aots as a perineal shutter) all Simultaneously, changes occur in the lead to a weakening of the pelvic outlet vertebral column. With the evolution of in the bipedal posture. This could pos the orthograde· from the pronograde pos sibly account for conditions like uterine ture there is shortening of the lumbar and rectal prolapse occurring in ortho spine by sacralisation in a headward direc grade but not in pronograde animals. tion, but with the change later on into the Anthropoids appear t y p i call y plantigrade posture of Man, there is re "slouched forward". Struoturally there is lengthening of the lumbar spine by sacra no difference between the anthropoid and lisation in a tailward direction as well as the human shoulder and Man only keeps by an increase at the upper end of the his shoulders braced back because the lumbar vertebral series. Apart from al supporting reflex postural mechanism has terations which occur in the curvatures in him been perfected. The bones of the 23 arm are longer in the brachiators and roots via the heart, thus increasing the thicker in the heavier anthropoids. The aeration of the lung apices. hands in orthograde animals and in Man The shape of the abdominal cavity assume functions which they do not have seems to vary with posture. Four-footed in the pronogrades. Four-footed animals monkeys have elongated loins and, as rely mostly on their teeth for their offence their chest is situated lower than their and defence reactions but Man uses his flanks, the abdominal organs tend to sag hands for these purposes; Man is in fact against the diaphragm. In bipedal forms, said to be the only fisted creature on earth. the loins shorten .and the abdominal cavity Man also utilises his hands for the tasks widens from side to side becoming flat of scratching and cleaning: four-footed tened antero-posteriorly; this affects the animals only scratch with their back-foot, shape of the contained organs so that, for monkeys and apes can use -either front or example, there is partial disappearance of back limbs, whereas Man of c')urse uses the caudate lobe of the liver. In quadru only the fore-limb for this purpose. The peds there is no compression of the abdo human hand also takes on the function of minal organs because these animals are a tactile organ from the whiskers on the enclosed in a cylinder of spinal postural snout associated with lower animals.