Healthcare and Medicine Reference
Fig. 10.13 A fl autist. (From Kingsley and Ganeri 1996. © Phil
Starling www.philstarling.co.uk. Reproduced with kind permission.)
Fig. 10.14 A trumpeter. (From Kingsley and Ganeri 1996. © Phil
entire class of instruments held more or less symmetri-
cally, such as the trumpet, the clarinet, oboe, and the
In these cases, any Spiral, Lateral, and Functional
Line imbalances are less likely to be due to the instru-
ment, but there is one imbalance common to these
players. Since the arms and the instrument must be held
in front of the body, the tissues of the Superficial Back
Line tend to get short, especially the deep muscles of the
spine. Given that the brass or woodwind player is more
dependent than others on the breath, this shortness in
the back forces the player to concentrate the breath in
the front of the lungs and the front of the body. This
trumpet player ably demonstrates the common result -
the SBL is short, but the Superficial Front Line is long,
so that the chest and belly are expended in front.
Despite ill-fitting jeans, this player has fairly good
pelvic position but is still chronically extended in the
lumbars. He could learn to counterbalance the weight
of the trumpet and arms at less cost to his back.
Since approximately 60% of the lungs lie behind the
mid-coronal line of the body, it is often beneficial to
work with pelvic position for these players, to see
whether a different positional support can result in
release of some of the muscles of the back, so that more
breath can reach the back part of the rib cage and the
Sitting, as common as it is in the Western world, is a
fraught and dangerous activity (Fig. 10.15)! Sitting with
the myofascial meridians in balance is a rare event (Fig.
10.16). The principles included here are applicable to
driving, to basic office ergonomics, to authors at the end
of a long season of topic writing, and to anyone who
must sit for significantly long periods.
Sitting more-or-less eliminates the legs from their
support function, leaving the pelvis as the major base of
support for the segmented tentpole of the human spine.
In sitting, then, we can see the pure interplay among the
myofascial meridians in the trunk. From front to back,
we all must find balance among the Superficial Front
Line, the Deep Front Line, and the Superficial Back Line.
With asymmetrical sitting, we can involve the Lateral or
Spiral Lines, and we will touch upon that before we
leave the subject. Our main concern, however (because
it is a ubiquitous postural problem), is with sagittal
balance, flexion-extension balance, and thus with the
three lines arrayed along the sagittal plane - the Super-
ficial Front Line in front of the ribs, the Deep Front line
in front of the spine, and the Superficial Back Line
behind the spine.
The proper balance for the spine in sitting approxi-
mates the proper balance for standing: the spine in easy,