Healthcare and Medicine Reference
G. Pelvic position
The attention given to pelvic tilt and shift in our system
yields four basic types based on pelvic position:
• Anterior tilt, anterior shift - this pattern produces a
familiar swayback pattern;
• Anterior tilt, posterior shift - favored by toddlers
just learning to stand;
• Posterior tilt, anterior shift - favored by suppressed
• Posterior tilt, posterior shift - favored by plumbers
and woodsmen (this position produces the 'vertical
smile' at the top of the back of the jeans).
Soft-tissue strategies peculiar to each of these pelvic
positional types can be found elsewhere. 2 2 In our experi-
ence, it is necessary to make liberal allowances for indi-
vidual patterns in any of these typologies.
by the lateral arch, the more the Deep Front Line needs
to be lengthened and lowered toward the medial arch.
The more weight taken by the medial arch, the more the
Lateral Line needs to be released and lowered, while the
Deep Front Line and the anterior-inferior part of the
Spiral Line need to be energized, toned, and lifted.
The front or back view will also show whether one
leg is carrying significantly more weight than the other.
(We all have some discrepancy in carrying weight, and
we all have a relaxed 'waiting for the bus' posture where
we transfer most of the weight to one leg.) The only way
to measure this accurately, however, is to have the client
step onto two scales, with one foot on each scale, and
without looking at the readouts, attempt to stand evenly
on both feet. The total of the two scale readouts, of
course, will equal the total weight of the person, but the
two scales will not necessarily be supporting equal
weight. This test will often show that the client's report-
ing of 'balanced' is actually significantly more weighted
on one foot or another. If you adjust the client so that
the scales are reporting equal burdens, the client will
insist that they are heavily weighted onto the leg that
was taking less weight in the initial assessment. This is
yet another example of how the client's reports are not
always reliable and need to be leavened with the prac-
titioner's acute observation.
H. Weight distribution in the feet
It is useful to assess where the weight comes down
through the feet. By dropping a real or imaginary plumb
line through the ankles in a side view, one can see if the
weight is predominantly on the toes or heels, essentially
a check on the balance between the Superficial Front and
Back Line (Fig. 11.17).
A front view can be used to assess how much of the
weight is being taken by the inner arch, and how much
by the lateral arch. Wear on shoes can also be indicative
in this regard. Generally, the more weight being taken
I. Balancing halves
Although the following images need to be taken with
some salt, since the realities are quite complex, these
simplifications, however subjective, are still quite useful.
A quick look at standing posture at the beginning can
divide the body into three sets of 'halves': Which set has
the largest discrepancies between one and the other?
The answer is a good one to keep in mind as therapy
proceeds in terms of treatment emphasis.
• A mid-sagittal line divides the body into right and
left. Significant right and left differences often point
to internal conflicts between the animus and anima
(masculine and feminine tendencies). It is not as
simple as right = male and left = female. But those
with significant, complex, and intractable
differences between the two sides, often involving
the eyes and head shape as well as structural
differences in the torso and legs, will reveal a
significant battle, expressed in uniquely individual
ways in work, relationships, artistic endeavor or
sexuality, between the inner masculine and
feminine aspects (Fig. 11.18).
• A mid-coronal line divides the body, front from
back. Of course these two 'halves' are not
symmetrical to begin with, but we can still observe
the balance between the two. Strong imbalances in
this dimension are often expressed as differences in
how the person presents in public versus how they
act or feel in private (Fig. 11.19).
• A line through the waist divides top from bottom
(the exact line can vary individually from an
'empire' waist to just above the iliac crests). Obesity
or muscle development can sometimes obscure the
Fig. 11.17 Even if we put the vertical line just in front of the ankle,
notice how much of the body rests into the front of the foot in
these common postures.