Healthcare and Medicine Reference
Fig. 3.15 When the myofascial continuity comprising the lower part of the SBL tightens, the calcaneus is pushed into the ankle, as an
arrow is pushed by the tautened bowstring (A). Notice how the fascia around the heel acts as a 'bridle' or a 'cup' to embrace and
control the heel bone (B).
precede any work designed to help with an anterior
Please note that the mark of success is a visibly
increased amount of heel when you reassess using the
malleolus as your guide. Repetition may be called for
until the forward lean in the client's posture is resolved
by your other efforts (e.g. freeing the distal ends of the
hamstrings, lifting the rectus femoris of the Superficial
Front Line, etc.).
'Expresses' and 'locals'
Two large muscles attach to the Achilles band: the soleus
from the deep side, and the gastrocnemius from the super-
ficial side. The connection of the SBL is with the superficial
muscle, the gastrocnemius. First, however, we have an
early opportunity to demonstrate another Anatomy Trains
concept, namely 'locals' and 'expresses'.
The importance of differentiating expresses and locals
is that postural position is most often held in the under-
lying locals, not in the more superficial expresses.
Express trains of myofascia cross more than one joint;
locals cross, and therefore act on, only one joint. With
some exceptions in the forearms and lower leg, the
locals are usually deeper in the body - more profound
- than the expresses. (See Ch. 2 for a full definition and
This superficial posterior compartment of the lower
leg is not, however, one of these exceptions: the two
heads of the gastrocnemius cross both ankle and knee
joints, and can act on both (Fig. 3.17). The deeper soleus
Fig. 3.16 The amount of the foot in front of the ankle joint should
be balanced by about 1/3 to 1/4 behind the ankle joint. Without
this support for the back body, the upper body will lean forward to
place the weight in front.
deeply but slowly from the corner of each malleolus
(avoiding the nerves) diagonally to the corner of the
heel bone. The result will be a small but visible change
in the amount of foot behind the malleolar line, and a
very palpable change in support for the back of the body
in the client. Therefore, strategically, this work should