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May 1, 1943

The Metabolic Cost of Maintaining a Standing Position with Special Reference to Body Alignment

JAMA. 1943;122(1):68. doi:10.1001/jama.1943.02840180070036

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This monograph reports clearly a study on the subject mentioned in the title and outlines in detail the methods employed The work was done thoroughly and accurately. The results are presented in full, and conclusions are stated conservatively. A bibliography of eighty-five items is the background for a critical and thoughtful discussion of work related to the problem under investigation. The alinement associated with the minimal metabolic increase is, as might have been expected, a slovenly posture. The authors question whether this is to be advised, because it is maintained primarily by ligamentous action and because it is inefficient "as a starting position and basic underlying pattern for movement." The alinement associated with the maximum metabolic increase was found to be roughly the posture assumed by the military at the command of "attention." Probably, the authors suggest, the ideal is somewhat between these two extremes, a posture which gives the

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