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adolescence must be very carefully individualised, and modified
or accentuated according to personal needs in each case.
The action of the pectoralis major on the thorax in general,
interests us less, however, than its effect on the mammary
gland which it supports. The breasts are linked to the
muscles by connective tissue, and as long as the attachment
is not excessively loosened, their position or " set," whether
high or low, depends on the pectoralis major. I am even
inclined to suppose that physical culture attaches the glands
and muscles more closely and over a greater area, even
though this cannot be proved by anatomical demonstration.
The accuracy of the observation of women experts in
physical culture that they " can feel the action of the muscle
quite distinctly right inside the gland " cannot simply be
dismissed as groundless. Moreover, I have heard from the
same quarters that, when these exercises are performed
nude, the interaction of the muscles on the mammary
glands is perfectly perceptible. It is, at least, certain that
breasts firmly and closely attached to the pectorals beneath
them, rise and move with the supporting muscles. Etna
Glasmer and Rud. Amersbach (39) show various admirably
successful photographs in which muscles and breast appear
as though chiselled from one piece of marble.
We must, therefore, aim at increasing the taut and close
connection between glandular and muscular tissues in this
region both by developing the pectoralis major and by
preventing undue strain on the attachment through swollen
and pendulous breasts.
We append descriptions of various exercises to develop
the pectoralis major. In selecting them at the suggestion of
Mrs. Lisa Mar, we have started with the assumption that
the main need here is not control of tension and relaxation,
but increased muscular development and tone. The most
suitable exercises are, therefore, those which involve
resistance, whether exerted by the instructress, or by the
patient, actually or subjectively. The most effective are
those with an element of rebound ; uniting rapidity with the
overcoming of resistance ; these have much greater results
than any breathing movements.