Humans are extraordinarily adaptable. We can survive in Artic cold and desert heat, we can live on grains or mollusks and we can continue to function with damage to muscles, joints, and ligaments, and we can find ways of successfully moving without optimal use. There are top athletes with very poor posture as there are top musicians who use themselves quite poorly.
Carl Stough was a voice teacher who was able to greatly help patients with emphysema to leave intensive care and to function independently. He did this by teaching them to get the most out of their breathing musculature without actually using that musculature in a natural, efficient way, supported by good posture. Like the hunchback violinist, they learned to make the most of what they had.
As I’ve written, healthy respiration begins with spinal extension, indeed, with extension of the entire trunk, such that, not only is the aponeurosis (central tendon) of the diaphragm drawn up from above on inspiration it is in fact pushed up from below by the action of abdominal muscles pressing the internal organs inward and upward against the diaphragm. In healthy breathing, the descent of the diaphragm is limited by being lifted from above as well as being maintained from below. Someone suffering from emphysema is likely to be retracted in his neck, so his diaphragm will press down on inhalation, often moving so low that its return may be impeded by the ribs pulled up in inhalation. Straining to exhale, he struggles to free his ribs to allow its return to a higher condition. Stough worked to train these patients to free their ribs and to allow their abdominals to lift, therefore permitting the diaphragm greater range of movement and allowing for greater respiratory volume, in spite of very poor overall breathing mechanics. Alexander stated that it is wrong to attempt to consciously control any aspect of respiration – much better to learn to direct the body to lengthen and widen, knowing that reflex breathing will follow this improved posture. Teaching his students to press the diaphragm up to its highest position on exhale helped people whose diaphragms did not have this high condition at rest, maintained by the action of spinal muscles that occurs naturally when retraction of the body is inhibited. Active lengthening in exhalation gets the diaphragm back up. But allowing length in inhalation would keep it up and let it do its work with more ease.
I took a workshop with Carl in the 1980s and years later, at the suggestion of one of my vocalist students, had lessons with one of his most senior teachers to find out more. I was not able to get much out of them, because I wasn’t moving my diaphragm up and down. But I found the vocal work of some use.