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Neurologa. 2015;30(4):240246

NEUROLOGA
www.elsevier.es/neurologia

REVIEW ARTICLE

Balzac and human gait analysis

S. Collado-Vzquez a, , J.M. Carrillo b

a
Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitacin y Medicina Fsica, Facultad de Ciencias de la Salud,
Universidad Rey Juan Carlos, Madrid, Spain
b
Departamento de Personalidad, Evaluacin y Tratamiento Psicolgico I, Facultad de Psicologa, Universidad Complutense,
Madrid, Spain

Received 14 September 2011; accepted 10 March 2012

Available online 25 March 2015

KEYWORDS Abstract
Gait analysis; Introduction: People have been interested in movement analysis in general, and gait analysis
Balzac; in particular, since ancient times. Aristotle, Hippocrates, Galen, Leonardo da Vinci and Honor
History; de Balzac all used observation to analyse the gait of human beings. The purpose of this study
Medical humanities; is to compare Honor de Balzacs writings with a scientific analysis of human gait.
Literature; Sources: Honor de Balzacs Theory of walking and other works by that author referring to
Gait; gait.
Movement; Development: Honor de Balzac had an interest in gait analysis, as demonstrated by his
Observation descriptions of characters which often include references to their way of walking. He also
wrote a treatise entitled Theory of walking (Thorie de la demarche) in which he employed
his keen observation skills to define gait using a literary style. He stated that the walking pro-
cess is divided into phases and listed the factors that influence gait, such as personality, mood,
height, weight, profession and social class, and also provided a description of the correct way
of walking.
Conclusions: Balzac considered gait analysis to be very important and this is reflected in both
his character descriptions and Theory of walking, his analytical observation of gait. In our own
technology-dominated times, this serves as a reminder of the importance of observation.
2011 Sociedad Espa nola de Neurologa. Published by Elsevier Espaa, S.L.U. All rights
reserved.

Please cite this article as: Collado-Vzquez S, Carrillo J. Balzac y el anlisis de la marcha humana. Neurologa. 2015;30:240246.
Corresponding author.
E-mail address: [email protected] (S. Collado-Vzquez).

2173-5808/$ see front matter 2011 Sociedad Espa

nola de Neurologa. Published by Elsevier Espaa, S.L.U. All rights reserved.
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Balzac and human gait analysis 241

PALABRAS CLAVE Balzac y el anlisis de la marcha humana

Anlisis de la marcha;
Balzac; Resumen
Historia; Introduccin: Desde tiempos remotos, el hombre se ha interesado por el anlisis del
Humanidades movimiento y especialmente por el estudio de la marcha. Aristteles, Hipcrates, Galeno,
mdicas; Leonardo Da Vinci u Honor de Balzac analizaron, mediante la observacin, la forma de andar
Literatura; del ser humano. El objetivo de este trabajo es mostrar la relacin de Honor de Balzac con el
Marcha; anlisis cientfico de la marcha humana.
Movimiento; Fuentes: Teora del andar de Honor de Balzac y otras obras de este autor que hacen referencia
Observacin al modo de andar.
Desarrollo: Honor de Balzac se sinti atrado por el anlisis de la marcha, aspecto que se
demuestra en las descripciones de sus personajes que incluyen, con frecuencia, referencias a
la forma de caminar. Adems, escribi un tratado sobre la marcha titulado Teora del andar, en
el que con un estilo literario y con gran capacidad de observacin defini la marcha, mencion
que se divide en fases, indic cules son los factores que la modifican como la personalidad, el
estado de nimo, la estatura, el peso, la profesin o la clase social, y describi cul es la forma
correcta de andar.
Conclusiones: Balzac considera muy importante el anlisis de la marcha y esto se manifiesta
tanto en sus descripciones de personajes como en su Teora del andar, en la que realiza una
observacin analtica de la manera de caminar. En una poca dominada por la tecnologa como
la nuestra nos recuerda la importancia de la observacin.
2011 Sociedad Espa nola de Neurologa. Publicado por Elsevier Espaa, S.L.U. Todos los dere-
chos reservados.

Introduction

Bipedal gait is a typical form of locomotion in humans,

and one of the distinguishing features of our species.
Numerous neurological disorders, including hemiplegia or
hemiparesis, cerebral palsy, Parkinsons disease, and mul-
tiple sclerosis, give rise to alterations in gait. Alterations,
which include impaired balance or coordination, changes
in muscle tone, and paralysis, are common reasons for
consultation. Gait analysis may be either instrumental
or observation-based and complemented by the Tinetti
Assessment Tool, Get-up-and-go test, etc.13 At present,
movement analysis laboratories are equipped with sophis-
ticated instruments and systems, including dynamometric
platforms, instrumented insoles, infrared cameras, and
electromyography and posturography techniques, all of
which measure gait parameters. In this technologically
advanced setting, it may come as a surprise that there
could be a link between gait analysis and Balzac (Fig. 1), Figure 1 Honor de Balzac
a French novelist active in the first half of the 19th cen-
tury. And yet, several published medical articles have
already mentioned Balzacs fascination with the study of Gait in Balzacs character descriptions
human gait.410 Balzac felt it was important to describe
the walk of the characters in his novels, and he also wrote Balzacs novels contain detailed descriptions of their char-
a treatise on gait titled Theory of Walking11 in which acters, and the author often made ironic mention of their
he employed a literary style, his usual dose of sarcasm, ways of walking.
and in many cases, a measure of social criticism. This In The Vicar of Tours, to name an example, he offers
erudite personal style, however, does not detract from a sarcastic description of the walk of an old maid: . . .her
the fact that Balzacs pronouncements on gait were quite movements were not equally distributed over her whole per-
accurate. son, as they are in other women, producing those graceful
The purpose of this study is to highlight Honor de undulations which are so attractive. She moved, so to speak,
Balzacs interest in human gait, which can be observed in in a single block, seeming to advance at each step like the
the descriptions of many of his characters as well as in his statue of the Commendatore.12 This description invokes
Theory of Walking. physical factors, such as stature or rigidity in movement,
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242 S. Collado-Vzquez, J.M. Carrillo

as well as social factors such as single status; according to

Balzac, this lends a wooden quality to a persons movements.
Another novel that might be analysed is The Duchesse
de Langeais, in which Balzac draws parallels between ones
personality and ones way of walking and moving: There
was something of the despot about him, and an indescribable
suggestion of the security of strength in his gait, bearing,
and slightest movements.13 Balzac linked movement not
only to personality, but to his characters social class and
occupation. The Unknown Masterpiece provides an example:
From the quaint costume of this newcomer, his collar of
magnificent lace, and a certain serene gravity in his bearing,
the first arrival thought that this personage must be either
a patron or a friend of the court painter.14
In Eugenie Grandet, Balzac describes Monsieur Grandet
as a man whose self-confidence was manifest in his man-
ner, address, and walk. In many such descriptions, as well
as in his Theory of Walking, Balzac states that an individuals
personality can be revealed by his gait. Attitude, man- Figure 2 Giovanni Alfonso Borelli
ners, bearing, everything about him, in short, testified to
that belief in himself which the habit of succeeding in all
movement analysis and normal and pathological gait.11,1719
enterprises never fails to give to a man.15
While Balzac mentioned Borellis biomechanical studies
Other books, including La Grande Breteche, The Atheists
summarised in his masterpiece De motu animalium, he
Mass, The Physiology of Marriage, and A Daughter of Eve,
still found these contributions to be insufficient. Balzac
also feature character descriptions that mention gait.
could not understand why such a key feature would have
In a series of articles titled La cuestin palpitante, Gali-
been addressed so superficially, with only fleeting mentions
cian author Emilia Pardo Bazn stated that what remains
by scientists, researchers, scholars, and philosophers. He
graven on the mind, after reading Balzac, is not the theme of
therefore decided to conduct his own studies of gait,
the novel, or even its dramatic conclusion. It is the authors
proclaiming, so it seems this science is mine! Balzac
tremendous gift for describing the figure, the walk, the
was conscious of having found a precious patch of unex-
voice, and manner of a character so that we can see and
plored terrain, and he threw himself wholeheartedly into
recall him as well as the living persons we know.16 With
describing this new field that so intrigued him.11
this pronouncement, she emphasised the importance which
In addition to including gait as a feature of his char-
this French author lent to his character descriptions and to
acter descriptions, Honor de Balzac decided to write an
gait as one of a persons fundamental features. It is signifi-
essay on gait analysis, Theory of Walking. Here, he defines
cant that a reader would mention having a clearer memory
the concept of gait and the factors affecting it, and then
of the authors descriptive passages than of the plot, and
explains the procedure he followed to carry out the analy-
more so when she specifically cites descriptions of gait.
sis. After having observed numerous people walking down a
This indicates that Balzacs works do indeed contain many
Parisian boulevard, the author proposed a series of post-
descriptions of walking.
ulates as the framework for explaining human gait from
a scientific, scholarly, and even sarcastic point of view
(Table 1).11
Theory of Walking Theory of Walking, Treatise on Modern Stimulants, and
Treatise of Fashionable Life (with its sections on dress and
on gastronomy) have been published in Spanish as a collec-
Theory of Walking, by Honor de Balzac, is probably the
tion titled Dime cmo andas, te drogas, vistes y comes. . . y
first treatise written on gait. In fact, its opening lines
te dir quin eres. These essays were intended to make up a
express the authors surprise that something as important
larger volume titled The Pathology of Social Life, but Balzac
as gait a mans way of walking had not been examined
never finished that project. However, he did publish several
by previous studies. Volumes had been written about
of these texts in magazines between 1830 and 1833. These
dancing and mimicry and biomechanics, and there had
essays testify to his keen observations and detailed descrip-
been a few references to walking patterns in literary works
tions of traits including way of walking; the consumption
and medical references, but Balzac felt that no one had
of stimulants such as liquor, tobacco, or coffee; and ways
studied this important topic as thoroughly as it deserved.
of dressing and eating. Balzac was a masterful reporter of
He listed a few authors who had mentioned gait, such as
his times. Theory of Walking was first published in lEurope
Virgil, who wrote, by her step, the goddess is revealed;
Littraire in the August-September issue of 1833.11
or Demosthenes, who reprimanded Nicobulus for walking
like a devil. In fact, references to walking patterns and
abnormalities were already to be found in the Edwin Concept of gait
Smith papyrus (written some 4000 years ago). Similarly,
Aristotle, Hippocrates, Galen, Leonardo da Vinci, Galileo, Balzac defines gait as the physiognomy of the body.11 This
Newton, and Borelli (Fig. 2) all showed a keen interest in expressive concept of gait indicates that a persons way of
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Balzac and human gait analysis 243

of whom had only their powers of observation to aid them

Table 1 Balzacs aphorisms from his Theory of Walking11
in describing human or animal movement.2,17 In Theory of
Aphorism Description Walking, Balzac does mention Borelli and others who had
studied movement in the past. However, he was adamant
Aphorism 1 Gait is the physiognomy of the body.
that no one before his time had taken the trouble to com-
Aphorism 2 Gaze, voice, respiration, and walk
plete a serious and scientific study of walking, an action
are identical reflections of ones
that is at once so frequent and so important to human life.
thoughts. Since a man cannot control
Nobody not one physiologist or doctor lacking patients,
all of these different and
not one idle scholar or raving lunatic or statistician tired of
simultaneous signs at once, seek out
counting grains of wheat not a single person has ever tried
the one telling the truth, and it will
to apply the laws of movement to the human body.11
reveal his full self.
Balzac praises use of ones powers of observation,
Aphorism 3 Rest is the silence of the body.
expressing that an observer is a man of genius and that
Aphorism 4 Slow movement is essentially
all great inventions are the result of analytical observa-
majestic.
tion. According to this author, great observers include Gall,
Aphorism 5 All brusque movements betray a vice
Lavater, Mesmer, Cuvier, and Newton. Balzac adds that these
or poor manners.
scholars proceed from the effect to the cause, whereas
Aphorism 6 Grace requires rounded shapes.
other people cannot see either one. He himself used ana-
Aphorism 7 Every part of the body participates in
lytical observation as the method for studying gait. From a
movement without any part being
seat on Boulevard de Gand in Paris, he was able to con-
predominant.
template passers-by, not merely to observe, but also to
Aphorism 8 Human locomotion is made up of very
define, describe, analyse, and draw conclusions. By fol-
distinct stages, and when these
lowing this method, he aimed to determine the laws that
become muddled, the mechanics
regulate gait and describe anomalies in walking. His inter-
appear stiff.
est was also drawn to the factors able to modulate gait
Aphorism 9 When walking, a woman may flaunt it
including racial, cultural, social, and climatic differences,
all while revealing absolutely
in addition to more mechanical factors such as footwear,
nothing.
weight, height, or effects of various diseases. He empha-
Aphorism 10 Some movements of a skirt are
sised that many people wished they could dissimulate their
worthy of a Monthyon Prize.
intentions with their step, as well as with their expression,
Aphorism 11 When the body is in motion, the face
eyes, and voice. With these statements, Balzac shows that
should remain immobile.
body language, mimicry, and gait can be feigned or modi-
Aphorism 12 All unwarranted movement is
fied to resemble something else. Actors are able to portray
extremely wasteful.
different characters, spies may hide their identities, and
courtesans, social climbers, and the nouveaux riches may
hide their true natures. The author adds that those who
walking has much to reveal about that persons character.
understand his postulates on gait will be the ones able to
Later definitions are more descriptive and biomechanical
change it to suit their purposes, by conveying good humour,
and gloss over any psychological, anthropological, or social
refined manners, empathy, and noble bearing, rather than
features. In contrast, these traits play key roles in Balzacs
vulgarity, stupidity, or condescension.11
theoretical framework. These new definitions inform us that
Balzac describes a few of the physiological observations
walking is a form of human locomotion in which an individ-
that he had completed before writing his Theory of Walking,
ual takes one step after another, or a series of alternating
and which sparked his interest in the study of movement in
bipedal and unipedal stances.2022
general and of walking in particular. Balzac first witnessed
Rather than simply defining the concept of gait, Balzac
a man lose his balance and put out his hands in an attempt
describes the proper way of walking: . . .a man must stand
to stop his fall as he lost his centre of gravity. On another
straight but not stiffly and drive his two legs forward along
occasion, he filled his sisters sewing basket with coins and
a single line without listing noticeably to the right or the
saw that she was unable to lift it on the first try; believing
left. He must let his full body participate imperceptibly in
it would be lighter, she had not made much effort. Balzac
his overall motion, introduce a measure of sway that with its
then removed the coins discreetly, and the next time his
regular rocking motion eliminates the secret cares of life,
sister went to lift her basket, using all her strength because
tilt the head, and never hold his arms when standing still as
she thought it would be heavy, she nearly tossed it over her
he does while walking. Likewise, the author states that
head. These events raised the questions about movement
human locomotion can be broken down into stages.11
that would eventually lead Balzac to write his study of gait.11
Since this initial description was published, every author to
Balzacs study was based on critical observation; he did
analyse and describe gait has broken it down into phases.
not use any analytical tools or measurements. The novel-
ist followed his own procedures for assessing movement
Gait analysis and movement disorders. His monograph was first pub-
lished in 1833, whereas the first instrumental studies of
Since ancient times, mankind has expressed an interest in gait would not be published until 1836, the year in which
analysing movement, especially gait. We find works by Aris- the Weber brothers completed the first mechanical analysis
totle, Hippocrates, Galen, Leonardo da Vinci, and Borelli, all and measurements of human locomotion. In this book, later
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244 S. Collado-Vzquez, J.M. Carrillo

translated as Mechanics of the Human Walking Apparatus, distrustful of the end of the busk of her corset, or irritated
they describe the phases of the gait cycle, movements of the for whatever reason, had transformed herself into Venus Cal-
centre of gravity, and alterations in gait. While the measure- lipyge and strode along like a guinea fowl with her neck
ments they took were very simple, they are considered an outstretched, pulling in her front, and arching that part of
important contribution.2,11,17,18 her opposite to the busk.11 Here, Balzac shows how a gar-
Balzac stated that the process of viewing, analysing, ment was able to alter the posture of a walking woman,
generalising, and classifying would deliver the code of walk- thereby changing her gait pattern. Even if the corsets
ing, with its postulates that would provide lazier scholars described by Balzac have fallen into disuse, clothing may
with an understanding of the secrets of gait (Table 1).11 still affect walking to a greater or lesser extent. For exam-
ple, we find very narrow skirts that oblige women to take
small steps, and even heavy coats that can make the wearer
Factors that modulate gait
walk somewhat bent. Even more studies have examined
changes in gait owing to footwear, for example, high-heeled
Balzac asked himself which factors might change gait, shoes or very heavy shoes such as army boots.2,7,8
whether humans in ancient times walked well, if any pop-
ulation could be said to walk better than the others, and
if sunlight or climate could affect walking.11 Other authors, Personality
in subsequent studies of gait, also described factors affect-
ing the way people walk. Some of these descriptions bear In both his character descriptions and in Theory of Walking,
a strong resemblance to Balzacs own.6,7,23 Throughout his Balzac refers to an individuals personality and how it may be
treatise, Balzac lists many factors affecting gait, including reflected by his walk. A persons gait pattern and speed and
height and weight, type of work, social class, and a variety the way he holds his head or moves his upper limbs can shed
of psychological factors. light on whether he is aloof, timid, or self-confident. Slow,
measured steps and a relaxed posture may indicate seren-
ity, laziness, apathy, or disinterest; short bursts of hasty
Weight
and unsure steps point to a nervous, restless, and irritable
personality. In turn, the self-assured persons head is held
Balzac mentions the effect that body type, whether high, and he or she displays an energetic, firm, and decisive
overweight or underweight, has on a persons walk. His pro- step.24
nouncements on obesity were as follows: While it is true
that dignity, in the sense of majesty, requires a certain full-
ness of flesh, it is nonetheless impossible to claim this to be Height
true of a man walking, since his belly throws the rest of his
body off balance. Walking ability disappears with obesity. An Theory of Walking lists stature as another factor affecting
obese man finds himself forced to surrender to the ungainly gait: . . .a tall young lady with her feet close together and
movements imposed on him by his rotund belly. . . Obediently mouth pressed tightly shut, completely rigid and slightly
following his belly, this poor rich man looked twisted. He bent, walked forward with little jolts, like poorly-made
pushed his limbs forward painfully, one after another, with clockwork; her springs seemed to be rusted and her joints
a dragging, sickly movement like a dying man resisting to the frozen.11 In effect, certain gait parameters may be altered
end, even as he is pushed to the brink of the grave.11 With by height, or more specifically, by the length of the lower
a liberal dose of irony, Balzac describes gait being altered in limbs that determine stride length or gait cycle length.7
the overweight population, and this claim was later corrobo-
rated by other authors who have analysed gait and described
Professions
that in obesity and pregnancy, forward displacement of the
individuals centre of gravity causes lumbar hyperlordosis.
In many cases, excess weight in these patients causes them On several occasions, Balzac mentions that men who walk
to strike the ground with the entire sole of the foot instead quickly have an occupation and are in a hurry to complete
of with the heel, avoid lateral displacements, and limit hor- their tasks or to reach their workplace on time. Noblemen,
izontal hip rotation. Likewise, excess weight can promote in contrast, walk slowly and unhurriedly; no one is waiting
the development of deformities in the lower limbs that may for them, since they are gentlemen of leisure.
alter the normal walking pattern.5,7,8,23 Men who are condemned to repeat the same move-
In his description of emaciation, Balzac writes, Along ments in their daily work all demonstrate, in their step,
came a diplomat built like a skeleton, slumping along in a a marked source of locomotion, whether in the shoulders,
single piece like a marionette whose strings are slack. He thorax, or hips. With this sentence, he shows how work
seemed as tight as a mummy in its bandages. Thin people affects posture and movement through the position adopted
walk slowly, dragging their feet in an attempt to save energy, while working, or the repetitive motions required in the
and calculating a minimal amount of effort.2,7,8,11,23 workplace.9 Balzac also highlights 2 cases in which profes-
sion affects gait, namely sailors and soldiers. In the first
case, the men spend long periods of time on an unstable
Dress surface and have to make a series of adjustments. Soldiers,
in turn, have to march in a specific way, following a specific
Balzac linked dress to the way of walking, especially when cadence, and this gait pattern will invariably affect their
he mentions use of corsets by women: A beautiful woman, normal gait pattern.
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Balzac and human gait analysis 245

Returning to sailors, Balzac provides the following present mistook him for a waiter, and waiters were con-
detailed description: Sailors remain with legs apart, and vinced that he was a gentleman. Father Brown, who had
always ready to bend or contract. Obliged to sway about overheard these variations in the same mans footsteps, was
on the deck with the swell of the waves, they are ren- able to identify the thief.25
dered incapable of walking straight on dry land. With all this
sidestepping, they would do well to become diplomats.
Additional factors
Balzac concludes this section with a critical touch of irony.11
Lelivre also described the walk of sailors and fishermen,
indicating that, as a result of the movement of their ships, Balzac also listed other potential factors including climate
these men separate their feet to create a wider base of sup- and race. While he mentioned disordered gait caused by dis-
port and better balance on an unstable surface. In addition, eases that were probably neurological in origin, he did not
the knees and hips remain flexed. When on dry land, their describe those diseases.11
walk displays considerable lateral movement. This descrip-
tion resembles Balzacs; both authors emphasise separating
the feet as a way of widening the base of support and Conclusions
improving balance. Likewise, they mention that these fea-
tures are also seen on land, since these professionals have
Honor de Balzac was a pioneer in the field of gait analysis,
difficulty walking in a straight line and they display lateral
both for his frequent literary descriptions of peoples ways
movements.23
of walking and for having written what was very probably
According to Balzac, soldiers have an unmistakeable way
the first treatise to offer a specific and in-depth study of
of walking. Almost all of them remain motionless above the
gait: Theory of Walking.
kidneys, like a bust on a pedestal, while their legs beat away
This book presents his critical observations of different
below the abdomen as if controlled by a sergeant entrusted
gaits, provides a definition of gait, and describes a concept
with keeping the lower limbs in perfect order. The upper
of proper gait. Balzac also stated that gait was divided into
body seems not to have the faintest idea of the movement
different phases and he listed the factors affecting it. While
occurring below. . . The soldier is continually obliged to bear
the entire essay is embellished with the authors personal
the total sum of his strength in his chest, which he always
style, sarcasm, and critical tone, it does contain many accu-
thrusts out as he stands straight.11 Soldiers are trained to
rate statements about walking, and these make Balzacs
walk in a certain way, with an upright bearing and a specific
writings a necessary reference for anyone with an interest
cadence and speed; this training will eventually be notice-
in human gait analysis. Furthermore, in these technology-
able in their normal walking pattern.7
dominated times, they make us recall the importance of
He also expressed that judges obliged to spend their
observation.
lives in the seat of justice, are easily recognisable by their
restrained air and a slight movement of the shoulders,
and invited the reader to observe the results of spending
long hours seated for professional reasons. His examples Conflicts of interest
included doormen, sacristans, tailors, office workers, and
drivers whose knees remain flexed for hours; this may limit The authors have no conflicts of interest to declare.
the extension required for walking, and thus exert a def-
inite effect on their movements.7,8,11 Workers who remain
on their feet throughout their daily activities, such as wait
staff and shop assistants, may also present alterations in References
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