Biomechanical study with kinematic and kinetic descriptions of the effect of high-heeled shoes in healthy adult females based on gait analysis

Hamandi, Sadiq J.; Ruken, Duaa M.

doi:10.1088/1757-899x/671/1/012063

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…What's more, in modern fashion, extraordinary heel heights exceeding 12cm (5 inch), or even 'heelless heels" [27], are seen. Although there are not enough studies about the effect of such HH of the foot, women have already been advised not to wear HH higher than 5cm (about 2 inch) [28,29]. To a certain extent, the effect of these extraordinary HH would be expected to be similar to the documented effects of HH, which worsen as the heel height increases.…”

Section: Plos Onementioning

confidence: 99%

The shape of the transverse arch in high heels while standing

et al. 2020

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Introduction High heeled shoes have long been worn in society and they are known to cause biomechanical imbalances to not only the foot, but the whole musculoskeletal system. This study aims to show the detailed changes that happen to the shape of the transverse arch of the foot in high heels, using two different inclination degrees. Methods 68 women participated in this study. Two custom-made high heels were made with inclinations of 15 degrees and 30 degrees (cm). A weight-bearing ultrasound was used to assess the coronal view of the transverse arch in standing. ANOVA and Tuckey tests were used to compare the results between 0 degrees, 15 degrees and 30 degrees inclinations. Results The transverse arch height was slightly increased as the heel height increased (0DI-15DI: p = 0.5852 / 15DI-30DI: p = 0.395 / 0DI-30DI: p = 0.0593). The transverse arch length (0DI-15DI: p = 0.0486 / 15DI-30DI: p = 0.0004 / 0DI-30DI: p = 0.1105) and the area under the metatarsal heads (0DI-15DI: p = 0.0422 / 15DI-30DI: p = 0.0180 / 0DI-30DI: p = 0.9463) significantly decreased as the heel height increased. Discussion The main changes were viewed in the 30 degrees inclinations compared to 0 degrees inclination. When the toes are dorsiflexed in high heels, it stimulates the Windlass mechanism which in turn stiffens the plantar fascia and adducts the metatarsal heads, while the soft tissues shrink in response to loads.

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Section: Plos Onementioning

confidence: 99%

The shape of the transverse arch in high heels while standing

et al. 2020

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“…Biomechanical studies have revealed that high heels cause significant changes in the musculoskeletal system's movement (kinetic) and position (kinematic), affecting the entire body from the spine to the toes. These changes increase the risk of MSK disorders, including osteoarthritis, hallux valgus (HV), and general MSK discomfort (12). Epidemiological evidence firmly establishes a connection between high heel use and an increased risk of hallux valgus (HV), musculoskeletal pain, and injuries to the wearer (13).…”

Section: Introductionmentioning

confidence: 99%

Level of Physical Activity among Working Females Wearing High Heels

Hassan,

Kanwal,

Faisal

et al. 2024

JHRR

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Background: Previous studies have indicated that wearing high-heeled shoes (HHS) may be associated with foot and low back pain and could potentially affect the physical activity levels of women. The impact of HHS on musculoskeletal discomfort, fatigue, and biomechanical alterations has been substantiated, albeit with varying conclusions regarding their influence on physical activity and health. Objective: The objective of this study was to evaluate the level of physical activity among working females who regularly wear HHS and to determine any associations with musculoskeletal discomfort. Methods: A descriptive cross-sectional study was conducted with 125 participants recruited from various malls in Lahore using non-probability convenience sampling. The inclusion criteria encompassed adult females aged between 19 to 44 years, wearing heels of varying types and heights for a minimum of six hours per day. Exclusion criteria included a history of ankle dislocation, foot surgery, orthopedic or neurological anomalies, systemic illness affecting physical activity, or flat feet. Physical activity levels were assessed using the International Physical Activity Questionnaire short-form (IPAQ-sf), and data were analyzed using the Statistical Package for Social Sciences (SPSS) version 25. Results: The average age of participants was 25.14 years with a standard deviation of 4.509. The mean physical activity level was 1615.33 METs with a standard deviation of 1065.15. The majority of participants (54.4%) displayed a moderate level of physical activity, while 29.6% were categorized with low and 16% with high levels of physical activity. No significant correlation was found between heel height and physical activity levels or musculoskeletal discomfort. Conclusion: Working females wearing high heels predominantly exhibit moderate levels of physical activity. The lack of significant associations suggests that heel height does not directly correlate with reduced physical activity or increased musculoskeletal discomfort in this sample. These findings highlight the complexity of factors influencing physical activity and musculoskeletal health in the context of HHS use.

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“…Diagnosis is made clinically with no need for imaging [ 3 ]. The evaluation of tibial rotation depends on several anatomical landmarks, one of them is the tibial tuberosity [ 2 , 4 ]. In Asians, the upper end of the tibia exhibits more external rotation (i.e., the tibial shaft exhibits more intorsion).…”

Section: Introductionmentioning

confidence: 99%

Proposed Geometrical Tool for Cases of Laterally Adapted Tibial Tubercle during Total Knee Replacement

Khairy

Hamandi

Ali

2021

Advances in Orthopedics

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The alignment of tibial component in total knee replacement operation must be achieved in three planes to ensure optimum results. In coronal plane, the alignment depends on three anatomical landmarks. These landmarks are tibial tuberosity, leg shin, and midtalar point. In eastern community, people get used to sit cross-legged which causes additional tension in the quadriceps muscle which is attached distally to the tibial tuberosity. This tension causes adaptation of the tuberosity laterally. Tuberosity adaptation causes the three anatomical landmarks being not collinear. In this work, eight cases of lateral adapted tubercle were diagnosed of this condition before the surgery and their X-ray images after the surgery were checked regarding tibial alignment. Tibial alignment has been checked by measuring the medial proximal tibial angle (MPTA) which is the angle between the mechanical tibial axis and the tibial component plateau. MPTAs for the eight cases were (86.9°–93.6°). Three cases had MPTA less than 90° indicating varus alignment and five of them had MPTA more than 90° indicating valgus alignment. A geometrical tool was designed using the DesignSpark Mechanical software as a proposed solution to solve the adaptation problem. The tool can give a method for fixing the tibial component precisely without any varus\valgus malalignment.

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Biomechanical study with kinematic and kinetic descriptions of the effect of high-heeled shoes in healthy adult females based on gait analysis

Cited by 3 publications

References 3 publications

The shape of the transverse arch in high heels while standing

The shape of the transverse arch in high heels while standing

Level of Physical Activity among Working Females Wearing High Heels

Proposed Geometrical Tool for Cases of Laterally Adapted Tibial Tubercle during Total Knee Replacement

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