Effect of heel height on in-shoe localized triaxial stresses

Yan, Cong; Cheung, Jason Tak-Man; Leung, Aaron Kam-Lun; Zhang, Ming

doi:10.1016/j.jbiomech.2011.05.036

Cited by 58 publications

(52 citation statements)

References 33 publications

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“…Higher peak plantar pressure in the forefoot with increasing heel height is caused primarily by increase in Ground Reaction Forces (GRF) due to altered position of the ankle and centre of mass during the gait cycle [16,17]. This is in line with previous studies evaluating peak plantar pressure in heeled shoes [19,23,28,29]. In the current study, post-hoc analysis using Bonferroni's correction indicated all forefoot comparisons as statistically significant even when the increment of heel is as low as 1 cm.…”

Section: Discussionsupporting

confidence: 82%

The Influence of Walking Speed and Heel Height on Peak Plantar Pressure in the Forefoot of Healthy Adults: A Pilot Study

Rangra¹,

Santos²,

Coda³

et al. 2017

Clin Res Foot Ankle

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Background: The body of empirical research is suggestive of the fact that faster walking speed and increasing heel height can both give rise to elevated plantar pressures. However, there is little evidence of the interaction between walking speed and heel height on changes in plantar pressure. Therefore, the aim of this study was to investigate whether the effect of heel height on plantar pressure is the same for different walking speeds

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Section: Discussionsupporting

confidence: 82%

The Influence of Walking Speed and Heel Height on Peak Plantar Pressure in the Forefoot of Healthy Adults: A Pilot Study

Rangra¹,

Santos²,

Coda³

et al. 2017

Clin Res Foot Ankle

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“…Just before the last foot contact, the foot is in a maximally stable position for pushing off, then the leg rotates medially and the foot returns to flexible for the following swing phase [26]. The elevated heel was designed in high heels which bent the ankle into a certain angle in which the foot was placed in a more plantar-flexed position as heel height increased [27]. The reduced ankle dorsiflexion may be due to the less duration of the forefoot push off phase during walking in high heels.…”

Section: Resultsmentioning

confidence: 99%

“…Studii recente au arãtat cã presiunea plantarã se deplaseazã de la zona medianã ºi cãlcâi la antepicior pe mãsurã ce creºte înãlþimea tocului [7][8][9][10][11][12][13]. Viteza de mers redusã ºi transferul greutãþii corporale au fost asociate cu baza de sprijin redusã la femeile care poartã pantofi cu toc înalt [13].…”

Section: Introducereunclassified

“…Recent studies have shown that the plantar pressure shifted from the midfoot and heel to the medial forefoot as the heel height increased [7][8][9][10][11][12][13]. The reduced walking speed and the transfer of the body weight were associated with reduced base of support while women wore high heels [13].…”

Section: Introductionmentioning

confidence: 99%

“…Cu toate acestea, existã multe studii care aratã cã tocurile înalte sunt responsabile pentru deformãrile de tip hallux valgus, bãtãturile plantare, scãderea funcþiei venoase la nivelul membrelor inferioare ºi altele [3][4][5]. Dupã purtarea pantofilor cu toc înalt, unghiul retropiciorului este vizibil în poziþie varus, purtarea îndelungatã a pantofilor cu toc înalt putând declanºa modificãri ale bolþii plantare [6].Studii recente au arãtat cã presiunea plantarã se deplaseazã de la zona medianã ºi cãlcâi la antepicior pe mãsurã ce creºte înãlþimea tocului [7][8][9][10][11][12][13]. Viteza de mers redusã ºi transferul greutãþii corporale au fost asociate cu baza de sprijin redusã la femeile care poartã pantofi cu toc înalt [13].…”

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Effects of High Heels on Centre of Pressure Progression during Walking in Young Women

Ran¹,

Hao²,

Yang³

et al. 2016

LFJ

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ABSTRACT. The purpose of this study was to discuss the differences in centre of pressure (COP) spatio-temporal progression during walking between barefoot condition and wearing high heels condition. The data were collected from 35 young women by a combined Footscan® system. The mean COP path, the displacement and phase of COP, the relationship of the peak medial-lateral displacement with time and the plantar pressure of five plantar regions were calculated in both barefoot and wearing high heels condition. The mean COP path from 160 mm to the end in the y-axis direction turned to the lateral again when walking in high heels, but the mean COP path kept shifting to the medial of the foot with an increasing speed when walking barefoot. Compared to walking barefoot, the percentage time of the initial contact phase and the foot flat phase significantly increased in wearing high heels condition. The maximum medial-lateral displacement of the COP and the maximum medial-lateral displacement of the forefoot COP were significantly greater in barefoot condition than wearing high heels, but the maximum anterior-posterior displacement of the COP showed a contrary consequence (p = 0.000; 0.000; 0.000, respectively). An eccentric second lateral shift occurred in forefoot push-off phase indicated a lateral deformation of hallux during walking in high heels. An increased plantar pressure under heel region suggested that the impact from ground reaction force was associated with heel types. KEY WORDS: centre of pressure, high heels, walking, plantar pressure, phase INFLUENÞA PANTOFILOR CU TOC ÎNALT ASUPRA PROGRESIEI CENTRULUI DE PRESIUNE ÎN TIMPUL MERSULUI LA FEMEILE TINEREREZUMAT. Scopul acestui studiu a fost de a discuta diferenþele de progresie spaþio-temporalã a centrului de presiune (COP) în timpul mersului desculþ ºi cu tocuri înalte. S-au colectat date de la 35 de femei tinere utilizând un sistem combinat Footscan®. S-au calculat traiectoria medie a COP, deplasarea ºi faza COP, relaþia dintre deplasarea medio-lateralã maximã ºi timp ºi presiunea plantarã în cinci regiuni, atât în cazul mersului desculþ, cât ºi în cazul purtãrii unor pantofi cu toc înalt. Traiectoria medie a COP de la 160 mm pânã la capãt în direcþia y a axei s-a deplasat lateral din nou în cazul mersului cu tocuri înalte, însã traiectoria medie a COP s-a tot deplasat spre centrul piciorului, cu o vitezã crescândã în cazul mersului desculþ. Comparativ cu mersul desculþ, procentul temporal al fazei de contact iniþial ºi al fazei de contact total a crescut semnificativ la purtarea pantofilor. Deplasarea medio-lateralã maximã a COP ºi deplasarea medio-lateralã maximã a COP al antepiciorului au fost semnificativ mai mari în cazul mersului desculþ decât al celui cu tocuri înalte, însã deplasarea antero-posterioarã maximã a COP s-a manifestat în sens opus (p = 0,000; 0,000; respectiv 0,000). O a doua deplasare lateralã excentricã a avut loc în faza de propulsie a antepiciorului ºi a indicat o deformare lateralã a halucelui în timpul mersului cu tocuri înalte. Pres...

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Characteristics Associated With Hallux Valgus in a Population‐Based Foot Study of Older Adults

Dufour

Casey

Golightly

et al. 2014

Arthritis Care & Research

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Objective Hallux valgus (HV) is common in older adults, but limited studies of risk factors have reported conflicting results. This cross-sectional analysis examined the association of HV with foot pain and other characteristics in older adults. Methods HV, foot pain, foot structure (planus, rectus, cavus), current and past high heel use, age, and body mass index were assessed in the population-based Framingham Foot Study. Sex-specific logistic and multinomial logistic regression examined the association of HV and HV with pain with study variables. Results Of 1352 men and 1725 women (mean age 66 ± 10.5 years), 22% of men and 44% of women had HV and 3% of men and 11% of women had HV with pain. Foot pain increased odds of HV in both sexes (p<0.05). In women, older age and past high heel use increased odds of HV by 27% and 47%, respectively (p<0.01), and cavus foot structure decreased odds of HV by 26% (p=0.02). BMI > 30 kg/m2 decreased odds of HV by 33% in men and 45% in women (p<0.05). In women only, odds of Pain & HV vs. No Pain & No HV were greater with older age and planus foot structure. Conclusions Our work showed different associations in participants who had HV with pain compared to those without foot pain. In both men and women, strong relations were observed between HV and foot pain and inversely with BMI. Older age was associated with HV in women only, as were protective associations with cavus foot structure.

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Effect of heel height on in-shoe localized triaxial stresses

Cited by 58 publications

References 33 publications

The Influence of Walking Speed and Heel Height on Peak Plantar Pressure in the Forefoot of Healthy Adults: A Pilot Study

The Influence of Walking Speed and Heel Height on Peak Plantar Pressure in the Forefoot of Healthy Adults: A Pilot Study

Effects of High Heels on Centre of Pressure Progression during Walking in Young Women

Characteristics Associated With Hallux Valgus in a Population‐Based Foot Study of Older Adults

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