High-heeled-related alterations in the static sagittal profile of the spino-pelvic structure in young women

Dai, Min; Li, Xiaofeng; Zhou, Xin; Hu, Yiqiang; Luo, Qiang; Zhou, Song

doi:10.1007/s00586-015-3857-6

Cited by 26 publications

(36 citation statements)

References 25 publications

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“…Decreased lordosis in the lumbar area in inexperienced wearers and increased lordosis in experienced HH wearers were also reported [19]. There are even studies describing increased lordosis in inexperienced wearers [8], [21]. A study that measured the radiological parameters of the spine in the sagittal plane in HH and barefoot [27] claims that the differences in C7 and meatus vertical axis, cervical and lumbar lordosis, thoracic kyphosis, spino-sacral angle, pelvic tilt, sacral slope, and spinal tilt were not significant.…”

Section: Discussionmentioning

confidence: 85%

Temporal and dynamic changes in plantar pressure distribution, as well as in posture during slow walking in flat and high-heel shoes

Jandová¹,

Gajdoš²,

Urbanová³

et al. 2019

Acta Bioeng Biomech

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The aim of the study was to assess the differences in plantar pressure distribution and in posture during slow and very slow walking on the treadmill in flat and high-heeled shoes. Methods: The Pedar-X ® (Novel, Munich, Germany) measuring insoles were used to measure the plantar pressure distribution and to assess temporal parameters during walking on the treadmill with the speed v 1 = 0.97 ms-1 and v 2 = 0.56 ms-1 in flat shoes (FS) and HH. For postural measurement, the SonoSens Monitor Analyzer (Gefremed, Chemnitz, Germany) was used. Thirty healthy females who only occasionally wear HH volunteered to participate in the study (age: 21.8 ± 2.09 years, weight: 55.7 ± 4.05 kg, height: 1.66 ± 0.03 m). For statistical analysis the ANOVA, and paired t-test were used. Results: Significant differences in walking in HH were detected in temporal and plantar pressure variables, compared to FS. The walking speed influenced the temporal variables, but not the measured dynamic parameters, in either shoes. In the sagittal plane, significant differences in all sections of the spine were identified for v 1 and v 2. While walking in HH, lordosis at lumbar spine decreased significantly as well as at cervical spine, and kyphosis increased in the thoracic spine. In HH statistically significant differences between the walking speeds were observed particularly in the thoracic spine. Conclusions: Walking in high heels caused a plantar pressure changes and curvature of the spine, and the slowing of walking speed did not prevent these changes.

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Section: Discussionmentioning

confidence: 85%

Temporal and dynamic changes in plantar pressure distribution, as well as in posture during slow walking in flat and high-heel shoes

Jandová¹,

Gajdoš²,

Urbanová³

et al. 2019

Acta Bioeng Biomech

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“…Nagata 39 usefully highlights the potential hazard of climbing stairs in high heels, while Gabell et al 36 highlight that the physiological impact of wearing high heels may predispose women to a greater risk of falling even when they are not wearing high heels at the time of their fall. This finding should be interpreted in combination with evidence of stiffening and shortening of the Achilles tendon 54 and radiographic evidence of alterations to the spinopelvic structure 55 associated with use of high heels. Indeed, these structural adaptations may be a possible explanation for the finding of Gabell et al 36 that high heels wearing habit may predispose women to falling even when not wearing high heels at the time of the fall.…”

Section: Discussionmentioning

confidence: 88%

High-heeled shoes and musculoskeletal injuries: a narrative systematic review

Barnish

Barnish²

2016

BMJ Open

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ObjectivesTo conduct the first systematic review from an epidemiological perspective regarding the association between high-heeled shoe wear and hallux valgus, musculoskeletal pain, osteoarthritis (OA) and both first-party and second-party injury in human participants without prior musculoskeletal conditions.SettingA systematic review of international peer-reviewed scientific literature across seven major languages.Data sourcesSearches were conducted on seven major bibliographic databases in July 2015 to initially identify all scholarly articles on high-heeled shoes. Supplementary manual searches were conducted. Titles, abstracts and full-text articles were sequentially screened to identify all articles assessing epidemiological evidence regarding the association between high-heeled shoe wear and hallux valgus, musculoskeletal pain, OA and both first-party and second-party injury in human participants without prior musculoskeletal conditions. Standardised data extraction and quality assessment (Threats to Validity tool) were conducted.Primary and secondary outcome measuresMusculoskeletal pain or OA as assessed by clinical diagnosis or clinical assessment tool. First-party or second-party injury.Results644 unique records were identified, 56 full-text articles were screened and 18 studies included in the review. Four studies assessed the relationship with hallux valgus and three found a significant association. Two studies assessed the association with OA and neither found a significant association. Five studies assessed the association with musculoskeletal pain and three found a significant association. Eight studies assessed first-party injury and seven found evidence of a significant injury toll associated with high-heeled shoes. One study provided data on second-party injury and the injury toll was low.ConclusionsHigh-heeled shoes were shown to be associated with hallux valgus, musculoskeletal pain and first-party injury. No conclusive evidence regarding OA and second-party injury was found. Societal and clinical relevance of these findings is discussed. Concern is expressed about the expectation to wear high-heeled shoes in some work and social situations and access by children.

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“…Another aspect of high-heel wearing is increase of lumbar lordosis, which might in certain circumstances cause low back pain [7].…”

Section: Discussionmentioning

confidence: 99%

“…Many physical tests are used when assessing body balance, but care must be taken when choosing balance tests to best match the test to the purpose of testing [12]. Depending on the source of distorting factors, body balance is measured under static or dynamic conditions; for example, multidirectional stance perturbations were measured by a moveable platform [7]. Most of the measurements of balance maintenance are taken on one or two platforms, with the subjects standing on one or on both legs, with eyes open or eyes closed depending for example on the subject's age and disability [32,34].…”

Section: Introductionmentioning

confidence: 99%

Is static balance affected by using shoes of different height?

Truszczyńska

Trzaskoma

Stypińska

et al. 2016

Biomedical Human Kinetics

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SummaryStudy aim: to investigate the impact of heels of different height on static balance of teenagers and young women not accustomed to high heels. Material and methods:The study involved 71 young women aged 21.09 ± 2.91 years. We used a stabilometric platform to take measurements barefoot and with heels: of 4 cm and of 10 cm. Two types of measurements were taken: with eyes open and with eyes closed. Results: Statistical analysis revealed a significant increase in values of the measured stabilographic parameters with 4 cm and 10 cm heels, in comparison to measurements taken with bare feet. Measurements with eyes closed revealed significantly greater distortions to static balance than measurements with eyes open. A comparison of measurements -both with eyes open and with eyes closed -barefoot, with 4 cm heels and with 10 cm heels revealed statistically significant differences. Conclusions: High heels in the population of young women significantly worsen static balance. Heel height and the exclusion of visual control are important factors diminishing static balance.

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High-heeled-related alterations in the static sagittal profile of the spino-pelvic structure in young women

Abstract: The present study revealed that wearing high-heeled shoes can lead to increased LL and an uneconomic body position. This finding may help explain why some women complain that wearing high-heeled shoes causes them to experience low back pain.

Cited by 26 publications

References 25 publications

Temporal and dynamic changes in plantar pressure distribution, as well as in posture during slow walking in flat and high-heel shoes

Temporal and dynamic changes in plantar pressure distribution, as well as in posture during slow walking in flat and high-heel shoes

High-heeled shoes and musculoskeletal injuries: a narrative systematic review

Is static balance affected by using shoes of different height?

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