High-heeled walking decreases lumbar lordosis

Baaklini, Edeny; Angst, Michael; Schellenberg, Florian; Hitz, Marina; Schmid, Stefan; Tal, Amir; Taylor, William R.; Lorenzetti, Silvio

doi:10.1016/j.gaitpost.2017.03.035

Cited by 25 publications

(27 citation statements)

References 20 publications

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“…In accordance with previous studies [1], [15], significant differences were observed as a result of HH wearing -lumbar lordosis was straightened. Lumbar as well as cervical lordosis were decreased with statistical significance in HH.…”

Section: Discussionsupporting

confidence: 93%

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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: Discussionsupporting

confidence: 93%

“…In HH, the pressure force was shifted forward and increased the forefoot pressure, which corresponds with other studies [4], [11], [30]. It indicates that a weight transfer mechanism is triggered by HH [1].…”

Section: Discussionsupporting

confidence: 87%

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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“…Thus, wearing shoes with higher heels (up to a point) might indirectly help to compensate for inadequate hip extension, decreasing pain and leading to fewer pain exacerbations. However, an important caveat to this theory is that there is significant variability between studies, with many reporting that high-heeled (>4 cm) walking showed a decrease or no change in lumbar lordosis [ 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Is Heel Height Associated with Pain Exacerbations in Hip Osteoarthritis Patients?—Results from a Case-Crossover Study

Metcalf

Bennell

et al. 2020

JCM

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The etiology of osteoarthritis (OA) pain exacerbations is not well understood. The purpose of this study is to evaluate the association of heel height and duration of wearing shoes with higher heels with pain exacerbations in people with hip OA. Eligible participants with symptomatic hip OA were instructed to complete online questionnaires every 10 days over a 90-day follow-up period. They were required to complete the questionnaire whenever they were experiencing hip pain exacerbation. Of 252 participants recruited, 137 (54.4%) contributed both case and control period data, and were included in the analysis. Wearing shoes with a heel height ≥ 2.5 cm during the past 24 h was associated with lower odds of pain exacerbations (OR: 0.54, 95% CI: 0.30 to 0.99). A longer duration (>6 h) of wearing shoes with heel height ≥ 2.5 cm was also associated with a lower risk of hip pain exacerbations (p for linear trend = 0.003). Wearing shoes with heel height ≥ 2.5 cm and longer duration in the past 24 h may be protective against hip pain exacerbations in people with symptomatic hip OA. Given the observational study nature, it would be prudent for this to be replicated in an independent data set.

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“…The standing trial was used as a basis to compute the relative positions of the two segments. For the spine, a segmental [31] and curvature approach [31,35,36] was used, and the curvature angle [37] was calculated.…”

Section: Data Processing and Analysismentioning

confidence: 99%

Pulling Exercises for Strength Training and Rehabilitation: Movements and Loading Conditions

Lorenzetti

Dayer

Plüss

et al. 2017

JFMK

Self Cite

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Abstract:The back is an extremely common site of injury among both athletes and sedentary people. Furthermore, low back pain has become prevalent in our society. Maintaining strong back muscles can help prevent future pain or injuries. Here, the aim is therefore to assess the kinetic and kinematic movements of four pulling exercises with different external loading directions. Fifteen healthy subjects were analyzed using a 3D motion capture system. The pulley machine was equipped with a load cell for force data acquisition. The exercises consisted of 8 repetitions each of the lat pulldown (25% and 50% body weight (BW) extra load), the lat pulldown with 45 • incline (10% and 25% BW), the seated cable row (25% and 50% BW) and the upright row (standing, 10% and 25% BW). The minimum and maximum curvature angle in the thoracic as well as the lumbar spine was larger during the upright row than during the other exercises. Furthermore, during the upright row, the sagittal moment in the shoulder joint is opposed to the other exercises in the direction of retroversion. Due to the higher lumbar curvature observed in low back patients, to avoid overload, it is not advisable for patients with back pain to perform upright rows.

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High-heeled walking decreases lumbar lordosis

Cited by 25 publications

References 20 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

Is Heel Height Associated with Pain Exacerbations in Hip Osteoarthritis Patients?—Results from a Case-Crossover Study

Pulling Exercises for Strength Training and Rehabilitation: Movements and Loading Conditions

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