The Changes of COP and Foot Pressure after One Hour’s Walking Wearing High-heeled and Flat Shoes

Abstract

[Purpose] This study aimed to determine the most appropriate height for shoe heels by measuring the displacement of the COP (center of pressure) and changes in the distribution of foot pressure after walking in flat (0.5 cm), middle-heeled (4 cm), and high-heeled (9 cm) shoes for 1 hour. [Methods] A single-subject design was used, with 15 healthy women wearing shoes with heels of each height in a random order. The foot pressure and displacement of COP before and after walking in an ordinary environment for 1 hour were measured using an FDM-S (zebris Medical GmbH, Germany). [Results] The distribution of foot pressure did not change significantly after walking in middle-heeled (4 cm) shoes but did change significantly after walking in either flat (0.5 cm) or high-heeled (9 cm) shoes. Similarly, the COP was not significantly displaced after walking in middle-heeled (4 cm) shoes but was significantly displaced after walking in either flat (0.5 cm) or high-heeled (9 cm) shoes. [Conclusion] Both flat and high-heeled shoes had adverse effects on the body. Middle-heeled (4 cm) shoes are preferable to both flat (0.5 cm) and high-heeled (9 cm) shoes for the health and comfort of the feet.

Is static balance affected by using shoes of different height?

“…They conducted two COP measurements with FDM-S equipment (Zebris Medical GmbH Germany): the first one immediately after putting the shoes on, and another one after an hour of wearing the shoes. They proved that the COP path was longest after standing with flat or high-heeled shoes, while the medium heels seemed to be the most beneficial for the human postural stability [21].…”

Contralateral seventh cervical nerve transfer can affect the pennation angle of the lower limb in spastic hemiplegia patients: An observational case series study

“…The test was performed for 10 s in a bipedal position (Figure a). Each patient underwent the test three times and the average scores of these measurements were recorded for further analysis (Ko & Lee, ). The Zebris FDM software (https://www.zebris.de/en/) was used to process and record pressure parameters that were later subjected to statistical analysis (Kalron et al, ; Morasiewicz, Konieczny, et al, ; Morasiewicz, Urbański, et al, ).…”

“…The Zebris FDM software (https://www.zebris.de/en/) was used to process and record pressure parameters that were later subjected to statistical analysis (Kalron et al, ; Morasiewicz, Konieczny, et al, ; Morasiewicz, Urbański, et al, ). In the Zebris FDM software, the pressure map of plantar load distribution was created (Figure b; Ko & Lee, ; Morasiewicz, Konieczny, et al, ; Morasiewicz, Urbański, et al, ; Soltani et al, ) 19–22 . Load distribution of forefoot on the affected side was expressed as percentage of the load of the same foot.…”

Yüksek Topuklu Ayakkabılar ve Kas İskelet Sistemi Üzerine Etkileri

“…The other study was declared the ideal heel height should be between 3 and 5 cm for providing balance. Heel height having greater than 5 cm can cause fatigue quickly 51 . Ko and Lee indicated that 4 cm heel height is more favorable for females 51 .…”

“…Heel height having greater than 5 cm can cause fatigue quickly 51 . Ko and Lee indicated that 4 cm heel height is more favorable for females 51 . Moreover, chiropodist suggested that footwear should not exceed 4 cm heel height and medium heel height are the best choice 52 .…”