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Lorkowski J, Pokorski M. Harmful female footwear: A public health perspective. Heliyon 2023; 9:e21297. [PMID: 38027653 PMCID: PMC10651440 DOI: 10.1016/j.heliyon.2023.e21297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 10/09/2023] [Accepted: 10/19/2023] [Indexed: 12/01/2023] Open
Abstract
Footwear fashion is an instance of a socially formed attitude affecting somatic population health. High-heeled, particularly pointy-toed shoes are posed to structurally distort and overload feet leading to musculoskeletal sequelae. Here we compiled multilanguage website images presenting female footwear produced by the top manufacturers to assess the advertising effects on the prevailing height of heels worn by women. The method was based on the analysis of websites using the command "woman shoes" in scores of languages of the Internet Google browser. We then compared the results of the internet search with those of a live street surveillance of the footwear worn by 100 adult women in the downtown Warsaw metropolis in Poland. We found that stiletto heels with pointed shoe tips significantly predominated in images representing the countries belonging to the Western cultural sphere compared to less affluent world areas where low or flat heels prevailed. However, we noted a gradual departure from the fashion of high heels over the last decade, confirmed by live street surveillance, liable to reflect changes in the website presentations of top shoe manufacturers consistent with increasing awareness of potential harm by high heels. Yet the female aptitude for wearing more physiologic shoe models appears to exceed that resulting from marketing campaigns. Doing away with high-heeled pointy-toed shoes requires intensification of pro-health preventive measures in the field of public health.
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Affiliation(s)
- Jacek Lorkowski
- Department of Orthopedics, Traumatology, and Sports Medicine, Central Clinical Hospital of the Ministry of Internal Affairs and Administration, 137 Woloska Street, 02-507, Warsaw, Poland
| | - Mieczyslaw Pokorski
- Institute of Health Sciences, Opole University, 68 Katowicka Street, 45-060, Opole, Poland
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Wanke EM, Mörl-Kreitschmann M, Holzgreve F, Groneberg D, Ohlendorf D. Upper body posture in Latin American dancers: a quantitative cross-sectional study comparing different postures. BMC Sports Sci Med Rehabil 2023; 15:66. [PMID: 37098589 PMCID: PMC10131306 DOI: 10.1186/s13102-023-00672-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 04/10/2023] [Indexed: 04/27/2023]
Abstract
BACKGROUND In Latin American dance sport (LD), the shoulder girdle and the torso area are particularly stressed due to the dance style specific requirements. The aim of the study was to define differences in various dance specific upper body postures in Latin American dancers and to show gender-specific differences. METHODS Three dimensional back scans were performed in n = 49 dancers (28 f/21 m). Five typical trunk positions in Latin American dance (habitual standing and 4 dance specific positions, P1-P5) were compared with each other. Statistical differences were calculated using the Man-Whitney U test, Friedmann test, Conover-Iman test and a Bonferroni-Holm correction. RESULTS Significant gender differences were found in P2, P3 and P4 (p ≤ 0.01-0.001). In P5, the frontal trunk decline, the axis deviation, the standard deviation of the rotation, the kyphosis angle and the shoulder as well as the pelvic rotation were also significantly different. The comparison of the postures showed significant differences between postures 1-5 (p ≤ 0.01-0.001) in the males, (scapular height, right and left scapular angles and pelvic torsion). Similar results were observed for the female dancers, with only the parameters of frontal trunk decline with the lordosis angle as well as the right and left scapular angles being non-significant. CONCLUSIONS This study is an approach to better understand the involved muscular structures in LD. Performing LD changes the static parameters of the upper body statics. Further projects are needed to analyse the field of dance even more thoroughly.
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Affiliation(s)
- Eileen M Wanke
- Institute of Environmental, Social and Occupational Medicine, Goethe University, Theodor-Stern-Kai 7, Haus 9a, 60590, Frankfurt am Main, Germany.
| | | | - Fabian Holzgreve
- Institute of Environmental, Social and Occupational Medicine, Goethe University, Theodor-Stern-Kai 7, Haus 9a, 60590, Frankfurt am Main, Germany
| | - David Groneberg
- Institute of Environmental, Social and Occupational Medicine, Goethe University, Theodor-Stern-Kai 7, Haus 9a, 60590, Frankfurt am Main, Germany
| | - Daniela Ohlendorf
- Institute of Environmental, Social and Occupational Medicine, Goethe University, Theodor-Stern-Kai 7, Haus 9a, 60590, Frankfurt am Main, Germany
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Fu F, Guo L, Tang X, Wang J, Xie Z, Fekete G, Cai Y, Hu Q, Gu Y. Effect of the Innovative Running Shoes With the Special Midsole Structure on the Female Runners’ Lower Limb Biomechanics. Front Bioeng Biotechnol 2022; 10:866321. [PMID: 35733527 PMCID: PMC9208082 DOI: 10.3389/fbioe.2022.866321] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 04/27/2022] [Indexed: 11/21/2022] Open
Abstract
The study aimed to research the effects of innovative running shoes (a high heel-to-toe drop and special structure of midsole) on the biomechanics of the lower limbs and perceptual sensitivity in female runners. Fifteen healthy female runners were recruited to run through a 145-m runway with planted force plates at one peculiar speed (3.6 m/s ± 5%) with two kinds of shoe conditions (innovative running shoes vs. normal running shoes) while getting biomechanical data. The perception of shoe characteristics was assessed simultaneously through a 15-cm visual analog scale. The statistical parametric mapping technique calculated the time-series parameters. Regarding 0D parameters, the ankle dorsiflexion angle of innovative running shoes at touchdown was higher, and the peak dorsiflexion angle, range of motion, peak dorsiflexion velocity, and plantarflexion moment on the metatarsophalangeal joint of innovative running shoes during running were significantly smaller than those of normal running shoes (all p < 0.001). In addition, the braking phase and the time of peak vertical force 1 of innovative running shoes were found to be longer than those of normal running shoes (both p < 0.05). Meanwhile, the average vertical loading rate 1, peak vertical loading rate 1, peak braking force, and peak vertical force 1 in the innovative running shoes were lower than those of the normal running shoes during running (both p < 0.01). The statistical parametric mapping analysis exhibited a higher ankle dorsiflexion angle (0–4%, p < 0.05), a smaller knee internal rotation angle (0–6%, p < 0.05) (63–72%, p < 0.05), a decreased vertical ground reaction force (11–17%, p = 0.009), and braking anteroposterior ground reaction force (22–27%, p = 0.043) for innovative running shoes than normal running shoes. Runners were able to perceive the cushioning of innovative running shoes was better than that of normal running shoes. These findings suggested combining the high offset and structure of the midsole would benefit the industrial utilization of shoe producers in light of reducing the risk of running injuries for female runners.
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Affiliation(s)
- Fengqin Fu
- Faculty of Sports Science, Ningbo University, Ningbo, China
- Doctoral School on Safety and Security Sciences, Óbuda University, Budapest, Hungary
- Science Laboratory, Innovation center of Xtep Co., Ltd., Xiamen, China
| | - Lianming Guo
- Science Laboratory, Innovation center of Xtep Co., Ltd., Xiamen, China
| | - Xunfei Tang
- Science Laboratory, Innovation center of Xtep Co., Ltd., Xiamen, China
| | - Jiayu Wang
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Zhihao Xie
- Science Laboratory, Innovation center of Xtep Co., Ltd., Xiamen, China
| | - Gusztáv Fekete
- Savaria Institute of Technology, Eötvös Loránd University, Budapest, Hungary
| | - Yuhui Cai
- Science Laboratory, Innovation center of Xtep Co., Ltd., Xiamen, China
| | - Qiuli Hu
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, China
- *Correspondence: Yaodong Gu,
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Zeidan H, Kawagoe M, Kajiwara Y, Harada K, Nishida Y, Yamada K, Kawabe R, Yokota J, Yamashiro C, Odake Y, Takeda M, Doi N, Negoro K, Matsumura N, Morino T, Bourgeois Yoshioka CK, Chen CY, Aoyama T. The shape of the transverse arch in high heels while standing. PLoS One 2020; 15:e0233958. [PMID: 32511246 PMCID: PMC7279575 DOI: 10.1371/journal.pone.0233958] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Accepted: 05/15/2020] [Indexed: 01/28/2023] Open
Abstract
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. Conclusion High heels affected the shape of the transverse arch even in short term standing, and these effects increased as the height of the heel increased.
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Affiliation(s)
- Hala Zeidan
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
- * E-mail:
| | - Mirei Kawagoe
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Yuu Kajiwara
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
- Department of Physical Therapy, Faculty of Health Science, Kio University, Koryo, Japan
| | - Keiko Harada
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Yurika Nishida
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Keisuke Yamada
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Rika Kawabe
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Junpei Yokota
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Chiaki Yamashiro
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Yu Odake
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Masakatsu Takeda
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Naoki Doi
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Kaho Negoro
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Natsuki Matsumura
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Tappei Morino
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | | | - Chang Yu Chen
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Tomoki Aoyama
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
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Michoński J, Witkowski M, Glinkowska B, Sitnik R, Glinkowski W. Decreased Vertical Trunk Inclination Angle and Pelvic Inclination as the Result of Mid-High-Heeled Footwear on Static Posture Parameters in Asymptomatic Young Adult Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16224556. [PMID: 31752144 PMCID: PMC6888429 DOI: 10.3390/ijerph16224556] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 10/27/2019] [Accepted: 11/13/2019] [Indexed: 12/20/2022]
Abstract
The influence of high-heel footwear on the lumbar lordosis angle, anterior pelvic tilt, and sacral tilt are inconsistently described in the literature. This study aimed to investigate the impact of medium-height heeled footwear on the static posture parameters of homogeneous young adult standing women. Heel geometry, data acquisition process, as well as data analysis and parameter extraction stage, were controlled. Seventy-six healthy young adult women with experience in wearing high-heeled shoes were enrolled. Data of fifty-three subjects were used for analysis due to exclusion criteria (scoliotic posture or missing measurement data). A custom structured light surface topography measurement system was used for posture parameters assessment. Three barefoot measurements were taken as a reference and tested for the reliability of the posture parameters. Two 30-degree wedges were used to imitate high-heel shoes to achieve a repeatable foot position. Our study confirmed the significant (p < 0.001) reduced vertical balance angle and pelvis inclination angle with large and medium-to-large effects, respectively, due to high-heel shoes. No significant differences were found in the kyphosis or lordosis angles. High-heeled shoes of medium height in young asymptomatic women can lead to a straightening effect associated with a reduced vertical balance angle and decreased pelvic inclination.
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Affiliation(s)
- Jakub Michoński
- Institute of Micromechanics and Photonics, Faculty of Mechatronics, Warsaw University of Technology, 02525 Warsaw, Poland; (J.M.); (M.W.); (R.S.)
| | - Marcin Witkowski
- Institute of Micromechanics and Photonics, Faculty of Mechatronics, Warsaw University of Technology, 02525 Warsaw, Poland; (J.M.); (M.W.); (R.S.)
| | - Bożena Glinkowska
- Department of Sports and Physical Education, Medical University of Warsaw, 00581 Warsaw, Poland;
| | - Robert Sitnik
- Institute of Micromechanics and Photonics, Faculty of Mechatronics, Warsaw University of Technology, 02525 Warsaw, Poland; (J.M.); (M.W.); (R.S.)
| | - Wojciech Glinkowski
- Centre of Excellence “TeleOrto” for Telediagnostics and Treatment of Disorders and Injuries of the Locomotor System, Medical University of Warsaw, 00581 Warsaw, Poland
- Department of Medical Informatics and Telemedicine, Medical University of Warsaw, 00581 Warsaw, Poland
- Polish Telemedicine and eHealth Society, 03728 Warsaw, Poland
- Correspondence: ; Tel.: +48-601-230-577
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Puszczałowska-Lizis E, Dąbrowiecki D, Jandziś S, Żak M. Foot Deformities in Women Are Associated with Wearing High-Heeled Shoes. Med Sci Monit 2019; 25:7746-7754. [PMID: 31701921 PMCID: PMC6816328 DOI: 10.12659/msm.917983] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background The aim of this study was to assess the association between foot deformities and type of shoe regularly worn at work. Material/Methods We studied 150 employed women ages 30–40 years and divided them into 3 groups according to type of footwear worn: women in Group I wore flat-soled shoes, women in Group II wore mid-heeled shoes (heels 4.0±0.5 cm), and women in Group III wore high-heeled shoes (heels 10.0±0.5 cm). We used the CQ-ST podoscope for measurements. Results We found significant differences in right foot γ angle between Groups I and III (p=0.033) and between Groups II and III (p=0.040). For the left foot, differences were noted between Groups I and III (p=0.012). Group III subjects had higher values of α angle compared to Group I (p=0.000) and Group II (p=0.000). Significant correlations were also found between specific type of footwear worn and the incidence of hallux valgus of the right foot (p=0.010) and left foot (p=0.000), and the varus deformity of the fifth toe (β) of the left foot (p=0.015). Conclusions The feet of women wearing high-heeled shoes were significantly flatter transversely, with a more laterally flexed hallux, as compared to those wearing low-heeled or flat-soled shoes. Wearing high-heeled shoes was associated with higher incidence of hallux valgus. The incidence of varus deformity of the fifth toe was associated with wearing high-heeled shoes.
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Affiliation(s)
| | - Daniel Dąbrowiecki
- Medical Center "S Med", Non-Public Health Care Institution, Dydnia, Poland
| | - Sławomir Jandziś
- Institute of Physiotherapy, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
| | - Marek Żak
- Institute of Physiotherapy, Faculty of Medicine and Health Sciences, The Jan Kochanowski University, Kielce, Poland
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Pratihast M, Al-Ani A, Chai R, Su S, Naik G. Changes in lower limb muscle synchronisation during walking on high-heeled shoes. Healthc Technol Lett 2018; 5:236-238. [PMID: 30568800 PMCID: PMC6275131 DOI: 10.1049/htl.2018.5032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Revised: 05/27/2018] [Accepted: 08/31/2018] [Indexed: 11/19/2022] Open
Abstract
The goal of this research was to investigate the effect of wearing high-heeled shoes (HHS) on lower limb muscle synchronisation during walking, using beta band (15-30 Hz) coherence analysis. Fifteen females with no previous neuromuscular disorders volunteered in this study. Surface electromyography in frequency domain was studied from rectus femoris (RF), vastus lateralis (VL), vastus medialis (VM) and semitendinosus (ST) muscles during walking by subjects wearing HHS of three different heel heights (low - 4 cm, medium - 6 cm and high - 10 cm). Average coherence values were calculated for RF-VL, RF-VM and RF-ST muscles in beta band to analyse muscle pair synchronisation. In this study, significant increase in beta band coherence was found in all three muscle pairs during walking on HHS of different heel heights (p<0.05). Increased beta band coherence obtained from this study suggested that walking on HHS demands higher muscle pair synchronisation, to maintain stability around the knee joint.
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Affiliation(s)
- Manisha Pratihast
- Centre for Health Technologies, Faculty of Engineering & IT, University of Technology Sydney, 15, Broadway Ultimo Sydney, New South Wales 2007, Australia
| | - Ahmed Al-Ani
- Centre for Health Technologies, Faculty of Engineering & IT, University of Technology Sydney, 15, Broadway Ultimo Sydney, New South Wales 2007, Australia
| | - Rifai Chai
- Department of Telecommunications, Electrical, Robotics and Biomedical Engineering, Faculty of Science, Engineering & Technology, Swinburne University of Technology, PO Box 218, Hawthorn, Vic 3122, Australia
| | - Steven Su
- Centre for Health Technologies, Faculty of Engineering & IT, University of Technology Sydney, 15, Broadway Ultimo Sydney, New South Wales 2007, Australia
| | - Ganesh Naik
- Biomedical Engineering and Neuroscience Research Group, MARCS Institute, Western Sydney University, Kings Wood, 2747, New South Wales 2007, Australia
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Hessas S, Behr M, Rachedi M, Belaidi I. Heel lifts stiffness of sports shoes could influence posture and gait patterns. Sci Sports 2018. [DOI: 10.1016/j.scispo.2017.04.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Muyor JM, Zemková E, Chren M. Effects of Latin style professional dance on the spinal posture and pelvic tilt. J Back Musculoskelet Rehabil 2018; 30:791-800. [PMID: 28372311 DOI: 10.3233/bmr-150448] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Systematic repetition postures adopted during trainings could generate alterations in the sagittal spinal curvatures. OBJECTIVE The purposes were: 1) to analyse the sagittal spinal curvatures and pelvic tilt in Latin American style dancers; 2) to compare the spinal sagittal mobility and hamstring muscle extensibility between Latin American style dancers and non-dancers; and 3) to evaluate the influence of wearing dance shoes upon the sagittal spine posture in standing. METHODS A total of 20 Latin American style professional dancers and 20 non-dancers (control group) were evaluated during standing, relaxed sitting, maximal trunk flexion with knees flexed and extended, lying prone, and maximal trunk extension. Additionally, dancers were analysed while standing barefoot, and wearing heeled-shoes, during forward walking and the paso-doble posture. The hamstring muscle extensibility was evaluated by the active knee extension test. RESULTS The spinal morphology in Latin American style professional dancers is characterised by lower thoracic kyphosis, lumbar lordosis and anterior pelvic tilt in the standing posture as well as a flexible spine, especially in flexion postures, in addition to suitable hamstring muscle extensibility. CONCLUSIONS The spinal morphology of Latin American style professional dancers is characterised by lower thoracic kyphosis and lumbar lordosis and anterior pelvic tilt in the standing posture as well as a flexible spine, especially in flexion postures, and suitable hamstring muscle extensibility.
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Affiliation(s)
- José M Muyor
- Laboratory of Kinesiology, Biomechanics and Ergonomics (KIBIOMER Lab), Faculty of Education Sciences, University of Almería, Almería, Spain
| | - Erika Zemková
- Department of Sports Kinanthropology, Faculty of Physical Education and Sports, Comenius University in Bratislava, Slovakia
| | - Matej Chren
- Department of Gymnastics, Faculty of Physical Education and Sports, Comenius University in Bratislava, Slovakia
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Lee KJ, Lee HS. Effects of Core Stabilization Exercise on the Dynamic Stability in Young Aged Women Wearing Heeled Shoes. THE ASIAN JOURNAL OF KINESIOLOGY 2018. [DOI: 10.15758/ajk.2018.20.1.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Park JW, Jee YS, Eun D, Kim HS, Lee CB, Kim KH, Jang JH, Kim MS, Park HY, Park JM. The effect of wearing high-heeled shoes on the isokinetic strength of ankle muscles. ISOKINET EXERC SCI 2017. [DOI: 10.3233/ies-211162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Jae-Wan Park
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Yong-Seok Jee
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Denny Eun
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Hyun-Sung Kim
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Chan-Bok Lee
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Kang-Ho Kim
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Jeong-Hoon Jang
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Min-Su Kim
- Department of Air Tourism and Service, Hanseo University, Seosan, Korea
| | - Hye-Yoon Park
- Department of Air Tourism and Service, Hanseo University, Seosan, Korea
| | - Jung-Min Park
- Department of Physical Education, Chungnam National University, Deajeon, Korea
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Barnish M, Morgan HM, Barnish J. The 2016 HIGh Heels: Health effects And psychosexual BenefITS (HIGH HABITS) study: systematic review of reviews and additional primary studies. BMC Public Health 2017; 18:37. [PMID: 28760147 PMCID: PMC5537921 DOI: 10.1186/s12889-017-4573-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Accepted: 07/06/2017] [Indexed: 12/27/2022] Open
Abstract
Background High-heeled shoes (high heels) are frequently worn by many women and form an important part of female gender identity. Issues of explicit and implicit compulsion to wear high heels have been noted. Previous studies and reviews have provided evidence that high heels are detrimental to health. However, the evidence base remains fragmented and no review has covered both the epidemiological and biomechanical literature. In addition, no review has considered the psychosexual benefits that offer essential context in understanding the public health challenge of high heels. Methods We searched seven major bibliographic databases up to November 2016, in addition to supplementary searches. We initially identified all review articles of any design that assessed either the psychosexual benefits or negative musculoskeletal health effects of high heels, the latter looking at both the epidemiological and biomechanical perspectives. We additionally considered additional primary studies on areas that had not been reviewed before or in which a marked lack of evidence had been noted. Data were extracted onto standardised forms. Proportionate second review was conducted. Results A total of 506 unique records were identified, 27 full-text publications were screened and 20 publications (7 reviews and 13 additional studies) were included in our evidence synthesis. The most up-to-date epidemiological review provides clear evidence of an association between high heel wear and hallux valgus, musculoskeletal pain and first-party injury. The body of biomechanical reviews provides clear evidence of changes indicative of increased risk of these outcomes, as well as osteoarthritis, which is not yet evidenced by epidemiological studies. There were no reviews on psychosexual benefits, but all five identified original studies provided evidence of increased attractiveness and/or an impact on men’s behaviour associated with high heel wear. With regard to second-party injury, evidence is limited to one descriptive study and eight case reports. Conclusions Our evidence synthesis clearly shows that high heels bring psychosexual benefits to women but are detrimental to their health. In light of this dilemma, it is important that women’s freedom of choice is respected and that any remaining issues of explicit or implicit compulsion are addressed.
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Affiliation(s)
- Max Barnish
- Child Health, University of Aberdeen, Aberdeen, UK.
| | - Heather May Morgan
- Health Services Research Unit, University of Aberdeen, Aberdeen, UK.,Centre for Gender Studies, University of Aberdeen, Aberdeen, UK
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Influence of high-heeled shoes on the sagittal balance of the spine and the whole body. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2016; 25:3658-3665. [PMID: 27206516 DOI: 10.1007/s00586-016-4621-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 03/27/2016] [Accepted: 05/16/2016] [Indexed: 10/21/2022]
Abstract
PURPOSE Wearing high heels is associated with chronic pain of the neck, lower back and knees. The mechanisms behind this have not been fully understood. The purpose of this study was to investigate the influence of high-heeled shoes on the sagittal balance of the spine and the whole body in non-habitual wearers of high heels. METHODS Lateral standing whole body low-dose radiographs were obtained from 23 female participants (age 29 ± 6 years) with and without high heels and radiological parameters describing the sagittal balance were quantified. These were analyzed for differences between both conditions in the total sample and in subgroups. RESULTS Standing in high heels was associated with an increased femoral obliquity angle [difference (Δ) 3.0° ± 1.7°, p < 0.0001], and increased knee (Δ 2.4° ± 2.9°, p = 0.0009) and ankle flexion (Δ 38.7° ± 3.4°, p < 0.0001). 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. Individuals adapting with less-than-average knee flexion responded to high heels by an additional increase in cervical lordosis (Δ 5.8° ± 10.7° vs. 1.8° ± 5.3°). CONCLUSIONS In all participants, wearing high heels led to increased flexion of the knees and to more ankle flexion. While some participants responded to high heels primarily through the lower extremities, others used increased cervical lordosis to adapt to the shift of the body's center of gravity. This could explain the different patterns of pain in the neck, lower back and knees seen in individuals wearing high heels frequently.
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Bae YH, Ko M, Lee SM. The influence of revised high-heeled shoes on foot pressure and center of pressure during standing in young women. J Phys Ther Sci 2015; 27:3745-7. [PMID: 26834343 PMCID: PMC4713782 DOI: 10.1589/jpts.27.3745] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Accepted: 09/17/2015] [Indexed: 12/02/2022] Open
Abstract
[Purpose] Revised high-heeled shoes were developed to minimize foot deformities by
reducing excessive load on the forefoot during walking or standing in adult females, who
frequently wear standard high-heeled shoes. Specifically, this study aimed to investigate
the effects of revised high-heeled shoes on foot pressure distribution and center of
pressure distance during standing in adult females. [Subjects and Methods] Twelve healthy
adult females were recruited to participate in this study. Foot pressures were obtained
under 3 conditions: barefoot, in revised high-heeled shoes, and in standard 7-cm
high-heeled shoes. Foot pressure was measured using the Tekscan HR mat scan system.
One-way repeated analysis of variance was used to compare the foot pressure distribution
and center of pressure distance under these 3 conditions. [Results] The center of pressure
distance between the two lower limbs and the fore-rear distribution of foot pressure were
significantly different for the 3 conditions. [Conclusion] Our findings support the
premise that wearing revised high-heeled shoes seems to provide enhanced physiologic
standing posture compared to wearing standard high-heeled shoes.
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Affiliation(s)
- Young-Hyeon Bae
- Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Republic of Korea; Department of Physical Therapy, Angelo State University, USA
| | - Mansoo Ko
- Department of Physical Therapy, Angelo State University, USA
| | - Suk Min Lee
- Department of Physical Therapy, Sahmyook University, Republic of Korea
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Bae YH, Ko M, Park YS, Lee SM. Effect of revised high-heeled shoes on foot pressure and static balance during standing. J Phys Ther Sci 2015; 27:1129-31. [PMID: 25995572 PMCID: PMC4433993 DOI: 10.1589/jpts.27.1129] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Accepted: 12/11/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to investigate the effects of revised high-heeled shoes on the foot pressure ratio and static balance during standing. [Subjects and Methods] A single-subject design was used, 15 healthy women wearing revised high-heeled shoes and general high-heeled shoes in a random order. The foot pressure ratio and static balance scores during standing were measured using a SpaceBalance 3D system. [Results] Forefoot and rearfoot pressures were significantly different between the 2 types of high-heeled shoes. Under the 3 conditions tested, the static balance score was higher for the revised high-heeled shoes than for the general high-heeled shoes, but this difference was not statistically significant. [Conclusion] Revised high-heeled shoes are preferable to general high-heeled shoes, as they result in normalization of normalized foot pressure and a positive effect on static balance.
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Affiliation(s)
- Young-Hyeon Bae
- Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea ; Department of Physical Therapy, Angelo State University, USA
| | - Mansoo Ko
- Department of Physical Therapy, Angelo State University, USA
| | - Young-Soul Park
- Korea Health Functional Shoes Research Institute, Republic of Korea
| | - Suk-Min Lee
- Department of Physical Therapy, Sahmyook University, Republic of Korea
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