Effect of high-heeled shoes on postural control in the upright and the leaning body stance

Emmanouil, Analina; Rousanoglou, Elissavet

doi:10.15761/pmrr.1000184

Cited by 5 publications

(7 citation statements)

References 25 publications

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“…As this behavior is mostly due to ML motions, we did not observe the increased AP sway previously reported (Mika et al 2016;Emmanouil and Rousanoglou 2018). Emmanouil and Rousanoglou (2018) showed that wearing 110 mm-high heels increased AP and ML sway when compared to barefoot. However, wearing 65 mm-high heels only increased sway in the AP direction.…”

Section: Heelscontrasting

confidence: 82%

“…The main differences between the two protocols are the heel height and base size. Emmanouil and Rousanoglou (2018) used 65 mm-and 110 mm-high heels with a base of 10 mm x 10 mm, whereas we used 45 mmhigh heels with a base of 40 mm (length) x 35 mm (width). We used heels with a wider base since our goal was not to minimize the base of support to create imbalances, but to modify the neutral ankle joint angle, and thus potentially affect the ankle proprioception.…”

Section: Heelsmentioning

confidence: 99%

“…Mika et al (2016) showed that even low-heeled shoes (40 mm) lead to abnormal COP excursions in both the antero-posterior (AP) and medio-lateral (ML) directions. The instability increases in the case of high-heeled shoes (Mika et al 2016;Emmanouil and Rousanoglou 2018). Finally, the strain in the arch of the foot provides additional proprioceptive feedback (Kogler et al 1996), thus the shape of the shoe insole and its stiffness may also affect the postural performance.…”

Section: Introductionmentioning

confidence: 99%

“…Improper footwear can lead to an increased risk of falling, especially in the elderly (Frey and Kubasak 1998;Brenton-Rule et al 2011) but can also lead to a variety of occupational musculoskeletal disorders (Halim et al 2012;Anderson et al 2016). Several studies have quantified the effects of heeled-shoes (Mika et al 2016;Emmanouil and Rousanoglou 2018), occupational footwear (Chander et al 2014), sandals (Alghadir et al 2018), minimalist shoes (Cudejko et al 2020), as well as sport and so-called unstable shoes (Landry et al 2010;Federolf et al 2012) on postural stability. Most studies have focused on elderly patients and results regarding postural stability are inconsistent (Federolf et al 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, we expected that postural stability would be reduced when increasing ankle plantarflexion, and that the hip strategy would become predominant. An increase in ankle plantarflexion is expected to reduce the efficacy of the plantar flexor muscles in controlling the sway (Emmanouil and Rousanoglou 2018), thus leading to a postural control that would rely more on the hip muscles. Furthermore, we expected proprioceptive effects to increase when wearing shoes with stiffer insoles such as flats and heels.…”

Section: Introductionmentioning

confidence: 99%

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An interventional exploratory study to assess the effect of footwear on postural stability and strategy during quiet standing

Hausselle

Haddox

Kasitz

et al. 2021

International Biomechanics

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A stable quiet stance is achieved by controlling the relative position of the center of pressure and the vertical projection of the center of mass. The best postural performances include efficient strategies to mitigate external perturbations. Footwear impacts postural stability and strategy by affecting cutaneous proprioception and ankle proprioception in the case of heeled shoes. The purpose of this study was to quantify the effects of four common footwear conditions, i.e. barefoot, sports, flats, and heels, on postural stability and strategy during quiet standing of healthy young women. Postural stability and strategy were assessed overall and in the antero-posterior and medio-lateral directions using five parameters: total sway, average center of pressure (COP) velocity, α value computed using detrended fluctuation analysis, hip over ankle ranges of motion, and power of the COP time series. Significant differences with barefoot were consistently found when wearing heels, namely a decrease in postural sway and average COP velocity. Results seemed counter-intuitive as they indicate an apparent increase in postural stability when wearing heels. A deeper analysis revealed a more complex scheme. A potential tightening of the motion when wearing heels, combined with an increase of the neutral plantarflexion angle, shifts the postural strategy towards a predominant hip strategy. Finally, proprioception did not play a key role. This study highlighted the complexity of the multifactorial interactions between footwear characteristics and postural strategies. Additional work is needed to develop footwear that will enhance postural stability of populations at risk, such as pregnant women or the elderly.

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Section: Heelscontrasting

confidence: 82%

Section: Heelsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

An interventional exploratory study to assess the effect of footwear on postural stability and strategy during quiet standing

Hausselle

Haddox

Kasitz

et al. 2021

International Biomechanics

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Video analysis system of the gait cycle and posture of people wearing high heels

Baritz

2019

IOP Conf. Ser.: Mater. Sci. Eng.

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Gait cycle analysis is a comprehensive source of information, usable in the medical field, in locomotion, sporting recovery procedures or to increase performance in various sporting fields. Study methods of walking cycle parameters are very diverse, starting from biomechanical analysis, computer simulations and modelling, and completing with video analysis of kinematic and dynamic parameters. The use of optical and video methods is very widespread in all medical, sporting, ergonomic and even economic fields. Thus, the first part of the paper analysis the general aspects regarding the use of optical methods of acquisition and processing of video sequences of the normal gait cycle. Also, in the same context of the introductory part of the paper the aspects of the biomechanics of the normal and high heels cycle for the females are presented. In the second part of the paper is presented an experimental setup for investigating, with the sample of subjects chosen, the cycle of gait with shoes having different dimensions of the heel height. In the third part of the paper are presented the recordings made on footscan pressure plate and also the data acquisition on the especially sensory insole worn by the subjects. In the final part of the paper are presented the results of the processing of this information and the conclusions from the experiment.

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The Role of Heel Height on the Foot Arcus and Musculoskeletal Complaints

Gondo,

Nuskin,

Khatimah

et al. 2023

IJOSH

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Introduction: Musculoskeletal complaints are often caused by accidents and occupational diseases. High heels that are often used by women workers in various companies can cause abnormalities in the shape of the feet. The purpose of this study was to detect the effect of using high heels on the foot arch of female workers in Makassar. Methods: This is a quantitative research using a cross-sectional research design. The sample in this study was 30 female workers who use high heels in Makassar who were selected using a non-probability sampling method with purposive sampling type. The data are primary data obtained through the measurement of the medial longitudinal arch with grid paper measurement which was analyzed using the Meyer line and the wet footprint examination which was analyzed by the Clarke index. Furthermore, the measurement of musculoskeletal complaint was analyzed using Nordic body map. Results: From research conducted on 30 respondents, more than 50% of respondents have pes cavus. The results of data analysis also showed the effect of heel height on increasing the height of the medial longitudinal arch of the sample based on the correlation of heel height and Clarke index. Conclusion: It found that the measurement of the soles of the feet on grid paper with the Meyer line parameter was not directly related to musculoskeletal complaints, on the contrary the Clark index could be used as a specific parameter in detecting an increase in the median longitudinal arc in the form of pes cavus.

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Effect of high-heeled shoes on postural control in the upright and the leaning body stance

Cited by 5 publications

References 25 publications

An interventional exploratory study to assess the effect of footwear on postural stability and strategy during quiet standing

An interventional exploratory study to assess the effect of footwear on postural stability and strategy during quiet standing

Video analysis system of the gait cycle and posture of people wearing high heels

The Role of Heel Height on the Foot Arcus and Musculoskeletal Complaints

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