The Effect of Heel Height on Gait and Posture

Cowley, Emma; Chevalier, Thierry; Chockalingam, Nachiappan

doi:10.7547/0990512

Cited by 60 publications

(51 citation statements)

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“…Some studies [10][11][12] have shown that high-heeled shoes increase lumbar lordosis (LL) and change the relative orientation of the skeletal structures of the spine, which may increase mechanical loads and potentially promote discomfort and degenerative changes in the soft tissue [11]. However, contrary to the results of increased LL, other studies [13,14] have reported that experienced high-heeled shoe wearers show a reduction in LL.…”

Section: Introductionmentioning

confidence: 44%

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

Dai

Zhou

et al. 2015

Eur Spine J

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Section: Introductionmentioning

confidence: 44%

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

Dai

Zhou

et al. 2015

Eur Spine J

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“…[1][2][3][18][19][20] Searches of MANTIS, CINAHL, and Scopus found no additional original research; but the search of Scopus did reveal another, recent review of some effects of high-heeled shoes, 21 written for podiatrists and with only a small overlap with this present review. Two additional publications were found by happenstance in the Internet search for information available to the general public.…”

Section: The Peer-reviewed Literaturementioning

confidence: 99%

“…30,31 And no information has been provided about the spine during walking, nor of the effects of heels on hip, knee, or ankle joint positions or movements, nor on foot pathology related to altered pressures in the feet, changes in trunk and lower extremity muscle activity, or overall energy metabolism. Many of these topics have been reviewed by Cowley et al 21 ; and there is a plethora of other, original sources for the interested reader.…”

Section: Limitationsmentioning

confidence: 99%

The effect of high-heeled shoes on lumbar lordosis: a narrative review and discussion of the disconnect between Internet content and peer-reviewed literature

Russell

2010

Journal of Chiropractic Medicine

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Objectives: Some women complain of low back pain that they believe is due to wearing highheeled shoes, and some clinicians seem to think the reason is that high-heeled shoes cause increased lumbar lordosis. This article examines Internet information aimed at the general public and presents a literature review of available research in this area. Methods: The keywords high heels and high-heeled shoes, combined with the words lumbar, lordosis, and pelvic tilt, were used in an Internet search of Ask.com; in published literature searches of PubMed, MANTIS, CINAHL, Scopus, and ProceedingsFirst; and in searches for theses and dissertations of PapersFirst through June 2010. Results: There are many Internet sites that support the belief that high-heeled shoes cause increased lordosis. However, published research for this topic mostly does not support this belief; but some mixed results, small subject groups, and questionable methods have left the issue unclear.Conclusions: It appears that some health care providers are offering advice about the effect of high-heeled shoes on lumbar lordosis that conflicts with most published research. However, the prevalence of such advice is unknown; and the published research is equivocal. Considering that both low back pain and the wearing of high heeled-shoes are common, clinicians could use some clearer guidance; this is an area that deserves further investigation.

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“…Contudo, a relação do sapato de salto alto com dores das costas, especialmente com a lombalgia, não parece ser motivo de conflito entre os diversos estudos. Em outras palavras, existe um consenso que o mesmo favorece o aparecimento de dor nas costas 2,9 , porém permanece controversa a razão deste fato, ou seja, se está relacionado com o aumento ou com a diminuição dos ângulos das curvaturas da coluna, com o deslocamento anterior do centro de massa ou com ambos.…”

Section: Introductionunclassified

Avaliação da coluna lombar e torácica nas situações com salto alto e com os pés descalços com o instrumento arcômetro

et al. 2012

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RESUMO | O salto alto há muitos anos tem sido um grande aliado das mulheres, tornando-se uma ferramenta fundamental em seu dia a dia. Contudo, a utilização indiscriminada, seja do ponto de vista da frequência de utilização ou da altura do salto, pode trazer prejuízos para a saúde do corpo, que, a busca do melhor equilíbrio, pode desencadear alterações da postura, trazendo problemas para os pés e para a coluna vertebral. Os objetivos deste estudo foram: identificar a postura das curvaturas das colunas vertebral, torácica e lombar de estudantes universitárias, a partir do conhecimento dos ângulos destas curvaturas, e comparar esta postura nas situações com salto alto e com os pés descalços. Foram avaliadas 34 estudantes do sexo feminino, com idades médias de 20±1,9 anos, utilizando o instrumento arcômetro, nas situações com salto alto de 9 cm de altura e com pés descalços. O arcômetro foi colocado sobre os processos espinhosos das vértebras T1, T12, L1 e L5, identificados por palpação, e forneceu os ângulos das curvaturas. Para verificar as diferenças dos ângulos e da postura entre as duas situações de teste, foram utilizados o teste t pareado e o do χ 2 , respectivamente (a=0, 05). Os resultados demonstraram que a utilização de salto alto não modificou significativamente os ângulos das curvaturas torácica e lombar da coluna vertebral, bem como não interferiu na classificação da postura das estudantes universitárias, as quais, em sua maioria, apresentaram postura normal da coluna vertebral.Descritores | postura; coluna vertebral; avaliação.ABSTRACT | For many years, high heels have been a great ally of women becoming an important tool in their everyday lives. However, its use, especially indiscriminate in the point of view of the use frequency or heel height, can bring harm to the body, which, in the search for better balance, may favor body posture changes by bringing injuries to the feet and to the spine. The aims of this study were: to identify the curvatures position of the vertebral, thoracic, and lumbar spines of university students from the knowledge of curvature angles and to compare this approach in situations with high heels and barefoot. Thirty-four female students were evaluated, and their mean age was 20±1.9 years-old, using the arcometer instrument, in situations with high heels, 9 inches tall and barefoot. The arcometer was placed on the spinous processes of T1, T12, L1 and L5 vertebrae, identified by palpation, and it provided the angles of each of the bends. For verification of differences of the angles and body posture between both test situations, the t and χ2 tests, were, respectively, used (a=0.05). The results showed that using high heels did not significantly alter the angles of curvature of the thoracic and lumbar spines and did not affect the classification of the body posture of physical therapy students, who mostly presented normal posture of the spine.

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The Effect of Heel Height on Gait and Posture

Cited by 60 publications

References 50 publications

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

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

The effect of high-heeled shoes on lumbar lordosis: a narrative review and discussion of the disconnect between Internet content and peer-reviewed literature

Avaliação da coluna lombar e torácica nas situações com salto alto e com os pés descalços com o instrumento arcômetro

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