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The Effect of Total Contact Inserts on the Gait Parameters During High-Heeled Shoes Walking  

Moon, Gon-Sung (Dept. of Physical Therapy, Hanseo University)
Kim, Tack-Hoon (Dept. of Physical Therapy, Hanseo University)
Publication Information
Physical Therapy Korea / v.18, no.2, 2011 , pp. 1-8 More about this Journal
Abstract
The purpose of this study was to investigate the effect of high heeled shoes with the total contact insert (TCI) on the frontal plane of the joints for the lower extremity during the gait. Ten healthy females voluntarily participated in this study and the height of the high heeled shoes was 7 cm. A three-dimensional motion analysis system (VICON) and force plates were used to analyze the movements of the joints for the lower extremities. The results were as follows: There were no significant differences for the angle value on the event of the gait cycle in the maximum eversion and inversion of the ankle joint, the varus and valgus of the knee joint, and the adduction and abduction of the hip joint (p>.05). But, there was a significant difference or the range of motion in the ankle joint (p<.05). The value of ankle and knee moment with a TCI was less than the value for no TCI. And there were significant differences for the moment value of the maximum inversion and eversion on the ankle joint and for the maximum varus and valgus on the knee joint (p<.05). Therefore, a TCI would be effective in stabilizing the joints of the lower extremities and increasing the balance of a body to reduce the injure from a fall during the gait.
Keywords
Gait; High-heeled shoes; Total contact insert;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 고은혜, 최홍식, 김택훈 등. 하지 근육의 피로상태 동안 높은 굽 신발에 적용한 전면접촉인솔이 젊은 여성의 보행 특성에 미치는 영향. 한국 전문물리치료학회. 2008;15(1):38-45.
2 류지선. 보행 시 하이힐 높이가 국부적 동적 안정성에 미치는 영향. 한국체육학회지. 2009;48(1):431-438.
3 Ebbeling CJ, Hamill J, Crussemeyer JA. Lower extremity mechanics and energy cost of walking in high-heeled shoes. J Orthop Sports Phys Ther. 1994;l9(4):190-196.
4 Eng JJ, Winter DA. Kinetic analysis of the lower limbs during walking: What information can be gained from a three-dimensional model. J Biomch. 1995;28(6):753-758.   DOI   ScienceOn
5 Esenyel M, Walsh K, Walden JG, et al. Kinetics of High-Heeled Gait. J Am Podiatr Med Assoc. 2003;93(1);27-32.
6 Frey C. Thompson F, Smith J, et al. American orthopaedic foot and ankle society women's shoe survey. Foot Ankle. 1993;14(2):78-81.   DOI
7 Gajdosik RL, Linden DWV, Williams AK. Influence of age on length and passive elastic stiffness characteristics of the calf muscle-tendon unit of women. Phys Ther. 1999;79(9):827-838.
8 Galley PM, Foster AL. Hum Movement, 2nd ed. Melbourne. Churchill Livingstone. 1987;228-237.
9 Gehlsen G, Braatz JS, Assmann N. Effects of heel height on knee rotation and gait. Hum Mov Sci. 1986;5:149-155.   DOI   ScienceOn
10 Gefen A Megido-Ravid M, Itzchak Y, et al. Analysis of muscular fatigue and foot stability during high-heeled gait. Gait Posture. 2002;15(1):56-63.   DOI   ScienceOn
11 Hong WH, Lee YH, Chen HC, et al. Influence of heel height and shoe insert on comfort perception and biomechanical performance of young female adults during walking. Foot Ankle Int. 2005;26(12):1042-1048.
12 Kerrigan DC, Riley PO, Nieto TJ, et al. Knee joint torques: A comparison between women and men during barefoot walking. Arch Phys Med Rehabil. 2008;8(9):1162-1165.
13 Kerrigan DC, Todd MK, Riley PO. Knee osteo¬arthritis and high-heeled shoes. Lancet. 1998;351(9113):1399-1401.   DOI   ScienceOn
14 Lee KH, Shieh JC, Matteliano A, et al. Electromyographic changes of leg muscles with heel lifts in women: Therapeuitc implications. Arch Phys Med Rehabil. 1990;71(1):31-33.
15 Lee YH, Hong WH. Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking. Appl Ergon. 2005;36(3):355-362.   DOI   ScienceOn
16 Loy DJ, Voloshin AS. Biomechanical aspects of high heel gait. Am Soc Bimech. 1987:135-136.
17 Nigg BM, Nurse MA, Stefanyshyn DJ. Shoe inserts and orthotics for sport and physical activities, Med Sci Sports Exerc. 1999;31(7 Suppl):S421-428.
18 Opila-Correia KA. Kinematics of high-heeled gait. Arch Phys Med Rehabil. 1990;71 (5):304-309.
19 Perry J. Gait Analysis: Normal and Pathological Function New Jersey. Slack Inc,. 1992;3-50, 413-422.
20 Snow RE, Williams KR, Holmes GB Jr. The effects of wearing high heeled shoes on pedal pressure in women. Foot Ankle. 1992:13(2):85-92.   DOI
21 Safran MR. Benedetti RS, Bartolozzi AR, et al. Lateral ankle sprains: A comprehensive review: Part 1. Etiology, pathoanatomy, histopathogensis, and diagnosis. Med Sci Sports Exerc. 1993;31(7 Suppl):S429-437.
22 Vicenzino B. Foot orthotics in the treatment of lower limb conditions: A musculoskeletal physiotherapy perspective. Man Ther. 2004;9(4):185-196.   DOI   ScienceOn
23 Stefanyshyn DJ, Nigg BM, Fisher V, et al. The Influence of High Heeled Shoes on Kinematics, Kinetics, and Muscle EMG of Normal Female Gait. J Appl biomech. 2000;16:309-319.
24 Syed IY, Davis BL. Obesity and osteoarthritis of the knee: Hypotheses concerning the relationship between ground reaction forces and quadriceps fatigue in long duration walking. Med Hypotheses. 2000;54(2);182-185.   DOI   ScienceOn
25 Tang SF, Cben CP, Hong WH, et al. Improvement of gait by using orthotic insoles in patients with heel injury who received reconstructive flap operations, Am J Phys Med Rehabil. 2003:82:350-356.
26 Whittle MW. Gait Analysis: An introduction. Oxford Butterworth-Heinemann. 1990.