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A Study on Changes in Lower Limb Joint Angles during Stair Walking with High Heel  

Park, Ji-Won (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu)
Kim, Yun-Jin (Department of Physical Therapy, General Graduate School, Catholic University of Daegu)
Publication Information
The Journal of Korean Physical Therapy / v.25, no.6, 2013 , pp. 379-385 More about this Journal
Abstract
Purpose: The purpose of this study is to compare kinematics on lower limbs between stair walking with high heel and barefoot in healthy adult women. Methods: 18 healthy adult women were recruited in this study. The subjects performed stair ascent and descent with high heels and barefoot. The experiment was conducted in random order and repeated three times for each stair walking with high heels and barefoot. The movements of lower limb joints were measured and analyzed using a three-dimensional analysis system. Results: The ankle, knee, and hip flexion angles on the sagittal plane exhibited statistically significant differences between stair ascent and descent with high heels and barefoot. The pelvic forward tilt angles showed statistically significant differences only during stair ascent. The ankle inversion, hip abduction and pelvic lateral tilt angles on the frontal plane showed statistically significant differences between stair walking with high heels and barefoot. On the transverse plane, the hip rotation angles showed statistically significant differences between the high-heeled and barefoot gait during stair ascent and descent. However, the pelvic rotation angles showed no statistically significant differences. Conclusion: Therefore, wearing high-heeled shoes during stair walking in daily life is considered to influence lower limb kinematics due to the high heel, and thus poses the risks of pain, and low stability and joint damage caused by changes in the movement of lower limb joints.
Keywords
Stair ascent; Stair descent; Barefoot; High-heeled shoes; Lower limb joints;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 Snow RE, Williams KR, Holmes GB. The effects of wearing high heeled shoes on pedal pressure in women. Foot Ankle. 1992;13(2):85-92.   DOI
2 Perry J. Gait Analysis: Normal and Pathological Function. New Jersey: SLACK. 1992.
3 Snow RE, Williams KR. High heeled shoes: their effect on center of mass position, posture, three-dimensional kinematics, rearfoot motion, and ground reaction forces. Arch Phys Med Rehabil. 1994;75(5):568-76.
4 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
5 Kerrigan DC, Todd MK, Riley PO. Knee osteoarthritis and high-heeled shoes. Lancet. 1998;351(9113):1399-401.   DOI   ScienceOn
6 Kim YS, Kim EJ, Seo CJ. The comparative analysis of EMG and gait patterns of lower extremities during going up stairs anddown. The Korean Journal of Physical Education. 2006;45(4):535-45.
7 Rudolph KS, Mackler LS. Effect of dynamic stability on a step task in ACL deficient individuals. J Electromyogr Kinesiol. 2004;14(5):565-75.   DOI   ScienceOn
8 Jun HM, Rye JS. A kinetic analysis of the lower extremity during walking on three different stair width in healthy adults. Korean journal of sport biomechanics. 2008;18(4):161-9.   DOI
9 Han JT, Lee JD, Bae SS. The 3-D Motion Analysis of Kinematic Variety on Lower Extremities During Ramp Ascent at Different Inclinations. J Korean Phys Ther. 2005;17(4):633-50.
10 Palluel E, Ceyte H, Oliver I et al. Anticipatory postural adjustments associated with a forward leg raising in children: effects of age, segmental acceleration and sensory context. Clin Neurophysiol. 2008;119(11):2546-54.   DOI   ScienceOn
11 Kong HK, Bae SS. Analysis of clinical measurement methods of lower extremity alignment. J Korean Soc Phys Ther. 2004;16(2):17-21.
12 Romkes J, Rudmann C, Brunner R. Changes in gait and EMG when walking with the Masai Barefoot Technique. Clinical Biomechanics. 2006;21(1):75-81.   DOI   ScienceOn
13 Simoneau GG, Cavanagh PR, Ulbrecht JS, Leibowitz HW, Tyrrell RA. The influence of visual factors on fall-related kinematic variables during stair descent by older women. J Gerontol 1991;46(6):M188-195.   DOI
14 Templer J, Archea J, Cohen HH. Study of factors associated with risk of work-related stairway falls. J Safety Res 1985;16:83-196.
15 Hsue BJ, Su FC. Kinematics and kinetics of the lowerlower extremities of young and elder women during stairs ascent while wearing low and high-heeled shoes. J Electromyogr Kinesiol. 2009;19(6):1071-8.   DOI   ScienceOn
16 Nurse MA, Hulliger M, Wakeling JM et al. Changing the texture of footwear can alter gait patterns. J Electromyogr Kinesiol. 2005;15(5):496-506.   DOI   ScienceOn
17 McPoil TG. Footwear. Phys Ther. 1988;68(12):1857-65.   DOI
18 Landry SC, Nigg BM, Tecante KE. Standing in an unstable shoe increases postural sway and muscle activity of selected smaller extrinsic foot muscles. Gait Posture. 2010;32(2):215-9.   DOI   ScienceOn
19 Moon GS, Kim TH. The Effect of Total Contact Inserts on the Gait Parameters During High-Heeled Shoes Walking. PTK. 2011;18(2):1-8.
20 Kim YW. The Effects of the Gait Types on Shoes with Curved Out-sole and Barefoot. Korean Journal of Exercise Rehabilitation. 2011;7(4):145-53.
21 Park RJ, Choi SJ, Cheng GA, et al. Effects of induced microcurrent shoes on fatigue and pain in painful foot to patients with plantar fasciitis. J Korean Soc Phys Ther. 2006;18(1): 1-10.
22 Seong DY, Kim JH, Park JW. The Effect of Changes in Foot Cutaneous Sensation on Plantar Pressure Distribution during Gait. J Korean Soc Phys Ther. 2012;24(5):306-12.
23 Shin HK, Tae KS. The effect of toe spreader on characteristics of dynamic foot pressure in children with spastic cerebral palsy. J Korean Soc Phys Ther. 2010;22(1):47-51.
24 Franklin ME, Chenier TC, Brauninger L et al. Effect of positive heel inclination on posture. J Orthop Sports Phys Ther. 1995;21(2):94-9.   DOI
25 Opila-Correia KA. Kinematics of high heeled gait. Arch Phys Med Rehabil. 1990;71(5):304-9.
26 Christina KA, Cavanagh PR. Ground reaction forces and frictional demands during stair descent: effects of age and illumination. Gait Posture. 2002;15(2):153-8.   DOI   ScienceOn
27 Andriacchi TP, Mikoz RP. Musculoskeletal dynamics, locomotion and clinical applications. Basic orthopaedic biomechanics, New York, Raven Press. 1991;51-92.
28 Kim DK. Change of walking and stair up in hemiplegia by proprioceptive neuromuscular facilitation techniques. J Korean Soc Phys Ther. 1999;11(3):57-64.
29 Bradford J, Mc Fadyenm BJ, Winter DA. An integrated biomechanical analysis of normal stair ascent and descent. J Biomech. 1988;21(9):733-44.   DOI   ScienceOn
30 Andriacchi TP, Galante JO, Fermier RW. The influence of total knee-replacement design on walking and stair-climbing. J Bone Joint Surg Am. 1982;64(9):1328-35.   DOI
31 Han JT, Hwang BG. Kinematic analysis of lower extremities during stairs and ramp climbing witholder adults. Korean society of sport biomechanics. 2009;19(3):435-48.   DOI
32 Cohen HH, Templer J, Archea J. An analysis of occupational stair accident pattern. J Safety Res. 1985;16(4):178-81.
33 Cohen HH. A field study of stair descent. Ergon. Des. 2000;8(2):11-5.
34 Yeow CH, Lee PV, Goh JC. Non-linear flexion relationships of the knee with the hip and ankle, and their relative postures during landing. The Knee. 2011;18:323-8.   DOI   ScienceOn
35 Yoon JY, An DH, Yoo WG et al. Differences in activities of the lower extremity muscles with and without heel contact during stair ascent by young women wearing high-heeled shoes. J Orthop Sci. 2009;14(4):418-22.   DOI   ScienceOn
36 Han JT, Kim SH, Bae SS. The 3-D Motion analysis of kinematic variety on lower extremities during ramp descent at different inclinations. PTK. 2006;13(2):16-25.
37 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. 1999;31(7Suppl):S429-37.   DOI
38 Eng JJ, Winter DA. Kinetic analysis of the lower limbs during walking: What information can be gained from a threedimensional model. J Biomch. 1995;28(6):753-8.   DOI   ScienceOn
39 Costigan PA, Wyss UP, Li J et al. Forces and moments at the knee during stairclimbing. J Biomech. 1994;27(6):796.
40 Protopapadaki A, Drechsler WI, Cramp MC et al. Hip, knee, ankle kinematics and kinetics during stair ascent and descent in healthy young individuals. Clinical Biomechanics. 2007;22(2):203-10.   DOI   ScienceOn