• Journal of Korean Physical Therapy Science
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• v.5 no.4
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• pp.763-775
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• 1998

Some segment or segments of the body must compensate for the heel, and the higher the heel the greater the compensation. Such compensation was once generally thought to take place in the lumbar region and therefore to increase the lumbar lordosis. The purpose of this study is to analyze changes of lumbar sagittal curvature in barefoot and 6cm 12cm high-heel stance. We selected 19 subjects(11 males, 8 females} without history of lower back pain, significant spinal abnormality. And lateral view X-ray of lumbar region from T12 to S1 was taken of each individual. On each X-ray film, lumbar lordotic angle lumbosacral angle and lumbar segmental angles were measured by Cobb method. We drew the following interpretations from the analysis of measured variables of the lumbar region. 1. In comparison of barefoot 6cm heel 12cm heel stance, lumbar lordotic angle had a tendency to decrease according as the heel height was higher. The change in lumbar lordosis measured in high-heel stance was inconsistent with clinical forkelord of hyperlordosis in wearers of high-heeled. 2. Lumbar lordotic angle from T12 to L5 showed sex difference, and was more lordotic in female(p<0.05). 3. There was no sex difference in lumbosacral angle and lumbar segmental angles(p>0.05). 4. There was a significant correlation between lumbar lordotic angle and lumbosacral angle(r>0.60).

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2004.10a
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• pp.1228-1231
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• 2004

We analyzed the impulse on 24 sensors location under the foot using the Parotec system for the investigation of the relationship between the shoe type and the foot pathologies. Total 7 kinds of shoes, i.e. sport shoe, high heel shoes (5cm heel, 8cm heel, 13cm heel), platform shoe, inline skate, and heelys were evaluated for 20 normal subjects. Compared with the impulse distribution of the sport shoe, greater impulses were shown at the 1$^{st}$ phalange and the 1$^{st}$ metatarsal-phalangeal head in high-heel shoes, lateral tarsal bone and medial metatarsal bone in platform shoe, medial tarsal bone in inline-skate, and medial tarsal bone and 1st phalange in heelys shoe. The result of this study is expected to provide useful information about the relationship between the shoe type and the foot pathologies.ies.

• Journal of the Korean Society for Precision Engineering
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• v.22 no.8 s.173
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• pp.174-181
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• 2005

We analyzed the pressure, impulse on 24 sensors location under the foot using the Parolee system. Total 7 kinds of shoes, i.e. sport shoe, high heel shoes (5cm heel, 8cm heel, 13cm heel), platform shoe, inline skate, and heelys were evaluated for 20 normal subjects. Compared with those of sport shoe, greater pressure and impulse were shown on the 1 st phalange and the 1 st metatarsal head and greater impulse on the medial tarsal bone in high-heel shoes. Greater pressure and impulse were shown on medial metatarsal bone and the lateral tarsal bone in platform shoe. Greater impulse was shown on the medial tarsal bone in inline-skate. Heelys shoe showed smaller impulse on the central area of foot. The result of this study is expected to provide useful information about the relationship between the shoe type and the foot pathologies.

• Physical Therapy Korea
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• v.6 no.2
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• pp.32-42
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• 1999

This study was conducted to identify the effects of high-heel shoes on EMG activities of rectus femoris and biceps femoris in 28 healthy women. Subjects were composed of experimental group (wearing high-heel shoes) and control group (wearing low-heel shoes). Two groups participated in three conditions standing (bare foot wearing athletic shoes and 7.5 cm height shoes). In high-heel shoes condition, EMG activities of rectus femoris of control group were significantly lower than that of biceps femoris of experimental group, but EMG activities of both muscles of experimental group did not should significant difference. In bare foot standing condition, EMG activities of rectus femoris of experimental group were significantly lower than that of biceps femoris but EMG activities of both muscles of control group had no significant difference. These results showed that hamstring lengthening effects was produced when wearing high-heel shoes because the external knee extension moment was increased. In the short term, high-heel shoes effect on the increase of the biceps femoris activities by spindle reflex, but in the long term, the normal amplitude of the same muscle activities by Golgi tendon organ reflex.

• Journal of the Korean Society of Clothing and Textiles
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• v.31 no.2 s.161
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• pp.258-268
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• 2007

The purpose of this research is to develop functional midsole that can restrain the heightening of plantar pressure in forefoot pressure so as to develop high-heeled shoes that can lessen foot ailments among women. The pumps shoes used for the research were of the same pumps type last. The variant was heel height, 3cm, 6cm, and 9cm, and the shoes were made in both normal midsole and functional midsole. The variant was applied to investigate the changes of foot pressure on forefoot and hindfoot according to heel height.'Heel Cup' was chosen for modification of functional midsolepumps type. to enlarge contact area in hindfoot, and 'Heel Posting Pad' was attached under sustentaculum tali to suppress the weight moving to forefoot pressure. If such functional parts are developed and used, it is possible to lessen the amount of Pmax or Impulse imposed by high-heeled pumps type on forefoot pressure. This can greatly lessen foot ailments, largely caused by high-heeled shoes, among women.

• The Journal of Korean Physical Therapy
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• v.32 no.1
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• pp.29-33
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• 2020

Purpose: This study examined the effects of the weight-bearing pattern and calcaneal taping on the heel width and plantar pressure in standing. Methods: Fifteen healthy subjects with normal feet participated in this study. The heel width was measured using a digital caliper, and a pedoscan was used to measure the plantar pressure of the rear foot while standing. The participants were instructed to stand in three weight-bearing patterns (anterior, middle, and posterior weight bearing) before and after calcaneal taping. The heel width and plantar pressure were measured three times before and three times after calcaneal taping, with the three weight-bearing patterns applied in random order. A 2 (non-taping vs. taping) × 3 (anterior, middle, posterior weight bearing) two-way repeated ANOVA with a Bonferroni post hoc correction was used to assess the differences in heel width and plantar pressure. Results: The results revealed a significant main effect of the weight-bearing pattern (p<.01), but not of calcaneal taping (p>.05). Greater weight bearing applied to the heel resulted in a significantly increased heel width and planter pressure of the rear foot (p<.01). Conclusion: In standing, a posterior weight-bearing pattern increases the heel width due to side-to-side shifting of the plantar heel pad, which increases the heel plantar pressure. Therefore, to prevent high stress on the heel pad and plantar heel pain, it is important to refrain from posterior weight bearing while standing during the activities of daily living.

• Journal of Korean Physical Therapy Science
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• v.19 no.1
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• pp.55-62
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• 2012

Objectives : The purpose of this study was to determine the effects of high heeled shoes on the static & dynamic balance performance and electromyography(EMG) of back and lower extremity muscles. Materials & Methods : Sixteen women participated in this study. Subjects were composed two groups with LL shoes group and higher heel shoes group. We carried out Romberg's test and muscle activity of left and right Paraspinalis, Quadriceps femoris, Tibialis anterior, Gastrocnemius muscles by EMG in order to determine static balance performance according heel height. Using by Biorescue(Incenierie company), we trained subject to transfer of COG each direction(Anterior, posterior, Right, Left), we carried out this test for distance, surface, distance/surface in order to determine dynamic balance performance according heel height. The data were analyzed by independent t-test between lower and high heel height using SPSS(ver. 17.0)/PC program. Results : There was significant difference of distance(p<.05) of weight perturbation between lower and high group in dynamic balance performance and EMG value of left Gastrocnemius(p<.05), both Tibialis anterior(p<.05) muscle in static balance performance. Conclusions : Height of heel has effect on dynamic balance performance in distance of the Anterior, posterior direction. EMG of Gastrocnemius and Tibialis anterior muscles were affected by Romberg's test.

• The Research Journal of the Costume Culture
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• v.23 no.4
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• pp.604-615
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• 2015

The objectives of this study were to investigate whether heel height changes in the U.S. market occur in a cyclical pattern and heel heights show greater within-year variability over time. Heel height data from U.S. Vogue's spring and fall editions were analyzed over the time period 1950~2014. A total of 1581 pieces of data were measured in millimeter units using Adobe Illustrator and standardized by dividing the height of the heel by the shoe length through the curved sole line. To analyze the cycle pattern of heel heights, the yearly averages were standardized by using three-year moving average technique to average out the irregular components of time series data and give a better indication of the long-term fluctuation of heel height. To identify the degree of within-year variability of heel height, the standard deviation of the average measurements for a year was calculated, and then decade averages were drawn from the yearly averaged standard deviation. One-way ANOVA was conducted to compare the within-year variability of data in heel height over the time period studied by decade. The results showed: First, there was a trend toward higher heels from the early 1950s to 2011. Second, four cyclical movements of heel height were observed from 1950 to 2007, and heel heights gradually decreased after 2008. Third, the within-year variability significantly increased over time, especially after the 1980s.

• Journal of the Korean Society of Physical Medicine
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• v.6 no.2
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• pp.135-143
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• 2011

Purpose: The purpose of this study was to investigate onset timing of vastus medialis oblique(VMO) relative to vastus lateralis(VL) the VMO/VL electromyographic(EMG) ratio according to heel height Methods: A repeated measures design was used. Fifteen healthy female college students with no known knee musculoskeletal dysfunction were recruited this study. They carried out a standardised stair acent activity under 4 conditions; barefoot, and with heel height of 1, 3, 7 cm. Muscle activity was measured by surface EMG (Myosystem 1400A, Noraxon Inc., U.S.A). Data were analysed using $1{\times}4$ repeated measures ANOVA. Results: Onset timing differed with heel height(p<.05). However, the VMO/VL EMG ratio was not significantly difference between conditions. Conclusion: We found that 7 cm heel height delayed in VMO onset compared with 3 cm heel height during stair ascent, but no change in the relative EMG intensity of VMO and VL as measured by th VMO/VL ratio. The findings indicate that high-heeled shoes may have disadvantages in knee stability because of delayed onset of VMO. Due to a lack of knee joint stability, wearing of high heeled shoes should be avoided.

• The Journal of Korean Physical Therapy
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• v.16 no.3
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• pp.112-124
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• 2004

Purpose : The purpose of this study is to research the effects of the differences in shoe heel height on balanced performances with a balance master. Method : 40 healthy female adults were divided into 2 groups at random. All the female participants were tested by a balance master system. Differences were analyzed according to high heel shoes and low heel shoes. The ability of static postural balance control was measured by modified CTSIB and unilateral stance test, while that of dynamic postural balance control was measured by LOS (limit of stability) and rhythmic weight shift, among the programs of a balance master. Result : 1. There is no significant correlation between the ability of static and dynamic postural balance control before main test without the shoes. 2. Movement velocity and directional control ability were significant correlation compared result of in high heel shoes and low heel shoes group. Conclusion : In conclusion, the test results of the high heeled shoe group and the low heeled shoe group through a balance master system showed that the former one is inferior to the latter one.